Use of Inlay Bridge of Posterior Fascia Enhances Repair for Difficult Abdominal Wall Hernias

The study explored the use of an inlay mesh bridge as a supplementary technique to a modified Rives-Stoppa repair for challenging abdominal wall hernias. Nineteen patients with large postoperative ventral hernias were examined. Results showed that the inlay mesh bridge, combined with a sublay ultrapro mesh, effectively repaired abdominal wall defects when the posterior fascia could not be fully approximated without tension. Minor complications were observed immediately after the procedure, and there were two instances of recurrence during the follow-up period.