Incisional Hernia Depends on More Than Just Mesh Placement

Abstract

A surgical technique of excellence is key in the outcomes of the treatment or prevention of an IH. However, it seems evident that IH is a complex biological problem. More investment is needed in fundamental research to increase the understanding of an IH genesis. Nevertheless, this fundamental research may take decades to be applied to daily practice, and for this reason, we believe that investment should also be made in clinical research with a view to improve current surgical approaches and prosthetic materials, with the aim of enhancing the best “delaying” strategies of the onset of an IH and preventing the deleterious effects that the footprint (i.e., recurrence, chronic pain, chronic infection, etc.) of techniques and materials can leave on our patients.