Hybrid: Evolving Techniques in Laparoscopic Ventral Hernia Mesh Repair

Laparoscopic repair is now the treatment of choice for most cases of ventral/incisional hernia. It is superior to open repair. Although the technique has undergone many refinements, there is no standard technique for difficult or complicated hernias. In cases with difficult hernias, combined open/laparoscopic hybrid techniques to avoid dissection of large subcutaneous flaps benefit the patients. It has been reported that hybrid methods are effective for treating cases of ventral hernias involving a large orifice. The techniques used and proposed by us are - (1) laparoscopic adhesiolysis, open sac excision with closure of defect and laparoscopic mesh placement, (2) laparoscopic adhesiolysis, omphalectomy with closure of defect and laparoscopic mesh placement and (3) open adhesiolysis, sac excision with closure of defect and laparoscopic mesh placement Laparoscopic Ventral Hernia Hybrid Mesh Repair (LVHHMR) is safe and feasible approach for complicated/difficult ventral hernias.