Adverse Events After Ventral Hernia Repair

  • S. Ulyett
  • D. L. Sanders


Ventral hernia repairs are among the most common operations performed by general surgeons worldwide. In the United States, approximately 105,000 ventral abdominal hernias are repaired each year. Incisional hernias, most commonly resulting from a laparotomy, occur after 3–20% of operations. Predisposing factors for ventral hernia include smoking, obesity, advanced age, diabetes, steroid use, pulmonary disease, and infectious wound complications. Surgical approaches to ventral hernia repair have been a subject of much research and debate for many years. Recurrence rates below 10% are usual with both the retrorectus and onlay methods of prosthetic repair of ventral hernias. The Achilles heel of these approaches is the possibility of mesh infection and the frequent wound complications, ranging from 12–20%. Since the first reports of a laparoscopic ventral hernia repair more than 15 years ago, laparoscopic repair has now become established and been used most frequently for smaller fascial defects. This chapter provides a guide to some of the adverse events that can occur in both open and laparoscopic ventral hernia repair.



This is an updated version of the chapter authored by V. B. Tsirline, I. Belyansky, and B. Todd Heniford. None of these authors have participated in the revision of this chapter for the 5th edition.


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Copyright information

© Springer International Publishing AG, part of Springer Nature 2018

Authors and Affiliations

  1. 1.North Devon District HospitalBarnstapleUK

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