Management of ventral hernias

* Ventral hernias are defects of the anterior abdominal wall. They include primary ventral hernias (eg, epigastric, umbilical, Spigelian hernias) and incisional ventral hernias.
¶ Loss of domain is commonly defined as having >50% of viscera outside of the boundaries of the abdomen.
Δ Open repair with an intraperitoneal hernia patch is preferred for thin patients; minimally invasive repair is preferred for patients with obesity, patients at high risk for wound infection, and patients with significant upper abdominal diastasis recti bordering the hernia defect.