A Centripetal Approach to Incisional Hernia Repair: Reflections from a Personal Surgical Evolution
Year: 2025
Type: article
Abstract: This study presents a refined surgical technique for incisional hernia repair developed over three decades of experience. The “centripetal approach” involves a wide elliptical incision placed in healthy parietes, progressing inward to en-bloc remove attenuated tissues, followed by anatomical closure and mesh reinforcement. The approach minimizes dissection and bleeding while maximizing repair strength and postoperative outcomes. In cases where primary closure risks compartment syndrome, the sac is preserved and a dual mesh is overlaid to avoid direct visceral contact. This manuscript outlines patient characteristics, indications, dissection strategy, closure principles, and outcomes, supported by relevant literature.
Institution: Fortis Hospital
Language: English
Topic: Hernia repair and management
Subfield: Surgery
Field: Medicine
Domain: Health Sciences
Open Access status: gold
OpenAlex ID: W4410190305