Jove
Visualize
Contact Us
JoVE
x logofacebook logolinkedin logoyoutube logo
ABOUT JoVE
OverviewLeadershipBlogJoVE Help Center
AUTHORS
Publishing ProcessEditorial BoardScope & PoliciesPeer ReviewFAQSubmit
LIBRARIANS
TestimonialsSubscriptionsAccessResourcesLibrary Advisory BoardFAQ
RESEARCH
JoVE JournalMethods CollectionsJoVE Encyclopedia of ExperimentsArchive
EDUCATION
JoVE CoreJoVE BusinessJoVE Science EducationJoVE Lab ManualFaculty Resource CenterFaculty Site
Terms & Conditions of Use
Privacy Policy
Policies

Related Concept Videos

Hiatal Hernia01:25

Hiatal Hernia

A hiatal hernia is the abnormal protrusion of the stomach or other abdominal organs through the esophageal hiatus of the diaphragm into the thoracic cavity.Normally, the gastroesophageal junction (GEJ) lies below the diaphragm and is supported by the phrenoesophageal membrane, the diaphragmatic crura, and connective tissues. Weakening of these structures—due to aging, congenital defects like a short esophagus, or increased intra-abdominal pressure from coughing, obesity, pregnancy, or heavy...

You might also read

Related Articles

Articles linked to this work by shared authors, journal, and citation graph.

Sort by
Same author

White paper: robotic cholecystectomy-new technology but safe principles still apply.

Surgical endoscopy·2026
Same author

Integrating Obesity Treatment into Cancer Care: From Missed Opportunity to Standard of Care.

Annals of surgery·2026
Same author

Laparoscopic versus Robotic-Assisted Heller Myotomy for the Treatment of Achalasia: An ACS-NSQIP Analysis.

The American surgeon·2026
Same author

Contemporary trends in the incidence, risk factors, and management of postoperative leak after sleeve gastrectomy and gastric bypass from 2007-2023.

Surgery for obesity and related diseases : official journal of the American Society for Bariatric Surgery·2026
Same author

Changes in Commercial Payments Following Ventral Hernia Billing Reform.

JAMA surgery·2026
Same author

Developing Patient-Centered Clinical Trials: Implications for Incorporating Patient Perspectives.

Annals of surgery·2026

Related Experiment Video

Updated: Jun 24, 2026

Use of a Rat Model to Study Ventral Abdominal Hernia Repair
05:47

Use of a Rat Model to Study Ventral Abdominal Hernia Repair

Published on: October 2, 2017

9.3K

Mesh overlap for ventral hernia repair in current practice.

Ryan Howard1,2, Anne Ehlers1,2,3, Sean O'Neill1,2,3

  • 1Department of Surgery, University of Michigan, Ann Arbor, MI, USA.

Surgical Endoscopy
|September 11, 2023
PubMed
Summary
This summary is machine-generated.

Only 25.7% of ventral hernia repairs achieved sufficient mesh overlap, despite guidelines recommending it to prevent recurrence. Myofascial release and minimally invasive approaches were linked to adequate mesh overlap.

Keywords:
Evidence-based practiceHerniaHernia repairMeshOverlapPractice guidelinesVentral hernia

More Related Videos

Laparoscopic Repair of Para-Esophageal Hernia Using Absorbable Biosynthetic Mesh
10:52

Laparoscopic Repair of Para-Esophageal Hernia Using Absorbable Biosynthetic Mesh

Published on: September 11, 2021

5.3K
Application of a New Mesh Fixation Method in Laparoscopic Incisional Hernia Repair
05:15

Application of a New Mesh Fixation Method in Laparoscopic Incisional Hernia Repair

Published on: December 23, 2022

6.4K

Related Experiment Videos

Last Updated: Jun 24, 2026

Use of a Rat Model to Study Ventral Abdominal Hernia Repair
05:47

Use of a Rat Model to Study Ventral Abdominal Hernia Repair

Published on: October 2, 2017

9.3K
Laparoscopic Repair of Para-Esophageal Hernia Using Absorbable Biosynthetic Mesh
10:52

Laparoscopic Repair of Para-Esophageal Hernia Using Absorbable Biosynthetic Mesh

Published on: September 11, 2021

5.3K
Application of a New Mesh Fixation Method in Laparoscopic Incisional Hernia Repair
05:15

Application of a New Mesh Fixation Method in Laparoscopic Incisional Hernia Repair

Published on: December 23, 2022

6.4K

Area of Science:

  • Abdominal surgery
  • Surgical quality improvement
  • Hernia repair outcomes

Background:

  • Sufficient mesh overlap is crucial for preventing ventral hernia recurrence.
  • European Hernia Society (EHS) and American Hernia Society (AHS) guidelines specify minimum overlap margins based on hernia size and repair type.
  • Current surgical practice regarding mesh overlap in ventral hernia repair requires evaluation.

Purpose of the Study:

  • To assess adherence to EHS and AHS guidelines for mesh overlap in ventral hernia repairs.
  • To identify patient and operative factors associated with achieving sufficient mesh overlap.

Main Methods:

  • Analysis of 4178 elective ventral and umbilical hernia repairs from the Michigan Surgical Quality Collaborative Hernia Registry (2020-2022).
  • Mesh overlap calculated as (mesh width - hernia width) / 2.
  • Multivariable logistic regression used to determine factors associated with sufficient mesh overlap, defined by EHS/AHS guidelines.

Main Results:

  • Only 25.7% of repairs (1074/4178) achieved sufficient mesh overlap.
  • Mean mesh overlap was 3.7 cm, with a wide range (-5.5 to 21.4 cm).
  • Factors associated with increased odds of sufficient overlap included myofascial release (aOR 5.35), minimally invasive approach (aOR 1.86), onlay mesh location (aOR 1.31), and prior hernia repair (aOR 1.59).

Conclusions:

  • A significant gap exists between recommended mesh overlap guidelines and current practice in ventral hernia repair.
  • Achieving sufficient mesh overlap is suboptimal, potentially impacting hernia recurrence rates.
  • Myofascial release, minimally invasive techniques, and mesh type are key factors influencing adequate mesh overlap.