Abstract
Laparoscopic approaches to ventral hernia repair provide safe and durable methods for repairing ventral hernias. While there is little argument on the beneficial aspects of wound morbidity with minimally invasive approaches, laparoscopic hernia defect closure remains a debated topic. Traditional laparoscopic ventral hernia repair (LVHR) involves mesh bridging of the hernia without defect closure. With laparoscopic defect closure, one aims to reapproximate the linea alba, thus creating a more functional abdominal wall as well as provide a more stable tissue bed for mesh ingrowth and reinforcement. Other advantages of defect closure include obliteration of the dead space resulting in reduced seromas and mesh exposure as well as reducing subjective postoperative bulging. While laparoscopic closure of ventral hernia defects has increased in popularity, there is a continued need for further studies to demonstrate long-term durability and advantages over traditional bridged LVHR.
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Orenstein, S.B. (2017). Laparoscopic Closure of Defect. In: Hope, W., Cobb, W., Adrales, G. (eds) Textbook of Hernia. Springer, Cham. https://doi.org/10.1007/978-3-319-43045-4_37
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