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Primary Uncomplicated Ventral Hernia Repair: Guidelines and Practice Patterns for Routine Hernia Repairs.
Matthew Hager1, Colston Edgerton2, William W Hope2
1Department of Surgery, Novant/New Hanover Regional Medical Center, 2131 South 17th Street, PO Box 9025, Wilmington, NC 28401, USA.
The Surgical Clinics of North America
|September 14, 2023
Summary
Surgical repair of umbilical and epigastric hernias is common. Mesh use and approach (open, laparoscopic, robotic) should be tailored to individual patient needs to reduce recurrence rates.
Area of Science:
- Abdominal surgery
- Hernia repair techniques
Background:
- Primary umbilical and epigastric hernias are frequent surgical procedures globally.
- Hernia defects vary in size and complexity, even without prior surgical history.
Purpose of the Study:
- To discuss surgical repair options for primary umbilical and epigastric hernias.
- To highlight considerations for mesh use and surgical approaches.
Main Methods:
- Review of surgical repair techniques for primary hernias.
- Discussion of open, laparoscopic, and robotic approaches.
- Consideration of mesh augmentation strategies.
Main Results:
- Mesh generally reduces hernia recurrence rates.
- Individualized mesh placement and technique are crucial.
- Different surgical approaches offer unique technical considerations.
Conclusions:
- Surgical repair of primary hernias requires individualized strategies.
- Optimizing mesh use and surgical approach is key to successful outcomes.
- Open, laparoscopic, and robotic methods each have specific technical aspects to consider.
