Behind the knife

Use of preperitoneal techniques for moderate sized midline ventral hernia defects can be challenging. Traditionally, retromuscular repairs with possible lateral component separation techniques are used. This video reviews TAPP-RA technique (transabdominal preperitoneal ventral hernia repair with rectus aponeuroplasty) for the management of moderate sized incisional hernias. We review key steps and demonstrates how double-docking strategies can be used to assure broad prosthetic reinforcement for hernia repairs.