Level 4/5 | Laparoscopic transperitoneal and total extraperitoneal preperitoneal/sublay repair are surgical options for the treatment of small- and medium-sized ventral and incisional hernias (EHS classification W1 and W2) |
Both techniques allow the implantation of large standard synthetic prostheses | |
These procedures are technically demanding and have longer operating times than open preperitoneal/sublay repair and laparoscopic IPOM repair but do not require barrier meshes | |
Laparoscopic preperitoneal repair combines the advantages of open preperitoneal repair and laparoscopic IPOM technique: small incisions and extraperitoneal mesh position | |
Complication rates are low |