Technique for the insertion of large mesh during minimally invasive incisional herniorrhaphy

Laparoscopic repair of ventral abdominal wall defects often requires a large sheet of prosthetic mesh. It is a challenge to place this bulky prosthesis into the insufflated abdomen without creating a large incision or potentially seeding the mesh with skin flora. The authors describe a simple technique for inserting a large sheet of prosthetic mesh through a 10- to 12-mm port site without having the mesh come into contact with the skin.