Grade B | The mesh used for laparoscopic repair of a ventral hernia should overlap the hernia defect by at least 3 to 4 cm in all directions |
Grade C | For proper fixation and incorporation of the mesh dissection of anatomic structures such as the falciform ligament, the ligamentum teres and the prevesical fatty tissue should be done. |
A large overlap of the defect by mesh is necessary, with a minimum of 5 cm if the mesh is fixed without transfascial sutures. | |
A larger overlap is recommended for larger hernias than the overlap used for small hernias. | |
To avoid recurrences, the entire incisional scar should be covered by the mesh, even if the defect is overlapped 3 to 5 cm in all directions. |