Abdominal hernias are often uncomfortable for patients. Abdominal or ventral hernias can be repaired in many different fashions. When ventral hernias or incisional hernias have been previously repaired and recur, it is often best to undergo abdominal wall reconstruction with mobilization and medialization of the abdominal muscles and component separation.
The medialization of the abdominal muscles allows for the creation of a dynamic abdominal wall which can now exert an equivalent back pressure on the intra-abdominal contents that tend to move outward with coughing, sneezing, straining, etc. The abdominal wall reconstruction is often a much larger procedure than laparoscopic repair, but allows for the abdominal wall musculature to dynamically contract and prevent hernia repair.