Response to Re: “Prophylactic Mesh Reinforcement versus Sutured Closure to Prevent Incisional Hernias after Open Abdominal Aortic Aneurysm Repair via Midline Laparotomy”

The question Dr Chaudhuri raises is valid since we should do our utmost to prevent incisional hernia after open AAA repair. However, it might be premature to shift away from the midline incision. While there is evidence in favour of alternatives to the midline incision in general surgical populations, we think it is important that such results are replicated in patients with AAA, because these patients are at high risk of incisional hernia and it must be assessed whether alternative incisions allow for sufficient exposure of the aorto-iliac anatomy to carry out safe repair.

Source: European Journal of Vascular and Endovascular Surgery - July 25, 2018 Category: Surgery Authors: Reza Indrakusuma, Hamid Jalalzadeh, Jessica E. van der Meij, Ron Balm, Mark J.W. Koelemay Tags: Correspondence Source Type: research