摘要：INCISONAL HERNIA APPEARS AS A RUPTURE OR A DEFICIENT OF INTERFASCIAL FIBROSIS WITCH HASA RATE OF 11-23% AFTER A LAPAROTOMY. FOR REDUCING THE RATE OF INCISIONAL HERNIASPROSTHETIC MESH WERE USED, IN SPECIAL POLIPROPILEN. COMPLICATIONS LIKE SEROMA, FISTULA,BOWEL OBSTRUCTION, CHRONIC PAIN MUST BE CONSIDERED AND AVOIDED. IN CASES OFCOMPLICATED INCISIONAL HERNIA WITH LIFE –THREATENING SITUATIONS THE EMERGENCYTREATMENT MUST BE TAKEN. IF THE CORRECT MESH IS NOT USED FOR THE COVER OF AN MINIMAL 5CM OVERLAP THE POSTOPERATIVE COMPLICATIONS INCREASE DRAMATICALLY. FIBROBLASTS,FOREIGN BODY GIANT CELLS, CAPILLARIES AND MACROPHAGES HAVE DIFFERENT ACTIONSDEPENDING ON THE TOPOGRAPHY AND THE STRUCTURE OF THE MATERIAL USE. MESHES WITH PORE>1000 µM ASSURE A BETTER PROTECTION FROM COLONIZATION OF BACTERIAL DUE LARGEFILAMENTS THAT FACILITATE THE INFILTRATION OF MACROPHAGES. THE SOLUTIONS FOR MESHINFECTION IS THE COMPLETE REMOVAL OF THE PROSTHETIC MATERIAL, A COMPLETE DEBRIDEMENTOF THE REGION AND A CORRECT ADMINISTRATION OF SYSTEMIC ANTIBIOTICS.
