November 1985

Repair of Subxiphoid Incisional Hernias With Marlex Mesh After Median Sternotomy

Author Affiliations

From the Surgical Service, William S. Middleton Memorial Veterans Administration Hospital, Madison, Wis, and the Department of Surgery, Clinical Science Center, University of Wisconsin, Madison.

Arch Surg. 1985;120(11):1270-1271. doi:10.1001/archsurg.1985.01390350052011

• Median sternotomy is sometimes complicated by a bifid xiphoid process and an incisional (ventral) hernia in the subxiphoid region. Such hernias often recur after primary suture repair. We recently initiated the use of a polypropylene prosthetic mesh to primarily repair subxiphoid incisional hernias. This report details the results of using this material in 14 patients between January 1980 and December 1983. We also discuss the complex anatomy of the xiphoid region.

(Arch Surg 1985;120:1270-1271)