Laparoscopic repair of ventral and incisional hernias continues to be studied and has been demonstrated to be a safe and effective alternative to open surgical techniques (Franklin et al, 2004). There is, however, no consensus in the surgical literature regarding the minimum or maximum size of the fascial defect for which laparoscopic techniques should be used. Certainly this methodology would be contraindicated in those with unstable soft tissue coverage or complicating GI pathology such as enterocuta-neous fistulas. Essentially all laparoscopic techniques employ the use of prosthetic material to achieve repair of the abdominal wall defect.
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