**3. Indications for the hybrid technique**

There are no objectively defined selection criteria of treatment of incisional hernias, but we selected some rules which may find helpful in making treatment decisions.

In our concept, hybrid surgical approach can be dedicated to patients with large, difficult incisional hernias, where extensive, dense adhesions are expected (e.g., patients with two or more recurrences of hernia, patients with history of successful treatment of gastrointestinalcutaneous fistulas, patients after many laparotomies—three or more). Moreover, it may be prudent to offer hybrid repair for particularly large incisional hernias, where transverse separation of the fascial edges is >8–10 cm.
