Intraoperative Considerations for Laparoscopy

  • David Earle


The laparoscopic approach for ventral hernia repair began over 20 years ago with the first published report in 1993 by Karl LeBlanc in Baton Rouge, Louisiana. Despite its equivalent cost and hospital resource utilization, and patient benefits over open repair, the laparoscopic technique is still utilized in only about 20% of all ventral hernia repairs. Given the benefits to patients, logic would dictate that the relative lack of utilization is mostly due to technical difficulty and gaps in laparoscopic skill acquisition necessary for the adhesiolysis, mesh placement, and mesh fixation.


Robotic-assisted surgical device Laparoscopic ventral hernia repair Adhesions Mesh 


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© Springer International Publishing AG, part of Springer Nature 2018

Authors and Affiliations

  • David Earle
    • 1
  1. 1.Tufts University School of MedicineBostonUSA

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