Use of a combined sublay–onlay “sandwich” technique for abdominal incisional hernia repair: a case report - Report - MDSpire

Use of a combined sublay–onlay “sandwich” technique for abdominal incisional hernia repair: a case report

  • By

  • Xing-Kai Kang

  • Bin Wu

  • Jing Wang

  • Yi-Zhou Shao

  • Tao Wang

  • July 7, 2026

  • 0 min

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Clinical Report: Application of a Dual-layer “Sandwich” Approach for Repairing Abdominal Incisional Hernias

Background

Abdominal incisional hernias are common complications following abdominal surgery, often leading to significant patient discomfort and potential serious complications. The development of innovative surgical techniques, such as the dual-layer 'sandwich' approach, aims to improve outcomes for patients with substantial abdominal wall defects.

Data Highlights

No numerical data or trial data was provided in the source material.

Key Findings

  • The patient had a 12 cm abdominal wall defect classified as W3 according to the EHS classification.
  • The dual-layer polypropylene patch repair technique combined sublay and onlay placements.
  • The patient experienced a smooth postoperative recovery.
  • At 6 months follow-up, there was no recurrence of the hernia.
  • The 'sandwich' technique addresses mechanical limitations of traditional single-layer mesh repairs.

Clinical Implications

The dual-layer 'sandwich' technique may provide a viable option for surgeons dealing with large incisional hernias. Individualized treatment plans should consider the specific characteristics of the hernia and patient health status.

Conclusion

This case illustrates the application of the dual-layer 'sandwich' approach in repairing large incisional hernias.

Related Resources & Content

  1. Author(s)/Org, Source, Year -- Outcomes of Peritoneal Flap Hernioplasty in the Repair of Large Ventral Hernias: A Study of 251 Cases Over the Long Term
  2. Author(s)/Org, Source, Year -- Utilization of Components Separation Method Alongside Double-Mesh Technique for Repairing Large Midline Incisional Hernias
  3. Author(s)/Org, Source, Year -- Utilizing Combined Anterior and Posterior Component Separation Techniques for Complex Abdominal Wall Reconstruction Cases
  4. Author(s)/Org, Source, Year -- Repairing Incisional Hernias Post-Orthotopic Liver Transplantation Using Peritoneal Flap Hernioplasty
  5. EHS Guidelines on the Management of Primary Ventral and Incisional Hernias Under Emergency Conditions, 2023
  6. EHS Guidelines on the Management of Primary Ventral and Incisional Hernias Under Emergency Conditions
  7. https://academic.oup.com/bjs/article/110/12/1732/7277564
  8. Mesh placement and risk of reoperation for recurrence after incisional hernia repair: a nationwide register-based cohort study - PMC
  9. Abandoning mesh “overlap” in favor of “width” and its importance in open retromuscular midline incisional hernia repair: a nationwide database study | Hernia | Springer Nature Link
  10. Comparative Study Between Extended-View Totally Extraperitoneal Rives–Stoppa Repair and Intraperitoneal Onlay Mesh Plus Repair for Ventral Abdominal Wall Hernias: A Randomized Controlled Trial - PMC
  11. Outcomes of anterior component separation versus posterior component separation with transversus abdominis muscle release for large incisional hernias: a systematic review and meta-analysis | Hernia | Springer Nature Link
  12. Retromuscular prophylactic mesh reinforcement after midline laparotomy: a systematic review and meta-analysis - PubMed
  13. Sandwich mesh repair for the treatment of lumbar incisional hernia: a case series - PMC

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