Implementation of laparoscopic techniques by the influence in patient’s selection for incisional hernia surgery treatment

Introduction: The ventral hernia is defined as a protrusion of a part in an organism or tissue through an abdominal hole. Actually, there are many techniques and materials you can choose from, both by laparoscopic and open repair, it is advisable to know the indications of each of them. Objective: This study aims to show that the selection of patients is uniform in terms of defect size such as Body Mass Index or comorbidity of the patient that they decide on one way or another. Patient and methods: Between May 2013 and May 2019, the data of 197 patients operated by a defect of abdominal wall closure have been collected in the General Surgery Service of the Hospital General Universitario of Castellon. In this study, the 75 patients (38 %) who were given laparoscopic access were analyzed, in order to verify that when patients are not randomized there is a selection bias to perform the laparoscopic route. All data were collected from the EVEREG database and analyzed with Excel. The literature review is carried out in Pubmed and Cochrane. Results: The laparoscopic access be much better to use but it has nothing to do with the size of the defect of one and another population, which required various techniques of separation and/or reconstruction of the abdominal wall housing the prosthetic reinforcement extraperitoneal and without using it as a "bridge". Thus, in addition to the studies offering the results for small defects, it is added that there is a wide variety of techniques not specified in most of the analyzes and that further heterogenic the results. Conclusion: The implementation of laparoscopic surgery requires an indication guide according to sizes and what technique to perform in this way. Palabras clave: Eventración, hernia ventral, eventroplastia laparoscópica, malla intraperitoneal, implementación de técnicas, EVEREG.