Laparoscopic ventral hernia repair--managing and preventing complications.

Laparoscopic ventral hernia repair was first reported over 10 years ago. Since that time, the procedure has gained widespread acceptance as an appropriate option for the management of ventral hernias of all types. Most published series, including one multicenter study of >800 cases, document that the procedure is safe and effective with low recurrence and wound complication rates. In studies comparing laparoscopic ventral hernia repair to open techniques, the majority show the benefit of the laparoscopic approach in terms of recurrence rates, wound complication rates, and length of hospital stay. The laparoscopic approach does, however, lend itself to potential complications that may be more likely or more difficult to deal with compared with open techniques. This paper will describe these specific complications, including potential disasters, with strategies to manage them, or hopefully, avoid them altogether.