Laparoscopic incisional and ventral hernia repair

Abstract

Approximately 200,000 ventral hernias are repaired in the US yearly [1]. This common problem has been approached in a myriad of ways, each with various technical aspects that contribute to the long term success or failure of the repair. Laparoscopic Incisional Ventral hernia repair (LIVH) as first described by LeBlanc in 1993 [2], builds upon the strengths of various techniques that improve overall outcome. The significant mesh overlap in the rectro-rectus repair with transfascial fixation first described by Rives and Stoppa [3, 4] is technically similar to what is achieved in LIVH Repair.