The Use of Prosthetic Mesh in Laparoscopic Ventral Hernia Repair

  • Francesco Fidanza
  • Giuliana Simonatto
Part of the Updates in Surgery book series (UPDATESSURG)


The laparoscopic technique in ventral hernia repair, first proposed by the Blanche in 1993 [1], has been progressively accepted and used because of the benefits associated with laparoscopy: shorter hospital stay, more rapid return to functional independence and reduction in the complications linked to decreased mobility. In the case of abdominal-wall surgery, and ventral hernias in particular, there are no significant benefits in terms of aesthetics and a reduction in acute postoperative pain, although these are the hallmarks of a laparoscopic approach. Even standardisation of the technique is not yet uniform, since questions and basic research are still on going relating to the use of different fixation media, either in addition to transfascial suturing or alone. Nor has there yet been any conclusive definition of an ideal prosthesis for intraperitoneal implantation, generally delivered by the laparoscopic route, despite anecdotal reports of procedures using extraperitoneal prostheses.


Incisional Hernia Ventral Hernia Bovine Spongiform Encephalopathy Polypropylene Mesh Adhesion Formation 


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© Springer-Verlag Italia 2008

Authors and Affiliations

  • Francesco Fidanza
  • Giuliana Simonatto

There are no affiliations available

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