• Analyzing 11,658 cases, 31.3% were women, 68.7% men; 94.9% involved surgery for diastasis with ventral hernias.
• Preferred techniques: mini-less-open and endoscopic sublay (48.9%), open techniques (30.7%), laparoscopic (11.0%).
• Postoperative complications were 5% with a 2.3% reoperation rate, indicating surgical challenges.

Surgeons should consider patient selection carefully, as outcomes highlight the complexity of these procedures.