| Summary: | The treatment of ventral and incisional hernias has progressed from simple repair and reinforcement to reconstruction, restoration, and regeneration. There are Onlay, Sublay, preperitoneal, intraperitoneal repair planes, and each plane could be performed via open or laparoscopic surgery. Laparoscopic surgery mainly includes intraperitoneal onlay mesh (IPOM) and minimally invasive non-intraperitoneal mesh (MINIM) repair. Regardless of the technique applied, it is essential to follow the principles of abdominal wall functional reconstruction and minimally invasive features to demonstrate their clinical value. The core of abdominal wall functional reconstruction in laparoscopic surgery for ventral and incisional hernias could be summarized as restoring Anatomical structure, protecting Biomechanics, maintaining Compliance, and providing overall Dynamic support for the body.
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