Technical Innovations in Ventral Hernia Surgery

For a long time, abdominal wall surgery was perceived as a “simple” type of surgery, which led to its frequent underestimation. However, significant developments have occurred over the past decade, both in operative techniques and in the materials used, as well as in overall management strategies. These advances have profoundly transformed the approach to this field and have led to a genuine paradigm shift. Thus, simple closure of the abdominal wall is no longer considered a sufficient objective; restoration of abdominal wall function has now become a primary goal.
In recent years, abdominal wall surgery has undergone three major revolutions: (i) a strategic and conceptual revolution; (ii) a reconstructive revolution; and (iii) a technical revolution with the rise of robotic surgery. In this context, modern abdominal wall surgery is no longer merely a salvage procedure, but rather a discipline based on anticipation, strategic planning, and functional restoration.
Future perspectives rely on the development of personalized abdominal wall reconstruction aimed at restoring optimal biomechanical function through increasingly innovative materials.