Reply To: Ventral hernia with rectus diastasis

[drtowfigh]

In general, incisional hernias are best repaired with mesh. Studies show 50-60% recurrence when repaired without mesh.

Incisional hernia in the midline of up to 2cm can be considered reparable without mesh if combined with a fascial plication.

A multiply recurrent incisional herniaeasuring 7cm requires some amount of fascial components separation and mesh.