Primary Uncomplicated Ventral Hernia Repair: Guidelines and Practice Patterns for Routine Hernia Repairs

Matthew Hager; Colston Edgerton; William W Hope

doi:10.1016/j.suc.2023.04.004

Primary Uncomplicated Ventral Hernia Repair: Guidelines and Practice Patterns for Routine Hernia Repairs

Surg Clin North Am. 2023 Oct;103(5):901-915. doi: 10.1016/j.suc.2023.04.004. Epub 2023 May 8.

Authors

Matthew Hager¹, Colston Edgerton², William W Hope³

Affiliations

¹ Department of Surgery, Novant/New Hanover Regional Medical Center, 2131 South 17th Street, PO Box 9025, Wilmington, NC 28401, USA.
² Department of Surgery, Novant/New Hanover Regional Medical Center, University of North Carolina - Chapel Hill, 2131 South 17th Street, PO Box 9025, Wilmington, NC 28401, USA.
³ Department of Surgery, Novant/New Hanover Regional Medical Center, University of North Carolina - Chapel Hill, 2131 South 17th Street, PO Box 9025, Wilmington, NC 28401, USA. Electronic address: william.hope@novanthealth.org.

PMID: 37709395
DOI: 10.1016/j.suc.2023.04.004

Abstract

Surgical repair of primary umbilical and epigastric hernias are among the most common abdominal operations in the world. The hernia defects range from small (<1 cm) to large and complex even in the absence of prior incision or repair. Mesh has generally been shown to decrease recurrence rates, and its use and location of placement should be individualized for each patient. Open, laparoscopic, and robotic approaches provide unique considerations for the technical aspects of primary repair with or without mesh augmentation.

Keywords: Epigastric; Hernia; Laparoscopic; Mesh; Primary; Repair; Robotic; Umbilical.

Publication types

Review

MeSH terms

Hernia, Ventral* / surgery
Herniorrhaphy
Humans
Laparoscopy*
Robotics*