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Updated: Aug 20, 2025

Laparoscopic Repair of Para-Esophageal Hernia Using Absorbable Biosynthetic Mesh
Published on: September 11, 2021
Moving the concept associated to laparoscopic intracorporeal rectus aponeuroplasty (LIRA) to lateral hernia
Paula Gómez-Valles1, Sebastián Jeri-McFarlane2, Julio Gomez-Menchero3
1Department of General & Digestive Surgery, Hospital Quirónsalud Sagrado Corazón, Seville, Spain; Department of General & Digestive Surgery, Hospital Clínico Virgen de la Arrixaca, Murcia, Spain.
Abstract:
The surgical repair of lateral hernias is considered a challenge. Laparoscopic intracorporeal rectus aponeuroplasty (LIRA) has been described as a minimally invasive technique for primary incisional ventral hernias of the midline, especially for M2 to M4 ventral hernias but the indications of the concept associated to LIRA are beginning to expand to other complex locations. The aim of this video is to show the surgical steps for lateral hernias where the concept associated to LIRA is followed to repair this type of hernias.

