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. 2019 Jun 27;33(10):3069–3139. doi: 10.1007/s00464-019-06907-7
Grade B The restoration of normal anatomy (reconstruction of linea alba) during the laparoscopic abdominal wall repair should be attempted
Grade C In case of too high tension while reconstructing linea alba, additional component separation techniques may be necessary
Grade D In large hernia repairs, additional measures (temporary chemical components relaxation with Botulinum toxin A, preoperative progressive pneumoperitoneum, or intramuscular expanders) must be considered in order to facilitate the defect closure/reconstruction of linea alba