Supplements during retromuscular ventral hernia repair show promising outcomes.

• 67 patients had a 3% recurrence rate and average follow-up of 189 days.
• 60% of repairs used autologous materials; 40% used newer biologic or biosynthetic meshes.
• Non-autologous groups had higher bowel obstruction rates (4 vs. 0, p=0.02).

Consider autologous materials to minimize complications and optimize repair success.