Atypical hernias: suprapubic, subxiphoid, and flank.

Thorough knowledge of anatomy, appropriate preoperative planning, and reliance on the principles of hernia repair ensure successful outcomes. There are many options for repair, including technique and mesh choice. The hernia surgeon should be well versed in the open and laparoscopic approaches and apply them based on the individual clinical presentation. Long-term outcomes related to suprapubic, subxiphoid, and lateral hernia repairs are limited; however, open and laparoscopic repairs using wide mesh overlap and adequate fixation have acceptable outcomes and recurrence rates. Future research will likely focus on comparative studies based on patient factors, techniques, mesh, and cost.