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Ventral Hernia Surgery - Planes for Mesh Placement - Terminology Demystified

Umbilical hernia repair is a routinely performed surgery and minimally invasive ventral hernia repair is now preferred for this disease.

The mesh placement in ventral hernia surgery can be intraperitoneal Onlay (IPOM) where we use a composite mesh OR retro rectus/ preperitoneal where we can use a normal prolene mesh.

In open surgery, the mesh can be placed Onlay, inlay, or retro-rectus/ retro-muscular as well as pre-peritoneal and these terms often create confusion. Hence, this video has been created based on the international consensus of this nomenclature and will help to clarify these terms. We will share videos on most of these planes and techniques of ventral hernia repair in a very minimally edited video so that you can see each and every step of the surgery and grasp the technique as well as the planes.

The video gives you everything from

Brief anatomy of the anterior abdominal wall

Common mesh placement planes

Rare mesh placement planes in ventral hernia surgery

We hope, this video clarifies these terms used for ventral hernia mesh placement whether in open or laparoscopic surgery.