Reversibility of Abdominal Wall Atrophy and Fibrosis After Primary or Mesh Herniorrhaphy

Abstract

Mesh herniorrhaphy more completely reverses atrophic abdominal wall changes than primary herniorrhaphy, despite failing to restore normal anatomic muscle position. Techniques for hernia repair and mesh design should take into account abdominal wall muscle length and tension relationships and total abdominal wall compliance.