Abstract：
Surgical repair of primary umbilical and epigastric hernias are among the most common abdominal operations in the world. The hernia defects range from small (<1 cm) to large and complex even in the absence of prior incision or repair. Mesh has generally been shown to decrease recurrence rates, and its use and location of placement should be individualized for each patient. Open, laparoscopic, and robotic approaches provide unique considerations for the technical aspects of primary repair with or without mesh augmentation.
摘要：
原发性脐疝和上腹部疝的手术修复是世界上最常见的腹部手术之一。即使在没有先前的切口或修复的情况下，疝缺损的范围从小（<1cm）到大而复杂。Mesh通常被证明可以降低复发率，其使用和放置位置应针对每个患者个性化。打开,腹腔镜,和机器人方法为有或没有网格增强的初级修复的技术方面提供了独特的考虑。
