الفهرس 
Introduction.Only 14 pages are availabe for public view
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Abstract
Ventral hernias have various types that can be categorized into
either congenital or acquired.
The cause of a primary ventral hernia is far from completely
understood, but it is undoubtedly multifactorial. Familial predisposition
plays a role. There is increasing evidence that connective tissue disorders.
Incisional hernias (acquired hernias) is another type according to
the location, occur at the site of a pervious surgical scar.
They are considered as a leading cause of abdominal surgery
account for 25- 35% of all abdominal wall hernias.
Complications of ventral hernia include effects of strangulation and
post- operative complications, but recurrence still the ultimate nightmare
of hernia to surgeon. Recurrence reduced after use of permanent
prosthetic mesh for repair.
Management of ventral hernia starts from a through medical
history taking and assessment, treatment include non-invasive (medical
reduction or truss placement) and invasive (surgical), although surgery
has been the most effective maneuver achieving it.
The prosthetic mesh can be placed between the subcutaneous
tissues of the abdominal wall and the anterior rectus sheath (onlay mesh
repair), in the preperitoneal plane created between the rectus muscle and
posterior rectus sheath (retro muscular or sublay mesh repair) as well as
Sandwich style (both onlay and sublay). The sublay technique has several
advantages, one of being not transmitting the infection from subcutaneous
tissues down to the mesh as it lies quite deep in the preperitoneal plane.