Incisional ventral hernia repair represents one of the most frequently performed operations in general surgery, with over 350,000 procedures performed annually worldwide [2,11]. The condition imposes a substantial burden on healthcare systems, resulting in prolonged disability, reduced quality of life, and significant direct medical costs [2,15]. The heterogeneity of patient populations and hernia morphology, combined with the absence of a universally accepted treatment algorithm, contributes to persistently high recurrence and complication rates [1,7,13].