SAGES Pearls: Laparoscopic Incisional Hernia Repair

Editors: Edward Borrazzo, MD; Jonathan Myers, MD

Product Details
Product ID: MS1215
Year Produced: 2010

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


  • Bowel injury
  • Bladder injury
  • Hemorrhage

Hernia Recurrences

  • Previous site
  • Tearing of fascia at anchoring suture
  • Tack and Suture Failures
Edward Borrazzo, MD
James Ellsmere, MD
Jonathan Myers, MD
Ninh Nguyen, MD
Bruce Ramshaw, MD
Alan Saber, MD
Guy Voeller, MD