Ventral hernia repair outcomes hinge on proper closure metrics.

• Overall anterior fascial closure rate post-transversus abdominis release was 93.9%.
• Hernia widths of 15-20 cm and >20 cm significantly lower closure odds (0.39 and 0.05 respectively).
• History of open abdomen and higher ASA classification also correlate with non-closure (0.33 and 0.39 respectively).

Proper patient selection and recognition of risk factors can enhance surgical outcomes and reduce infection rates post-repair.

• Fascial non-closure directly increases wound morbidity and is linked to higher rates of one-year surgical site infections.