Ventral hernias may arise from an area of weakness in anterior abdominal wall such as umbilicus, sites of previous surgery or from the areas where musculature is weak. They are commonly dealt surgical problem in our day to day clinical practice associated with various complications/recurrence. This prospective study was conducted to analyze various risk factors responsible for ventral hernia formation and in formulating targeted effective preoperative optimization of those risk factors thereby improving post-operative outcomes. Among various predisposing factors, females (63.33%), history of previous surgery (55%), old age (38.3%) formed the majority in this study. Prevention of ventral hernia and targeted preoperative optimization has gained popularity in recent times to achieve better post-operative outcomes.

Ventral hernia, a commonly dealt surgical problem in clinical practice, is dened as an abnormal protrusion of a viscus or a part of the viscus through a defect or weakness in the anterior abdominal wall. Various risk factors such as old age, history of previous surgery, obesity, COPD, diabetes mellitus, smoking & alcoholism lead to the formation of ventral hernias. Mesh hernioplasty has become the gold standard in the management of ventral hernias. There are various procedures in the management of ventral hernias based on the placement of mesh. In this study, we compare the traditional onlay and retro-rectus mesh repair in ventral hernias in terms of postoperative complications, hospital stay & feasibility