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Abstract
Our objective was to determine outcomes for complex ventral hernia repairs in a large
cohort of patients utilizing an operative construct employing retrorectus placement
of a narrow, macroporous polypropylene mesh with up to 45 suture fixation points for
force distribution. No consensus exists on the optimal technique for repair of complex
ventral hernias. Current trends emphasize large meshes with wide overlaps and minimal
suture fixation, though reported complications and recurrence remain problematic.