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

  • J. A. Bilezikian
  • P. L. Tenzel
  • F. E. Eckhauser
  • W. W. HopeEmail author
Letter to the Editor
Part of the following topical collections:
  1. Forum on primary midline uncomplicated ventral hernia


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.


Umbilical Hernia Repair Mesh Primary 



No funding was received for this work.

Compliance with ethical standards

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.

Ethical approval

Approval from the institutional review board was not required for this study.

Human and animal rights

This article does not contain any studies with human participants or animals performed by any of the authors.

Informed consent

For this retrospective review, formal consent is not required.


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Copyright information

© Springer-Verlag France SAS, part of Springer Nature 2019

Authors and Affiliations

  1. 1.Department of Surgery, New Hanover Regional Medical CenterSouth East Area Health Education CenterWilmingtonUSA

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