Combining laparoscopic cholecystectomy and (peri) umbilical herniorrhaphy.

Clinically significant umbilical hernias are frequently encountered in patients needing laparoscopic cholecystectomy. It is safer and quicker to first expose and reduce the hernia in a standard fashion rather than endoscopically. Cholecystectomy can then be done with a Hasson trocar, as camera port, in the hernia defect. Herniorrhaphy is performed after gallbladder extraction.