Abdominal wall hernia repairs are commonly performed worldwide in general surgery. There is still no agreed\nconsensus on the optimal surgical approach. Since the turn of the twenty-first century, minimally invasive\ntechniques have gained in popularity as they combine the advantages of limited abdominal wall dissection,\nreduced post-operative pain and risk of complications, and shorter hospital stay. Although the added cost incurred\nby using sophisticated laparoscopic instruments may be quite substantial, it is precisely counterbalanced by an\nimproved morbidity rate, faster discharge home and time to return to work. Laparoscopic abdominal wall hernia\nrepair is often challenging, as it requires good anatomical knowledge, eye-hand coordination and diversified\nlaparoscopic skills. The objective of this article is not to present another set of personal data and to compare it with\nalready published results on this matter, but simply to offer comprehensive guidelines on the practical aspects of\nthis relatively new technique. Some of these steps have already been discussed but most of the time in a scattered\nway in the surgical literature, while others are the fruit of a personal expertise grasped over the years.
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