Massive VHR was defined as hernia defect length or width ≥15 cm or area ≥15 cm2.
Open and laparoscopic VHR were examined, comparing massive to regular VHR.
Both strata found massive VHR had increased LOS and operative time.
Massive VHR also had more hematomas, wound infections, and pneumonia
Patients with massive VHR have decreased early postoperative QOL.