AI-powered medical imaging for ventral hernia repair

Ankoor Talwar , Akshay I. Kelshiker , John P. Fischer

Artificial Intelligence Surgery ›› 2025, Vol. 5 ›› Issue (3) : 418 -24.

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Artificial Intelligence Surgery ›› 2025, Vol. 5 ›› Issue (3) :418 -24. DOI: 10.20517/ais.2025.22
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AI-powered medical imaging for ventral hernia repair

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Abstract

Ventral hernia repair (VHR) is the surgical restoration of abdominal wall integrity to correct hernia defects and prevent recurrence. Artificial intelligence (AI) has emerged as a transformative tool in medical imaging, offering novel solutions to enhance the workflow and outcomes in VHR. This manuscript explores AI-driven applications in imaging for VHR, focusing on preoperative risk stratification, intraoperative augmented reality guidance, and postoperative wound monitoring. AI imaging models have demonstrated efficacy in preoperatively predicting hernia formation, optimizing surgical planning, and predicting complications. Recent advancements, including convolutional neural networks and real-time object detection models, have shown promise in automating wound assessment and streamlining clinical workflow. Still, there are notable challenges in AI imaging, such as dataset bias, high computational demands, and model interpretability. Future work should prioritize dataset diversity, computational efficiency, and explainable AI to ensure equitable, scalable, and clinically reliable AI imaging integration for VHR.

Keywords

Artificial intelligence / ventral hernia repair / incisional hernia / deep learning / computer vision / convolutional neural network / CT / photograph

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Ankoor Talwar, Akshay I. Kelshiker, John P. Fischer. AI-powered medical imaging for ventral hernia repair. Artificial Intelligence Surgery, 2025, 5(3): 418-24 DOI:10.20517/ais.2025.22

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References

[1]

Huerta S,Patel PM,Livingston EH.Biological mesh implants for abdominal hernia repair: US Food and Drug Administration approval process and systematic review of its efficacy.JAMA Surg2016;151:374-81

[2]

Gillies M,Al-Roubaie A,Phong J.Trends in incisional and ventral hernia repair: a population analysis from 2001 to 2021.Cureus2023;15:e35744 PMCID:PMC9984720

[3]

Talwar AA,McAuliffe PB.Optimal computed tomography-based biomarkers for prediction of incisional hernia formation.Hernia2024;28:17-24 PMCID:PMC11235401

[4]

McAuliffe PB,Talwar AA.Preoperative computed tomography morphological features indicative of incisional hernia formation after abdominal surgery.Ann Surg2022;276:616-25

[5]

Love MW,Davis S.Computed tomography imaging in ventral hernia repair: can we predict the need for myofascial release?.Hernia2021;25:471-7

[6]

Elhage SA,Ayuso SA.Development and validation of image-based deep learning models to predict surgical complexity and complications in abdominal wall reconstruction.JAMA Surg2021;156:933-40 PMCID:PMC8264757

[7]

Taye MM.Theoretical understanding of convolutional neural network: concepts, architectures, applications, future directions.Computation2023;11:52

[8]

O’Shea K. An introduction to convolutional neural networks. arXiv. 2015;arXiv:1511.08458. Available from http://arxiv.org/abs/1511.08458 [accessed 4 August 2025].

[9]

Ayuso SA,Zhang Y.Predicting rare outcomes in abdominal wall reconstruction using image-based deep learning models.Surgery2023;173:748-55

[10]

Wilson HH,Ku D.Deep learning model utilizing clinical data alone outperforms image-based model for hernia recurrence following abdominal wall reconstruction with long-term follow up.Surg Endosc2024;38:3984-91 PMCID:PMC11219459

[11]

Bamba Y,Itabashi M.Object and anatomical feature recognition in surgical video images based on a convolutional neural network.Int J Comput Assist Radiol Surg2021;16:2045-54 PMCID:PMC8224261

[12]

Tabja Bortesi JP,Di S.Machine learning approaches for the image-based identification of surgical wound infections: scoping review.J Med Internet Res2024;26:e52880 PMCID:PMC10835585

[13]

Tanner J,Harris R.Digital wound monitoring with artificial intelligence to prioritise surgical wounds in cardiac surgery patients for priority or standard review: protocol for a randomised feasibility trial (WISDOM).BMJ Open2024;14:e086486 PMCID:PMC11409336

[14]

McLean KA,Brown LR.Evaluation of remote digital postoperative wound monitoring in routine surgical practice.NPJ Digit Med2023;6:85 PMCID:PMC10161985

[15]

Rochon M,Jurkiewicz J.Wound imaging software and digital platform to assist review of surgical wounds using patient smartphones: the development and evaluation of artificial intelligence (WISDOM AI study).PLoS One2024;19:e0315384 PMCID:PMC11627411

[16]

Fletcher RR,Bikorimana L. The use of mobile thermal imaging and deep learning for prediction of surgical site infection. In: 2021 43rd Annual International Conference of the IEEE Engineering in Medicine & Biology Society (EMBC); 2021 Nov 1-5; Mexico. New York: IEEE; 2021. pp. 5059-62.

[17]

Mayol J.Transforming abdominal wall surgery with generative artificial intelligence.J Abdom Wall Surg2023;2:12419 PMCID:PMC10831645

[18]

Talwar A,Shin JH.Natural language processing in plastic surgery patient consultations.Art Int Surg2025;5:46-52

[19]

Lancet. AI in medicine: creating a safe and equitable future.Lancet2023;402:503

[20]

Castelvecchi D.Can we open the black box of AI?.Nature2016;538:20-3

[21]

Pierce RL,Van Cauwenberge D,Sterckx S.Explainability in medicine in an era of AI-based clinical decision support systems.Front Genet2022;13:903600 PMCID:PMC9527344

[22]

Ghassemi M,Beam AL.The false hope of current approaches to explainable artificial intelligence in health care.Lancet Digit Health2021;3:e745-50

[23]

Reddy S.Explainability and artificial intelligence in medicine.Lancet Digit Health2022;4:e214-5

[24]

Gaetani M,Balaci H,Maratta C.Artificial intelligence in medicine and the pursuit of environmentally responsible science.Lancet Digit Health2024;6:e438-40

[25]

World Health Organization. Ethics and governance of artificial intelligence for health. Geneva: World Health Organization; 2021. pp. xi, 34. Available from https://www.who.int/publications/i/item/9789240029200. [Last accessed on 4 Aug 2025]

[26]

Thompson N,Lee K. The computational limits of deep learning. Proceedings of the Ninth Computing within Limits Conference; 2023 June 13-15; Virtual. New York: ACM; 2023.

[27]

Abid A,Harpale A,Purkayastha S. Optimizing medical image classification models for edge devices. In: Matsui K, Omatu S, Yigitcanlar T, González SR, Editors. Distributed Computing and Artificial Intelligence, Volume 1: 18th International Conference. Proceedings of the 18th International Conference on Distributed Computing and Artificial Intelligence; 2021 Oct 6-8; Salamanca, Spain. Cham: Springer; 2022. pp 77-87.

[28]

Allam K.Adoption of artificial intelligence in cloud computing.Int J Comput Trends Technol2023;71:91-5

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