TY - CHAP M1 - Book, Section TI - Abdominal Wall Hernia Repair A1 - Hunter, John G. A1 - Spight, Donn H. A1 - Sandone, Corinne A1 - Fairman, Jennifer E. PY - 2018 T2 - Atlas of Minimally Invasive Surgical Operations AB - Laparoscopic ventral hernia repair can be considered for all primary abdominal wall hernias and the majority of secondary incisional hernias, including recurrent hernias. The laparoscopic approach has several advantages. First, laparoscopy allows the surgeon to clearly define the edges of the defect from within the peritoneum with the abdominal wall completely relaxed. Second, if pneumoperitoneum can be obtained, the hernia reduced, and adhesions taken down without bowel injury, the surgeon can place a widely underlapping prosthesis that should result in a lower recurrence rate than a traditional open repair. The increased durability of the repair results from tissue ingrowth from the peritoneum to the mesh over a wide surface area rather than from simple defect-edge to mesh-edge suture approximation, which is commonly used for open repair. Finally, postoperative pain and time to recovery are reduced when the mesh is placed laparoscopically. SN - PB - McGraw-Hill Education CY - New York, NY Y2 - 2024/03/28 UR - accesssurgery.mhmedical.com/content.aspx?aid=1162531356 ER -