Page 89 - Prevention and Treatment of Incisional Hernia- New Techniques and Materials
P. 89
EHS guidelines
can be given on the optimal technique to close emergency laparotomy incisions. Prophylactic mesh augmentation appears e ective and safe and can be suggested in high-risk patients. For laparoscopic surgery it is suggested using the smallest trocar size adequate for the procedure and closure of the fascial defect if trocars larger or equal to 10 mm are used. For single incision laparoscopic surgery we suggest meticulous closure of the fascial incision to avoid an increased risk of incisional hernias.
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