Background:

Incisional hernia by their nature are much more complicated than inguinal or any other

ventral hernia , both in pathophysiology as well as repair.

While laparoscopic repair of hernia is becoming a gold standard nowadays due to its

obvious advantages such as no extra scar,faster recovery, decreased risk of recurrence , et

cetera, It remains a challenge operating these patients as the defect shape, size, content

can vary a great deal.

Laparoscopic eTEP-RS is a preferred method for repair although, TAR might be required in

incisional hernia to approximate the defect without tension.

Need for posterior component separation or TAR obviously depends on factors like size of

scar, hernia defect size, et cetera., But we aimed to find if there is any difference in

requirement of TAR in males and females

Females have an inherent property of more fat deposition, more pressure compliant

abdominal wall and more laxity, hence they might not require TAR as often as men in

incisional hernia repair.

With the above hypothesis, we have conducted an observational study to assess the gender

disparity in requirements of TAR for incisional hernia repair.