Mesh reinforcement of a ventral hernia repair is safe and efficacious, but the location of the reinforcement appears to influence outcomes. Underlay or retrorectus mesh placement is associated with lower recurrence rates.

Strattice is an effective adjunct to AWR when used as reinforcement during CS for a wide variety of indications. Complication rates remain low in complex patients. In addition, Strattice appears to add durability to midline reconstructions with no recurrences during the follow-up period.

Mesh reinforcement of a ventral hernia repair continues to be safe and efficacious, and the anatomic location of mesh implantation appears to influence outcomes. Retromuscular or underlay mesh repair is associated with a lower recurrence rate.