Laparoscopic Repair of Incisional Hernia by Two Ports

Various ventral and incisional hernia repair techniques exist and have largely replaced the open ones. The purpose of this video is to show the 2-port technique and demonstrate that it is feasible, efficient, and safe. Laparoscopic herniorrhaphy with the 2-port technique offers an efficient, safe, and effective repair for ventral and incisional hernias. We at Worls Laparoscopy Hospital started performing all the ventral hernia by two port in year 2002. Access to the abdomen and creation of pneumoperitoneum is obtained by placing a Veress needle in the left upper quadrant. One 10-mm to 12-mm balloon port and one 5-mm straight port are placed opposite the hernia as laterally as possible, preferably on the left side. The surgeon's nondominant hand compresses the abdominal wall to bring it down to the scissors tip or Harmonic scalpel for dissection or adhesiolysis. The hernia sac content is then reduced, and the margins of the hernia defect cleared circumferentially to a distance of at least 6 cm.