TY - JOUR
AR - SCR-2020-11-104
TI - Repair of Complicated Multiple Incisional Hernia on One Patient: Erlangen InlayOnlay Mesh Repair Combined with Extended Spider-Suture Technique 
AU - Resit , Demir
JO - Surgical Case Reports
PY - 2020
DA - Wed 04, Nov 2020
SN - 2613-5965
DO - http://dx.doi.org/10.31487/j.SCR.2020.11.04
UR - https://www.sciencerepository.org/repair-of-complicated-multiple-incisional-hernia-on-one-patient_SCR-2020-11-104 
KW -  Abdominal incisional hernia, open mesh repair, sublay technique, spider suture, fascia suture
AB - Purpose: Surgical treatment of large ventral hernia after laparotomy is a challenge for surgeons. It becomes
even more complicated if there is more than one hernia on the abdominal wall and patients have additional
risk factors such as BMI> 30, severe CAD or lung problems. In the following work I would like to introduce
you two patients who had exactly these constellations and who could be operated successfully by combining
two surgical techniques.
Methods: Two high-risk patients, first had a large median and one para median and the second had a median
and in the left upper abdomen an incisional hernia. The median hernia was closed in both patients with a
mesh according to the Erlangen-Inlay-Onlay Mesh Repair (EIOM) procedure. The lateral incisional hernias
were closed with the so-called Extended Spider-Suture Technique (ESST). The patients were then followed
up for two years.
Results: Both patients were very satisfied after two years and would recommend the operation to others.
The clinical and sonographic examination of the two patients showed no evidence of hernia recurrence.
Conclusion: The combination of both surgical techniques EIOM and ESST showed that all types of
abdominal wall hernias can be treated safely even in high-risk patients.