Giant ventral incisional hernias GVIHs are hard to manage for surgeons. This problem was resolved in with the components separation technique CST. In this prospective nonrandomized clinical trial, 21 patients were treated with endoscopic or conventional CST between and Eight patients Groups in which prosthetic material was applied were also compared with groups in which it was not. There was no statistically significant difference between endoscopic and conventional CST groups in terms of complications. The incidence of incisional hernias varies between 0. This frequency has increased, especially with major abdominal surgeries, but with increasing medical knowledge and technology the incidence of incisional hernia is gradually diminishing with the development of new abdominal closure techniques and new suture materials. Although incisional hernias are considered manageable for surgeons, the real problems for surgeons begin with giant ventral incisional hernias GVIHs , as shown in Figure 1.
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