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Primary ventral and incisional hernias: comprehensive review
Nadia A Henriksen1, Heather Bougard2, Mário R Gonçalves3
1Department of Gastrointestinal and Hepatic Diseases, Herlev Hospital, University of Copenhagen, Herlev, Denmark.
BJS Open
|February 3, 2025
Summary
Ventral hernia repair aims to improve patient quality of life. Optimizing patient risk factors and choosing appropriate surgical techniques, including minimally invasive options, are key to successful outcomes and reduced complications.
Area of Science:
- Abdominal wall surgery
- Hernia repair
- Surgical innovation
Background:
- Primary ventral and incisional hernias are common conditions affecting patient quality of life.
- Abdominal wall surgery is a highly specialized and evolving field.
Purpose of the Study:
- To review recent literature on the treatment of primary ventral and incisional hernias.
- To provide expert insights into classification, preoperative measures, surgical techniques, and postoperative complications.
Main Methods:
- Narrative review of current literature.
- Expert consensus from eight international ventral hernia surgeons.
- Analysis of classification systems, preoperative optimization, surgical techniques, and complications.
Main Results:
- Hernia repair complexity varies with patient comorbidity and defect size.
- Preoperative optimization of patient risk factors is crucial for reducing complications.
- Minimally invasive techniques, though demanding, reduce surgical-site infections and hospital stays.
Conclusions:
- Ventral hernia treatment focuses on improving patient quality of life.
- Procedure selection should balance risks, benefits, patient complaints, and comorbidities.
- Preoperative risk factor optimization is essential for successful surgical outcomes.
