This video provides a brief overview of different surgical techniques for repairing abdominal hernias, focusing particularly on incisional hernias. Mr. Aali Sheen begins by defining an abdominal hernia as an abnormal protrusion of a viscus through a defect in the abdominal wall, referencing Sir Astley Cooper's historical description. He notes that incisional hernias are common, unsightly, often symptomatic, and tend to occur in patients with Co morbidities. Approximately 11% of laparotomies result in incisional hernias, making it an important topic. A key challenge is the high recurrence rate even after repair.
In summary, Mr. Sheen concludes that the **choice of repair is generally operator dependent**, and familiarity with the anatomy of the rectus sheath and abdominal wall is key. While sublay repair appears to be a preferred location for mesh placement, surgeons must be aware that recurrence is always possible. Minimal access repair has a role but should be undertaken with care and caution.