Abstract
Since its advent in 1993, laparoscopic incisional hernia repair has undergone significant evolution. One such evolution is the closure of the fascial defect, which was not a part of the initial intraperitoneal onlay mesh repair described by LeBlanc. The current literature on advantages and disadvantages associated with closure of the fascial defect laparoscopically is inconclusive, with no improvement in recurrence rates. However, closure of the fascial defect is associated with improved patient satisfaction and a better cosmetic result. The fascial defect can be closed intraperitoneally or extraperitoneally. The advent of robotic platforms has allowed for the dexterity required to close the fascial defect, especially against the anterior abdominal wall. Given the minimal increased risk, laparoscopic fascial defect closure should be performed when feasible.
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Madabhushi, V., Scott Roth, J. (2018). Laparoscopic Closure of Fascial Defect. In: LeBlanc, K. (eds) Laparoscopic and Robotic Incisional Hernia Repair. Springer, Cham. https://doi.org/10.1007/978-3-319-90737-6_6
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