Non-Mesh Repair - Strangulated Epigastric Hernia

Surgery for strangulated hernia should be prompt, along with fluid resuscitation and antibiotic cover. These would minimize the risk of gut gangrene. Most ventral hernias can be repaired using the \'Rectus Repair\' technique where the defect is closed vertically by bringing the rectus muscles together in the midline, without the need for mesh. Rectus Repair For Midline Ventral Abdominal Wall Hernia - http://www.vijaynaraynsingh.com/wp-content/uploads/2010/02/Rectus-Repair-for-midline-ventral-abdominal-wall-hernia0001.pdf A Modification of the Rectus Muscle Repair for Repair Ventral Hernias: Case Report - https://esmed.org/MRA/mra/article/view/4515 Alternative to mesh repair for ventral hernias: Modified rectus muscle repair - https://www.wjgnet.com/2219-2832/full/v13/i3/14.htm