A simplified laparoscopic technique for mesh placement in ventral hernia repair

The use of a large synthetic mesh for laparoscopic repair of significant ve ntral abdominal wall defects may be accompanied by technical difficulties r esulting from improper orientation and positioning of the mesh over the def ect. We suggest a technique based on initial Fixation of the mesh center to the central point of the defect, and subsequent centrifugal attachment of the mesh to the abdominal wall. This technique is advantageous because it l eads to precise orientation and positioning of the synthetic patch and to s ignificant reduction of the time needed for its reinforcement over and arou nd the defect.