Standard Technique Laparoscopic Repair of Ventral and Incisional Hernia

  • Karl A. LeBlancEmail author
  • Anil Sharma
  • Jan F. Kukleta


This repair of these hernias laparoscopically has been well established. There are many variations in technique to obtain the best outcomes. We have attempted to outline the methods that are known to provide for the best results within the literature reviewed. The reader is encouraged to explore the most recent data in an effort of continuous quality improvement.


  1. 1.
    Roberts KE, Panait L, Duffy AJ, Bell RL. Single port laparoscopic umbilical hernia repair. Surg Innov. 2010;17(3):256–60. Level 3.CrossRefPubMedGoogle Scholar
  2. 2.
    Podolsky ER, Mouhlas A, Wu AS, Poor AE, Curcillo PG. Single port access (SPA) laparoscopic ventral hernia repair: initial report of 30 cases. Surg Endosc. 2010;24(7):1557–161. Level 3.CrossRefPubMedGoogle Scholar
  3. 3.
    Tinelli A, Malvasi A, Mynbaev OA, Tsin DA, Davila F, Dominguez G, Perrone E, Nezhat FR. Bladeless direct optical trocar insertion in laparoscopic procedures on the obese patient. JSLS. 2013;17(4):521–8. Level 1B.CrossRefPubMedPubMedCentralGoogle Scholar
  4. 4.
    Godara R, Bansal AR, Verma S, Yadav S, Verma N, Gupta S, Tamaknand V, Garg P. Direct trocar insertion without the pneumoperitoneum in laparoscopic surgery – is this a safe technique? Hell J Surg. 2015;87(5):415–8. Level 3.CrossRefGoogle Scholar
  5. 5.
    Chowbey PK, Khullar R, Sharma A, Soni V, Baijal M. Laparoscopic repair of ventral and incisional abdominal wall hernias. In: Chowbey P, editor. Endoscopic repair of abdominal wall hernias. 2nd ed. New Delhi: Byword Books Pvt. Ltd; 2012. (level 5).Google Scholar
  6. 6.
    Tsimoyiannis EC, Tsimogiannis KE, Pappas-Gogos G, Nikas K, Karfis E, Sioziou H. Seroma and recurrence in laparoscopic ventral hernioplasty. JSLS. 2008;12(1):51–7. (level 3).PubMedPubMedCentralGoogle Scholar
  7. 7.
    LeBlanc KA. Mesh overlap is a key determinant of hernia recurrence following laparoscopic ventral and incisional hernia repair. Hernia. 2016;20(1):85–9. (level 2B and 3).CrossRefPubMedGoogle Scholar
  8. 8.
    Sharma A, Mehrotra M, Khullar R, Soni V, Baijal M, Chowbey PK. Laparoscopic ventral/incisional hernia repair: a single center experience of 1242 patients over a period of 13 years. Hernia. 2011;15:131–9. (level 4).CrossRefPubMedGoogle Scholar
  9. 9.
    LeBlanc KA, Allain BW. Prevention and management of laparoendoscopic surgical complications. In: Kavic MS, Nezhat C, Winfield H, editors. Laparoscopic repair of ventral wall abdominal hernia. 3rd ed. World wide web: Society of Laparoendoscopic Surgeons (SLS). Miami, FL: CRC Press; 2010. (level 5).Google Scholar
  10. 10.
    Sharma A, Khullar R, Soni V, Baijal M, Kapahi A, Najma K, Chowbey PK. Iatrogenic Enterotomy in laparoscopic ventral / incisional hernia repair -a single center experience of 2346 patients over 17 years. Hernia. 2013;17(5):581–7. (level 4).CrossRefPubMedGoogle Scholar
  11. 11.
    LeBlanc KA, Elieson MJ, Corder JM. Enterotomy and mortality rates of laparoscopic incisional and ventral hernia repair: a review of the literature. J Soc Laparoendosc Surg. 2007;11:408–14. (level 1a).Google Scholar
  12. 12.
    Miller SK, Carey SD, Rodriguez FJ, Smoot Jr RT. Complications and their management. In: LeBlanc KA, editor. Laparoscopic hernia surgery-an operative guide. Boca Raton, FL: CRC Press; 2003. (level 5).CrossRefGoogle Scholar
  13. 13.
    LeBlanc KA, Booth WV. Laparoscopic repair of incisional abdominal hernias using expanded polytetrafluoroethylene: preliminary findings. Surg Laparosc Endosc. 1993;3:39–41. (level 4).PubMedGoogle Scholar
  14. 14.
    Berger D. Laparoscopic IPOM technique. Chirurg. 2010;81(3):211–5. (level 5).CrossRefPubMedGoogle Scholar
  15. 15.
    Stirler VMA, Schoenmaeckers EJP, de Haas RJ, Raymakers JTFJ, Rakic S. Laparoscopic repair of primary and incisional ventral hernias: the differences must be acknowledged. A prospective cohort analysis of 1,088 consecutive patients. Surg Endosc. 2014;28(3):891–5.(level 3).CrossRefPubMedGoogle Scholar
  16. 16.
    Misiakos EP, Patapis P, Zavras N, Tzanetis P, Machairas A. Current trends in laparoscopic ventral hernia repair. JSLS. 2015;19(3):e2015.00048. (level 5).CrossRefPubMedPubMedCentralGoogle Scholar
  17. 17.
    Chelala E, Barake H, Estievenart J, Dessily M, Charara F, Alle L. Long-term outcomes of 1326 laparoscopic incisional and ventral hernia repair with the routine suturing concept: a single institution experience. Hernia. online June 2015. (level 2C).
  18. 18.
    Earle D, Roth S, Saber A, Haggerty S, Bradley JF III, Fanelli R, Price R, Richardson WS, Stefanidis D, SAGES Guidelines Committee. Guidelines for laparoscopic ventral hernia repair. Society of American Gastrointestinal and Endoscopic Surgeons. (level 5).
  19. 19.
    LeBlanc KA, Booth WV, Whitaker JM, Bellanger DE. Laparoscopic incisional and ventral herniorrhaphy in 100 patients. Am J Surg. 2000;180(3):193–7. (level 4).CrossRefPubMedGoogle Scholar
  20. 20.
    LeBlanc KA, Booth WV, Bellanger DE, Rhynes VK. Laparoscopic incisional and ventral herniorrhaphy: our initial 100 patients. Hernia. 2001;5:41–5. (level 4).CrossRefPubMedGoogle Scholar
  21. 21.
    LeBlanc KA, Whitaker JM, Bellanger DE, et al. Laparoscopic incisional and ventral hernioplasty: lessons learned from 200 patients. Hernia. 2003;7:118–24. (level 4).CrossRefPubMedGoogle Scholar
  22. 22.
    LeBlanc KA. Incisional hernia repair: laparoscopic techniques. World J Surg. 2005;29(8):1073–9. Review (level 2C).CrossRefPubMedGoogle Scholar
  23. 23.
    Chelala E, Thomas M, Tatete B, Lemye AC, Dessily M, Alle JL. The suturing concept for laparoscopic mesh fixation in ventral and incisional hernia repair: midterm analysis of 400 cases. Surg Endosc. 2007;21(3):391–5. (level 3).CrossRefPubMedGoogle Scholar
  24. 24.
    Chelala E, Gaede F, Douillez V, Dessily M, Alle JL. The suturing concept for laparoscopic mesh fixation in ventral and incisional hernias: preliminary results. Hernia. 2003;7(4):191–6. (level 5).PubMedGoogle Scholar
  25. 25.
    Bittner R, Bingener-Casey J, Dietz U, Fabian M, Ferzli GS, Fortelny RH, Köckerling F, Kukleta JF, LeBlanc K, Lomanto D, Misra MC, Bansal VK, Morales-Conde S, Ramshaw B, Reinpold W, Rim S, Rohr M, Schrittwieser R, Simon T, Smietanski M, Stechemesser B, Timoney M, Chowbey P. Guidelines for laparoscopic treatment of ventral and incisional abdominal wall hernias (International Endohernia Society (IEHS))—part 1. Surg Endosc. 2014;28:2–29.CrossRefPubMedGoogle Scholar
  26. 26.
    Cuccurullo D, Piccoli M, Agresta F, Magnone S, Corcione F, Sancanelli V, Melotti G. Laparoscopic ventral incisional hernia repair: evidence-based guidelines of the first Italian consensus conference. Hernia. 2013;17(5):557–66.CrossRefPubMedGoogle Scholar
  27. 27.
    Silecchia G, Campanile FC, Sanchez L, Ceccarelli G, Antinori A, Ansaloni L, Olmi S, Ferrari GC, Cuccurullo D, Baccari P, Agresta F, Vettoretto N, Piccoli M. Laparoscopic ventral/incisional hernia repair: updated guidelines from the EAES and EHS endorsed consensus development conference. Surg Endosc. 2015;29:2463–84. Scholar
  28. 28.
    Kukleta J, Chelala E, Chowbey. “Bridging”, “augmentation” and reconstruction of the linea alba: closure of the defect before IPOM. Guidelines for laparoscopic treatment of ventral and incisional abdominal wall hernias (International Endohernia Society (IEHS))-part 1. Surg Endosc. 2014;28:2–29. Scholar
  29. 29.
    Forbes SS, Eskicioglu C, McLead RS, Okrainec A. Metaanalysis of randomized controlled trials comparing open and laparoscopic ventral and incisional hernia repair with mesh. Br J Surg. 2009;96(8):851–6. (level 1a).CrossRefPubMedGoogle Scholar
  30. 30.
    Arita NA, Nguyen MT, Nguyen DH, Berger RL, Lew DF, Suliburk JT, Askenasy EP, Kao LS, Liang MK. Laparoscopic repair reduces incidence of surgical site infections for all ventral hernias. Surg Endosc. 2015;29(7):1769–80. (level 4).CrossRefPubMedGoogle Scholar
  31. 31.
    Sajid MS, Bokhari SA, Mallick AS, Cheek E, Baig MK. Laparoscopic versus open repair of incisional/ventral hernia: a meta-analysis. Am J Surg. 2009;197(1):64–72. (level 1a).CrossRefPubMedGoogle Scholar
  32. 32.
    Pierce RA, Spitler JA, Frisella MM, Mathews BD, Brunt LM. Pooled data analysis of laparoscopic vs. open ventral hernia repair: 14 years of patient data accrual. Surg Endosc. 2007;21(3):378–86. (level 2A).CrossRefPubMedGoogle Scholar
  33. 33.
    LeBlanc KA. Incisional hernia repair: laparoscopic techniques. World J Surg. 2005;29(8):1073–9. (level 5).CrossRefPubMedGoogle Scholar
  34. 34.
    Clapp ML, Hicks SC, Awad SS, Liang MK. Trans-cutaneous closure of central defects (TCCD) in laparoscopic ventral hernia repairs (LVHR). World J Surg. 2012;37(1):42–51. (level 4).CrossRefGoogle Scholar
  35. 35.
    Nguyen DH, Nguyen MT, Askenasy EP, Kaol S, Liang MK. Primary facial closure with laparoscopic ventral hernia repair: systematic review. World J Surg. 2014;38(12):3097–104. (level 2A).CrossRefPubMedGoogle Scholar
  36. 36.
    Franklin M, Dorman J, Glass J, Balli J, Gonzalez J. Laparoscopic ventral hernia repair. Surg Laparosc Endosc. 1998;8(4):294–9. (level 4).CrossRefPubMedGoogle Scholar
  37. 37.
    Liang MK, Subramanian A, Awad SS. Laparoscopic transcutaneous closure of central defects in laparoscopic incisional hernia repair. Surg Laparosc Endosc Percutan Tech. 2012;22(2):66–70. (level 4).CrossRefGoogle Scholar
  38. 38.
    Banerjee A, Beck C, Narula VK, Linn J, Noria S, Zagol B, Mikami DJ. Laparoscopic ventral hernia repair: does primary repair in addition to placement of mesh decrease recurrence? Surg Endosc. 2012;26:1264–8. (level 2C–3).CrossRefPubMedGoogle Scholar
  39. 39.
    Zeichen MS, Lujan HJ, Mata WN, Maciel VH, Lee D, Jorge I, Plasencia G, Gomez E, Hernandez AM. Closure versus non-closure of hernia defect during laparoscopic ventral hernia repair with mesh. Hernia. 2013;17(5):589–96. (level 4).CrossRefPubMedGoogle Scholar
  40. 40.
    Orenstein SB, Dumeer JL, Monteagudo J, et al. Outcomes of laparoscopic ventral hernia repair with routine defect closure using “shoelacing” technique. Surg Endosc. 2011;25(5):1452–7. (level 4).CrossRefPubMedGoogle Scholar
  41. 41.
    Booth JH, Garvey PB, Baumann DP, Selber JC, Nguyen AT, Clemens MW, Liu J, Butler CE. Primary fascial closure with mesh reinforcement is superior to bridged mesh repair for abdominal wall reconstruction. J Am Coll Surg. 2013;217(6):999–1009. (level 4).CrossRefPubMedGoogle Scholar
  42. 42.
    Suwa K, Okamoto T, Yanaga K. Closure versus non-closure of fascial defects in laparoscopic ventral and incisional hernia repairs: a review of the literature. Surg Today. 2015;46(7):764–73. [Epub ahead of print] (level 2A).CrossRefPubMedGoogle Scholar
  43. 43.
    LeBlanc KA. Laparoscopic incisional and ventral hernia repair: complications—how to avoid and handle. Hernia. 2004;8:323–31. (level 4).CrossRefPubMedGoogle Scholar
  44. 44.
    LeBlanc KA. Laparoscopic incisional hernia repair: are transfascial sutures necessary? A review of the literature. Surg Endosc. 2007;21(4):508–13. (level 3a).CrossRefPubMedGoogle Scholar
  45. 45.
    Wassenaar EB, Shoenmeckers EJP, Raymakers JTF, Rakic S. Recurrences after laparoscopic repair of ventral and incisional hernia: lessons learned from 505 repairs. Surg Endosc. 2009;23:825–32. (level 4).CrossRefPubMedGoogle Scholar
  46. 46.
    Hauters P, desmet J, Gherardi D, Dewaele S, Poilvache H, Malvaux P. Assessment of predictive factors for recurrence in laparoscopic ventral hernia repair using a bridging technique. Surg Endosc.
  47. 47.
    Theodoropoulou K, Lethaby D, Hill J, Gupta S, Bradpiece H. Laparoscopic hernia repair: a two-port technique. JSLS. 2010;14:103–5. (level 3b).CrossRefPubMedPubMedCentralGoogle Scholar
  48. 48.
    Hussain A, Mahmood H, Shuaib S, El-Hasani S. Prevention of trocar site incisional hernia following laparoscopic ventral hernia repair. JSLS. 2008;12:206–9. (level 3B).PubMedPubMedCentralGoogle Scholar
  49. 49.
    Perry KA, Millikan KW, Huang WW, Myers JA. A novel approach to extraction of incarcerated omentum and mesh insertion in laparoscopic ventral hernia repair. Surg Endosc. 2008;22:798–801. (level 5).CrossRefPubMedGoogle Scholar
  50. 50.
    Perrone JM, Soper NJ, Eagon JC, Klingensmith ME, Aft RL, Frisella MM, Brunt LM. Perioperative outcomes and complications of laparoscopic ventral hernia repair. Surgery. 2005;138:708–15. discussion 715-706 (level 4).CrossRefPubMedGoogle Scholar
  51. 51.
    Agarwal BB, Agarwal S, Mahajan KC. Laparoscopic ventral hernia repair: innovative anatomical closure, mesh insertion without 10-mm transmyofascial port, and atraumatic mesh fixation: a preliminary experience of a new technique. Surg Endosc. 2009;23:900–5. (level 3B).CrossRefPubMedGoogle Scholar
  52. 52.
    Nimeri AA, Brunt LM. Laparoscopic ventral hernia repair: 5-mm port technique and alternative mesh insertion method. J Am Coll Surg. 2006;202:708–10. (level 4).CrossRefPubMedGoogle Scholar
  53. 53.
    Carter PR, LeBlanc KA. Laparoscopic ventral and incisional hernia repair. In: Kingsnorth AN, LeBlanc KA, editors. Management of abdominal wall hernias. 4th ed. New York: Springer; 2013. p. 345–62. (level 5).CrossRefGoogle Scholar
  54. 54.
    Carlson MA, Petersen A. Technique for the insertion of large mesh during minimally invasive incisional herniorrhaphy. Surg Endosc. 2007;21:1243–4. (level 5).CrossRefPubMedGoogle Scholar
  55. 55.
    Miller KS, Carey SD, Rodriguez FJ, Smoot RT. Complications and their management. In: LeBlanc K, editor. Laparoscopic hernia surgery. London: Arnold; 2003. p. 161–9. (level 4).CrossRefGoogle Scholar
  56. 56.
    Wassenaar EB, Shoenmeckers EJP, Raymakers JTF, Rakic S. Recurrences after laparoscopic repair of ventral and incisional hernia: lessons learned from 505 repairs. Surg Endosc. 2009;23:825–32. (level 5).CrossRefPubMedGoogle Scholar
  57. 57.
    Franklin ME Jr, Gonzalez JJ Jr, Glass JL, Manjarrez A. Laparoscopic ventral and incisional hernia repair: an 11-year experience. Hernia. 2004;8(1):23–7. (level 4).CrossRefPubMedGoogle Scholar
  58. 58.
    Ballem N, Parikh R, Berber E, Siperstein A. Laparoscopic versus open ventral hernia repairs: 5 year recurrence rates. Surg Endosc. 2008;22:1935–40. (level 4).CrossRefPubMedGoogle Scholar
  59. 59.
    Topart P, Ferrand L, Vandenbroucke F, Lozac'h P. Laparoscopic ventral hernia repair with the Goretex Dualmesh: long-term results and review of the literature. Hernia. 2005;9(4):348–52. (level 4).CrossRefPubMedGoogle Scholar
  60. 60.
    Berger D, Bientzle M, Müller A. Postoperative complications after laparoscopic incisional hernia repair. Incidence and treatment. Surg Endosc. 2002;16(12):1720–3. (level 4).CrossRefPubMedGoogle Scholar
  61. 61.
    Bingener J, Buck L, Richards M, Michalek J, Schwesinger W, Sirinek K. Long-term outcomes in laparoscopic vs open ventral hernia repair. Arch Surg. 2007;142(6):562–7. (level 4).CrossRefPubMedGoogle Scholar
  62. 62.
    McKinlay RD, Park A. Laparoscopic ventral incisional hernia repair: a more effective alternative to conventional repair of recurrent incisional hernia. J Gastrointest Surg. 2004;8(6):670–4. (level 4).CrossRefPubMedGoogle Scholar
  63. 63.
    Yavuz N, Ipek T, As A, Kapan M, Eyuboglu E, Erguney S. Laparoscopic repair of ventral and incisional hernias: our experience in 150 patients. J Laparoendosc Adv Surg Tech A. 2005;15(6):601–5. (level 4).CrossRefPubMedGoogle Scholar
  64. 64.
    Chelala E, Thoma M, Tatete B, Lemye AC, Dessily M, Alle JL. The suturing concept for laparoscopic mesh fixation in ventral and incisional hernia repair: mid-term analysis of 400 cases. Surg Endosc. 2007;21(3):391–5. (level 4).CrossRefPubMedGoogle Scholar
  65. 65.
    Palanivelu C, Jani KV, Senthilnathan P, Parthasarathi R, Madhankumar MV, Malladi VK. Laparoscopic sutured closure with mesh reinforcement of incisional hernias. Hernia. 2007;11:223–8. (level 4).CrossRefPubMedGoogle Scholar
  66. 66.
    Carbajo MA, del Olmo JC, Blanco JI, de la Cuesta C, Martin F, Toledano M, Perna C, Vaquero C. Laparoscopic treatment of ventral abdominal wall hernias: preliminary results in 100 patients. JSLS. 2000;4:141–5. (level 4).PubMedPubMedCentralGoogle Scholar
  67. 67.
    Bencini L, Sanchez LJ, Boffi B, Farsi M, Martini F, Rossi M, Bernini M, Moretti R. Comparison of laparoscopic and open repair for primary ventral hernias. Surg Laparosc Endosc Percutan Tech. 2009;19(4):341–4. (level 4).CrossRefPubMedGoogle Scholar
  68. 68.
    Chowbey PK, Sharma A, Khullar R, Mann V, Baijal M, Vashistha A. Laparoscopic ventral hernia repair. J Laparoendosc Adv Surg Tech A. 2000;10(2):79–84. (level 4).CrossRefPubMedGoogle Scholar
  69. 69.
    Frantzides CT, Carlson MA, Zografakis JG, Madan AK, Moore RE. Minimally invasive incisional herniorrhaphy: a review of 208 cases. Surg Endosc. 2004;18(10):1488–91. (level 4).CrossRefPubMedGoogle Scholar
  70. 70.
    Kirshtein B, Lantsberg L, Avinoach E, Bayme M, Mizrahi S. Laparoscopic repair of large incisional hernias. Surg Endosc. 2002;16(12):1717–9. (level 4).CrossRefPubMedGoogle Scholar
  71. 71.
    Morales-Conde S, Cadet H, Cano A, Bustos M, Martín J, Morales-Mendez S. Laparoscopic ventral hernia repair without sutures–double crown technique: our experience after 140 cases with a mean follow-up of 40 months. Int Surg. 2005;90(3 Suppl):S56–62. (level 4).PubMedGoogle Scholar
  72. 72.
    Moreno-Egea A, Cartagena J, Vicente JP, Carrillo A, Aguayo JL. Laparoscopic incisional hernia repair as a day surgery procedure: audit of 127 consecutive cases in a university hospital. Surg Laparosc Endosc Percutan Tech. 2008;18(3):267–71. (level 4).CrossRefPubMedGoogle Scholar
  73. 73.
    Olmi S, Erba L, Magnone S, Bertolini A, Croce E. Prospective clinical study of laparoscopic treatment of incisional and ventral hernia using a composite mesh: indications, complications and results. Hernia. 2006;10(3):243–7. (level 3).CrossRefPubMedGoogle Scholar
  74. 74.
    Harth KC, Rosen MJ. Endoscopic versus open component separation in complex abdominal wall reconstruction. Am J Surg. 2010;199(3):342–6. (level 3).CrossRefPubMedGoogle Scholar
  75. 75.
    Harth KC, Rose J, Delaney CP, Blatnik JA, Halaweish I, Rosen MJ. Open versus endoscopic component separation: a cost comparison. Surg Endosc. 2011;25(9):2865–70. (level 3).CrossRefPubMedGoogle Scholar
  76. 76.
    Albright E, Diaz D, Davenport D, Roth JS. The component separation technique for hernia repair: a comparison of open and endoscopic techniques. Am Surg. 2011;77(7):839–43. (level 3).PubMedGoogle Scholar
  77. 77.
    Giurgius M, Bendure L, Davenport DL, Roth JS. The endoscopic component separation technique for hernia repair results in reduced morbidity compared to the open component separation technique. Hernia. 2012;16(1):47–51. (level 3).CrossRefPubMedGoogle Scholar
  78. 78.
    Bachman SL, Ramaswamy A, Ramshaw BJ. Early results of midline hernia repair using a minimally invasive component separation technique. Am Surg. 2009;75(7):572–7. (level 3).PubMedGoogle Scholar
  79. 79.
    Parker M, Bray JM, Pfluke JM, Asbun HJ, Smith CD, Bowers SP. Preliminary experience and development of an algorithm for the optimal use of the laparoscopic component separation technique for myofascial advancement during ventral incisional hernia repair. J Laparoendosc Adv Surg Tech A. 2011;21(5):405–10. (level 4).CrossRefPubMedGoogle Scholar
  80. 80.
    Azoury SC, Dhanasopon AP, Hui X, Tuffaha SH, De La Cruz C, Liao C, Lovins M, Nguyen HT. Endoscopic component separation for laparoscopic and open ventral hernia repair: a single institutional comparison of outcomes and review of the technique. Hernia. 2014;18(5):637–45. (level 3).CrossRefPubMedGoogle Scholar
  81. 81.
    Switzer NJ, Dykstra MA, Gill RS, Lim S, Lester E, de Gara C, Shi X, Birch DW, Kamali S. Endoscopic versus open component separation: systematic review and meta-analysis. Surg Endosc. 2015;29(4):787–95. (level 3).CrossRefPubMedGoogle Scholar

Copyright information

© Springer-Verlag GmbH Germany, part of Springer Nature 2018

Authors and Affiliations

  • Karl A. LeBlanc
    • 1
    Email author
  • Anil Sharma
    • 1
  • Jan F. Kukleta
    • 2
    • 3
  1. 1.Louisiana State University School of Medicine, Department of Surgery, Our Lady of the Lake Physician GroupBaton RougeUSA
  2. 2.Max Institute of Minimal Access, Metabolic and Bariatric SurgeryMax HealthcareDelhiIndia
  3. 3.Klinik Im Park Zurich (Hirslanden Group), Visceral Surgery, NetworkHerniaZurichSwitzerland

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