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AUGUST 13, 2013

More Overlap Means Fewer Hernia Recurrences

Size and Placement of Mesh Key to Success

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By Christina Frangou

Orlando, Fla.—When Karl LeBlanc, MD, MBA, FACS, a private practice general surgeon in Baton Rouge, La., performed the world’s first laparoscopic ventral hernia repair in 1991, he aimed for a mesh overlap of about 1 cm.

Twenty years later, he shakes his head at the notion of a 1-cm overlap. A growing body of evidence suggests that a larger mesh overlap, along with symmetrical placement of the mesh, result in far fewer hernia recurrences, Dr. LeBlanc said at the