A central tenet of abdominal wall repair is the concept of a tension-free closure, but new research showed no association between myofascial tension and negative short-term postoperative outcomes.
In some very large ventral hernias, a significant amount of tension may be required to re-approximate the fascia at the midline and reestablish the linea alba, even after a posterior component separation and transversus abdominis release (TAR). “But little is known about the