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Hernia Surgery pp 231-240 | Cite as

Laparoscopic Ventral Hernia Repair with Defect Closure

  • Sean B. OrensteinEmail author
  • Yuri W. Novitsky
Chapter

Abstract

While laparoscopic ventral hernia repair (LVHR) has been shown to provide a safe method of hernia repair with reduced wound morbidity when compared to open repair, laparoscopic closure of the hernia defect remains a debated topic. Instead of bridging the defect as with traditional LVHR, defect closure aims to reapproximate the linea alba, thus creating a more functional abdominal wall by medializing the rectus muscles. In addition to eliminating the need to bridge defects, closure offers the advantages of smaller mesh use, obliteration of the dead space resulting in reduced seromas and mesh exposure, as well as reducing subjective postoperative bulging. While laparoscopic closure of abdominal wall defects has increased in popularity, there is a continued need for randomized trials to truly demonstrate long-term durability and advantages over traditional bridged LVHR.

Keywords

Laparoscopic defect closure Laparoscopic shoelace closure Laparoscopic ventral hernia repair LVHR Ventral hernia Umbilical hernia 

Supplementary material

Video 22.1

Laparoscopic VHR with defect closure, by Novitsky (MP4 65,387 kb)

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Copyright information

© Springer International Publishing Switzerland 2016

Authors and Affiliations

  1. 1.Oregon Health & Science UniversityPortlandUSA
  2. 2.Department of SurgeryUH Case Medical CenterClevelandUSA

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