Surgery>>>>>Abdominal Wall, Omentum, Mesentery, and Retroperitoneum
Question 6#

Repair of a new 5-cm midline postoperative ventral hernia in an otherwise healthy patient is best accomplished with:

A. Primary suture repair
B. Repair with synthetic mesh
C. Repair with transposition of rectus muscle
D. Lateral component separation with mesh overlay

Correct Answer is B


Postincisional hernias have an unacceptably high incidence of recurrence after primary suture repair. Therefore, a mesh repair, performed either with an open surgical approach or laparoscopic approach, is preferred. Muscle transposition procedures are usually unnecessary in relatively small defects that are not recurrent or related to another abdominal wall defect.