Expanding indication of laparoscopic intracorporeal rectus aponeuroplasty (LIRA) to suprapubic area: LIRA & TAPE

Abstract

Laparoscopic intracorporeal rectus aponeuroplasty (LIRA) is a minimally invasive technique described to repair M2-M4 primary and incisional hernias. Defects below this area (M5 - Suprapubic area) could be treated using the concept associated to LIRA, expanding the indication of this technique in combination with a transabdominal partially extraperitoneal (TAPE) repair. The aim of this video is to show the surgical steps in the combination of LIRA & TAPE for M2-M5 ventral hernias.

Keywords: Defect closure; Extraperitoneal repair; Hernia incisional; Hernia ventral; Incisional hernia; LIRA technique; Laparoscopia; Laparoscopy; Malla; Mesh; Reparación extraperitoneal; Técnica LIRA; Ventral hernia.