This Medical Video:
The pneumoperitoneum is obtained by primary insufflation with the
Visiport (LUQ insertion for midline or right side hernia); two other
5mm ports placed conveniently are added.
The hernia contents are
reduced. A peritoneal incision is made to allow a 5cm clearance from
the hernia neck; the sac is dissected with care to avoid laceration
of the peritoneum. A slightly oversized Prolene mesh is used in this
situation. The mesh is stapled in two rows around the defect; any
poorly positioned tacks are removed and the excess mesh is trimmed.
The peritoneum is closed to avoid contact between bowel and mesh.