title: Laparoscopic ventral incisional hernia repair: evidence-based guidelines of the first Italian Consensus Conference.
abstract: OBJECTIVE
  The laparoscopic treatment of ventral incisional hernias is the object of constant attention and is becoming increasingly widespread in the international scientific-surgical community; however, there is ample debate on its technical details and indications. In order to establish a common approach on laparoscopic ventral incisional hernia repair, the first Italian Consensus Conference was organized in Naples (Italy) on 14-15 January 2010.
  
  
  METHODS
  The format of the Consensus Conference was freely adapted from the standards of the National Institute of Health and the Italian Health Institute. The parties involved included the followings: a Promotional Committee, a Scientific Committee, a group of Experts, the Jury Panel and a Scientific Secretariat.
  
  
  RESULTS
  Eleven statements, regarding three large chapters on the indications, the technical details and the management of complications were drafted on the basis of literature references collected by the Scientific Committee, documents developed by the Experts, reports presented and discussed during the Consensus Conference, and discussion among the members of the Jury.
  
  
  CONCLUSIONS
  The laparoscopic approach is safe and effective for defects larger than 3 cm in diameter; old age, obesity, previous abdominal operations, recurrence and strangulation are not absolute contraindications. Ensuring an adequate overlap, careful adhesiolysis and correct fixing of the prosthesis are among the technical details recommended. Complications and recurrences are comparable to, and in some cases, less numerous than with the open approach.
authors: Department of Surgery, Monaldi Hospital, Naples, Italy.
authors: D
authors: D
authors: Cuccurullo
authors: M
authors: M
authors: Piccoli
authors: F
authors: F
authors: Agresta
authors: S
authors: S
authors: Magnone
authors: F
authors: F
authors: Corcione
authors: V
authors: V
authors: Stancanelli
authors: G
authors: G
authors: Melotti
mesh_terms: D003245:Consensus Statements as Topic; D006555:Hernia, Ventral / Q000601:surgery*; D059685:Herniorrhaphy / Q000009:adverse effects / Q000379:methods; D006801:Humans; D010535:Laparoscopy / Q000009:adverse effects / Q000379:methods; D011183:Postoperative Complications / Q000209:etiology / Q000601:surgery; D017410:Practice Guidelines as Topic; D018570:Risk Assessment; D055502:Secondary Prevention
references: Surg Endosc. 2008 Mar;22(3):744-9
references: 17704881
references: JSLS. 2005 Jan-Mar;9(1):47-50
references: 15791970
references: JSLS. 2005 Apr-Jun;9(2):189-95
references: 15984708
references: Hernia. 2004 Dec;8(4):323-31
references: 15235939
references: Hernia. 2009 Oct;13(5):469-74
references: 19418011
references: J Am Coll Surg. 2008 Nov;207(5):663-9
references: 18954777
references: Surg Endosc. 2004 Sep;18(9):1374-6
references: 15164278
references: Surg Laparosc Endosc Percutan Tech. 2009 Aug;19(4):348-52
references: 19692890
references: JSLS. 2008 Apr-Jun;12(2):113-6
references: 18435881
references: Hernia. 2004 Aug;8(3):208-12
references: 15015038
references: Am J Surg. 2004 Dec;188(6A Suppl):22S-29S
references: 15610889
references: JSLS. 2007 Oct-Dec;11(4):408-14
references: 18237502
references: Surg Endosc. 1997 Jan;11(1):32-5
references: 8994985
references: Am J Surg. 2000 Sep;180(3):193-7
references: 11084128
references: Surg Endosc. 2006 Dec;20(12):1839-45
references: 17063290
references: Surg Endosc. 2008 Oct;22(10):2244-50
references: 18622552
references: Hernia. 2008 Aug;12(4):367-71
references: 18379721
references: Surg Endosc. 2003 Jan;17(1):123-8
references: 12360375
references: Am Surg. 2003 Aug;69(8):688-91; discussion 691-2
references: 12953827
references: Arch Surg. 2007 Jun;142(6):562-7
references: 17576893
references: Surg Endosc. 2003 Oct;17(10):1546-51
references: 12915971
references: Hernia. 2009 Dec;13(6):605-8
references: 19590819
references: Obes Surg. 2008 Nov;18(11):1387-91
references: 18368458
references: Surg Endosc. 2006 Jul;20(7):1030-5
references: 16703430
references: Surg Endosc. 2007 Mar;21(3):409-13
references: 17177079
references: Surg Laparosc Endosc Percutan Tech. 2009 Aug;19(4):341-4
references: 19692888
references: JSLS. 2002 Oct-Dec;6(4):315-22
references: 12500829
references: J Gastrointest Surg. 2004 Sep-Oct;8(6):670-4
references: 15358326
references: Surg Laparosc Endosc Percutan Tech. 2008 Jun;18(3):267-71
references: 18574413
references: Hernia. 2008 Oct;12(5):457-63
references: 18459033
references: Langenbecks Arch Surg. 2010 Jan;395(1):57-63
references: 19330347
references: Surg Endosc. 2008 Sep;22(9):1941-6
references: 18594919
references: Surg Endosc. 2007 Dec;21(12):2293-7
references: 17522922
references: Hernia. 2008 Jun;12(3):239-42
references: 18066489
references: Am J Surg. 2009 Jan;197(1):64-72
references: 18614144
references: JSLS. 2006 Jul-Sep;10(3):345-50
references: 17212893
references: Am J Surg. 1999 Mar;177(3):227-31
references: 10219859
references: Surg Endosc. 2010 Feb;24(2):359-65
references: 19533233
references: Hernia. 2008 Jun;12(3):303-5
references: 18026897
references: Arch Surg. 2004 Dec;139(12):1297-8
references: 15611452
references: Surg Endosc. 2003 Feb;17(2):296-9
references: 12384764
references: Hernia. 2003 Sep;7(3):118-24
references: 12942345
references: Hernia. 2006 Apr;10(2):110-9
references: 16453075
references: Can J Surg. 2007 Jun;50(3):195-201
references: 17568491
references: Hernia. 2006 Jun;10(3):236-42
references: 16453072
references: Hernia. 2008 Apr;12(2):177-83
references: 18085347
references: Surg Laparosc Endosc Percutan Tech. 2006 Oct;16(5):330-3
references: 17057574
references: Eur J Surg. 2002;168(12):684-9
references: 15362576
references: J Minim Access Surg. 2006 Sep;2(3):192-8
references: 21187995
references: Surg Endosc. 2003 Nov;17(11):1778-80
references: 12958679
references: Ann Surg. 2003 Sep;238(3):391-9; discussion 399-400
references: 14501505
references: Hernia. 2008 Feb;12(1):23-5
references: 17668146
references: Surgery. 1998 Oct;124(4):816-21; discussion 821-2
references: 9781006
references: Acta Chir Belg. 2004 Nov-Dec;104(6):705-8
references: 15663279
references: Surg Endosc. 2007 Apr;21(4):555-9
references: 17364151
references: Hernia. 2009 Feb;13(1):45-8
references: 18688566
references: Hernia. 2008 Aug;12(4):363-6
references: 18259834
references: J Laparoendosc Adv Surg Tech A. 2009 Apr;19(2):175-9
references: 19216699
references: Surg Endosc. 2007 Mar;21(3):391-5
references: 17149554
references: Surg Endosc. 2007 Dec;21(12):2127-36
references: 17763905
references: Surg Endosc. 2007 Jan;21(1):84-6
references: 17111283
references: Surg Endosc. 2008 Sep;22(9):1935-40
references: 18528613
references: Hernia. 2004 Feb;8(1):23-7
references: 14505237
references: Surg Laparosc Endosc Percutan Tech. 2007 Dec;17(6):514-6
references: 18097312
references: Surg Endosc. 2004 Jun;18(6):1001
references: 15095076
references: JSLS. 2008 Jan-Mar;12(1):46-50
references: 18402738
references: Surg Endosc. 2008 Oct;22(10):2251-60
references: 18320281
references: Hernia. 2006 Mar;10(1):53-7
references: 16496076
references: Hernia. 2008 Jun;12(3):233-8
references: 18064399
references: Am J Surg. 2007 Nov;194(5):659-62
references: 17936430
references: Hernia. 2010 Apr;14(2):137-42
references: 19806422
references: Hernia. 2008 Jun;12(3):251-6
references: 18253807
references: Br J Surg. 2009 Aug;96(8):851-8
references: 19591158
references: Surg Endosc. 2009 Apr;23(4):825-32
references: 18813986
references: Hernia. 2004 May;8(2):138-43
references: 14712370
references: JSLS. 2009 Jul-Sep;13(3):323-6
references: 19793470
references: Surg Endosc. 2009 Jul;23(7):1441-8
references: 19116750
references: Surg Endosc. 2005 Feb;19(2):184-7
references: 15573242
references: Surg Endosc. 2007 Apr;21(4):508-13
references: 17287923
references: Surg Endosc. 2007 Mar;21(3):378-86
references: 17180261
references: Surg Endosc. 2003 Jan;17(1):118-22
references: 12399849
references: Hernia. 2009 Aug;13(4):431-4
references: 19085039
references: Surgery. 2005 Oct;138(4):708-15; discussion 715-6
references: 16269300
references: Surg Laparosc Endosc Percutan Tech. 2006 Apr;16(2):86-90
references: 16773007
references: Surg Endosc. 2000 Apr;14(4):326-9
references: 10790548
references: Surg Endosc. 2002 Dec;16(12):1717-9
references: 12469243