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Bridging versus Closing the Defect During Laparoscopic Ventral Hernia Repair: It Is OK to Bridge

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The SAGES Manual of Hernia Repair

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Abstract

Laparoscopy has achieved preferred status for the repair of ventral and incisional hernias. However, controversy still exists as to the optimal method. The preferred technique of laparoscopic repair involves the use of permanent prosthetic mesh bridging the defect with substantial overlap. Some surgeons have advocated a reinforced primary repair, either laparoscopically or through the separation of components technique. In this chapter, we present the conceptual factors and practical reasons why bridging the defect should remain the standard for laparoscopic repair.

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Author information

Authors and Affiliations

  1. Department of Surgery, University of Maryland School of Medicine, Baltimore, MD, USA

    Stephen M. Kavic MD, FACS

  2. Department of Surgery, Anne Arundel Health System, Annapolis, MD, USA

    Adrian Park MD, FRCSC, FACS, FCS(ECSA)

Authors
  1. Stephen M. Kavic MD, FACS
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  2. Adrian Park MD, FRCSC, FACS, FCS(ECSA)
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Corresponding author

Correspondence to Adrian Park MD, FRCSC, FACS, FCS(ECSA) .

Editor information

Editors and Affiliations

  1. , Mount Sinai Medical Center, Mount Sinai School of Medicine, 1010 5th Avenue, New York, 10028, New York, USA

    Brian P. Jacob

  2. Advanced Hernia Solutions, Department of General Surgery, Transformative Care Institute, 1890 Lpga Blvd Suite 250, Daytona Beach, 32117, USA

    Bruce Ramshaw

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Kavic, S.M., Park, A. (2013). Bridging versus Closing the Defect During Laparoscopic Ventral Hernia Repair: It Is OK to Bridge. In: Jacob, B., Ramshaw, B. (eds) The SAGES Manual of Hernia Repair. Springer, New York, NY. https://doi.org/10.1007/978-1-4614-4824-2_40

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  • DOI: https://doi.org/10.1007/978-1-4614-4824-2_40

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  • Publisher Name: Springer, New York, NY

  • Print ISBN: 978-1-4614-4823-5

  • Online ISBN: 978-1-4614-4824-2

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