What is the preferred mesh placement in primary ventral hernia repair? An international survey of 442 surgeons
Preperitoneal and suture-only repairs were most commonly selected for hernia defects < 1 cm, while preperitoneal and retromuscular placements were equally favored for defects ≥ 1 to ≤ 4 cm. For defects > 4 to 9 cm, retromuscular placement was selected by most surgeons. As defect width increased, laparoscopic and robot-assisted approaches gained preference. Key factors influencing decisions included hernia defect size, surgical history, and obesity. The lack of strong supporting evidence highlights the need for further high-quality research.
Authors
- Wah Yang (ORCID: https://orcid.org/0000-0003-2341-3310)
- Shu-Qing Li (ORCID: https://orcid.org/0000-0002-2069-9045)
- Jacob Rosenberg (ORCID: https://orcid.org/0000-0002-0063-1086)
- Jason Joe Baker (ORCID: https://orcid.org/0000-0002-9272-9637)
- Usamah Ahmed (ORCID: https://orcid.org/0009-0002-8157-6791)
- Sujith Wijerathne (ORCID: https://orcid.org/0000-0002-5613-9816)
- Sarfaraz Jalil Baig (ORCID: https://orcid.org/0000-0002-5966-1722)
Institutions
- Jiangxi University of Traditional Chinese Medicine (CN)
- Alexandra Hospital (SG)
- Herlev Hospital (DK)
- Gentofte Hospital (DK)
- First Affiliated Hospital of Jinan University (CN)
- St Xavier’s College (IN)
Publication Details
- Journal
- Hernia
- Published
- 2025-09-09
- DOI
- https://doi.org/10.1007/s10029-025-03429-1
- Citations
- 3
- Primary Topic
- Hernia repair and management
- Type
- article
- Field-Weighted Citation Impact
- 6.02
Funders
- European Hernia Society