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Primary non-complicated midline ventral hernia: overview of approaches and controversies

Hernia volume 23, pages 885–890 (2019)Cite this article

Abstract

Umbilical hernias and epigastric hernias are some of the most common hernias in the world. Umbilical and epigastric hernia defects can range from small (<1 cm) to very large/complex hernias, and treatment options should be tailored to the clinical situation. Repair techniques include open, laparoscopic, and robotics options, each with advantages and disadvantages. A mesh-based repair is indicated in most cases due to having fewer associated recurrences. Overall outcomes are favorable following umbilical and epigastric hernia repairs; however, some patients have chronic complaints mostly related to recurrences. This report is an overview of available techniques for repair of umbilical and epigastric hernias. It also discusses ongoing controversies related to umbilical and epigastric hernia repairs, the limitations of available literature, and the need for future research.

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Affiliations

  1. Department of Surgery, New Hanover Regional Medical Center, South East Area Health Education Center, 2131 South 17th Street, PO Box 9025, Wilmington, NC, 28401, USA

    J. A. Bilezikian, P. L. Tenzel, F. E. Eckhauser & W. W. Hope

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  1. J. A. Bilezikian
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  2. P. L. Tenzel
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  3. F. E. Eckhauser
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  4. W. W. Hope
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Correspondence to W. W. Hope.

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Conflict of interest

WWH has the following activities (not directly related to the current work) to disclosure: CR Bard: honorarium, speaking, and research support; WL Gore: research support and speaking; Lifecell: consulting; intuitive: speaking, and consulting. JAB, PLT, and FEE declare that they have no conflict of interest.

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Bilezikian, J.A., Tenzel, P.L., Eckhauser, F.E. et al. Primary non-complicated midline ventral hernia: overview of approaches and controversies. Hernia 23, 885–890 (2019). https://doi.org/10.1007/s10029-019-02037-0

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  • DOI: https://doi.org/10.1007/s10029-019-02037-0

Keywords

  • Umbilical
  • Hernia
  • Repair
  • Mesh
  • Primary