Anatomical Basis of Ventral Hernia Repair: Is There a Place for Laparoscopic Surgery?

The abdominal wall is a complex structure that has a multitude of components that include skin, muscles, aponeuroses, fat, and mesothelium This musculoaponeurotic structure is attached to the vertebral column posteriorly, the pelvic bones inferiorly and the ribs superiorly. The integrity of the abdominal wall is essential to protect the underlying organs, allow for movement of the truck of the body, provision of assistance in respiration and to prevent the herniation of the intra-abdominal contents.