Discover our solutions to minimize incisional hernias

Reinforce and protect

Incisional hernias are preventable

Incisional hernias are the most common types of complications following laparotomy.
20 - 69%

High Incisional Hernia (IH) incidence rate1,2,3,4,5,6


Average cost per Incisional Ventral Hernia Repair (IVHR)

Cost of IVHR in severe cases ~$16K7

When to use prophylactic mesh

The guidelines recommend prophylactic mesh placement in patients with a high risk of developing incisional hernia.8
Expected outcomes for an optimal repair9,10,11
Limited scarring
Comfort and durability
Quick integration

Refer to the current clinical evidence, recommendations and guidelines about Incisional Hernia prevention.

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Definition of ventral hernia by EURAHS12

Ventral Hernia is a clinically defined condition that

  • Developed after surgical trauma to the abdominal wall, including recurrences after repair of primary ventral hernias.
  • Also potentially resulting from an abdominal wall dehiscence, either complete or incomplete within 30 days after surgery.
  • Or during the placment of a colostomy, ileostomy or leal conduit stoma through the abdominal wall.

Which patients are most at risk?

Five common risk factors for incisional hernia development

What does the literature 1,13-42 say

  • Most procedure specific
  • Some standard for all procedure
The 5 key risk factors independent of procedure are:

Groups at increased risk of developing incisional hernias.19

Prevention of incisional hernia

The above defined biological and external factors may serve as selection parameters for the identification of high-risk patients potentially suitable for incisonal hernia prevention care.

The prophylactic care approach is build upon two pillars, as suggested by current literature:

Abdominal Wall Closure

Literature8,44,45 recommends to perform the abdominal wall closure, in a single layer aponeurotic closure technique, using the Small Bite Technique (SL/WL ratio > 4/1) with a Slowly-Absorbable Monofilament Suture.

Mesh Reinforcement

Clinical evidence8,25 appears to show the safety & effectiveness of prophylactic synthetic mesh augmentation in onlay position following abdominal wall closure for the prevention of incisional hernia occurence in high risk patients.

Prophylactic mesh* placement is an important strategy in reducing the risk of incisional hernia formation in highrisk patients.8,25,46 

* Prophylactic mesh is part of the solution offered by Medtronic

What is the ideal mesh to prevent incisional hernia?


Limited scarring


Patient comfort


Quick integration


Consistent, proven and strong

Progrip™ prophylactic mesh augmentation

The ProGrip™ Self-Gripping Polyester Mesh incorporates many of these attributes into one mesh.

Find more information on how the ProGrip™ Self-Gripping Polyester Mesh Technology can support your efforts to reinforce your laparotomies.

Get in touch with us to learn more about the ideal mesh to prevent incisional hernias

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  1. Alnassar S, Bawahab M, Abdoh A, et al. Incisional hernia postrepair of abdominal aortic occlusive and aneurysmal disease: five-year incidence. Vascular, Bol. 2012;20 No. 5:273-277. DOI: 10.1258/vasc.2011.oa0332
  2. Antoniou SA, Agresta F, Garcia Alamino JM, et al. European Hernia Society guidelines on prevention and treatment of parastomal hernias. Hernia 2018;22:183-198.
  3. Aquina CHT, Rickles AS, Probst P, et al. Visceral Obesity, Not Elevated BMI, Is Strongly Associated With Incisional Hernia After Colorectal Surgery. Diseases of Colon & Rectum Vol 58:3 (2015)
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  9. Lefranc O, Bayon Y, Montanari S, Gravagna P, Thérin M. Reinforcement materials in soft tissue repair: Key parameters controlling tolerance and performance – current and future trends in mesh development, new techniques in genital prolapse surgery. Springer London. 2011; 275–287.
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  11. Lake SP, Ray S, Zihni AM, Thompson DM Jr, Gluckstein J, Deeken CR. Pore size and pore shape – but not mesh density – alter the mechanical strength of tissue ingrowth and host tissue response to synthetic mesh materials in a porcine model of ventral hernia repair. J Mech Behav Biomed Mater. 2015;42:186–197.
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