Steps of the Procedure

1. Port placement
2. Lysis of adhesions
3. Marking defect and sizing mesh
4. Mesh preparation
5. Rolling and placing mesh into abdomen
6. Retrieving anchoring sutures
7. Tacking
8. Closure

Special Hernia Considerations

• Subxiphoid
• Suprapubic
• Lateral / Flank
• Parastomal
• Loss of Domain

Complications

• Bowel injury
• Bladder injury
• Hemorrhage

Hernia Recurrences

• Previous site
• Tearing of fascia at anchoring suture
• Tack and Suture Failures