Skip to main content
. 2013 Oct 11;28(1):2–29. doi: 10.1007/s00464-013-3170-6
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.