Updates in Surgeryhttp5/doi.org/10.1007/s13304-023-01534-3ORIGINAL ARTICLELaparoscopic treatment of ventral hernias:the ltalian nationalguidelinesFabio Cesare Campanile'.Mauro Podda2.Francesca Pecchini3.Marco Inama4.Sarah Molfino5.Marco Augusto Bonino5.Monica Ortenzi.Gianfranco Silecchia.Ferdinando Agresta.Michela Cinquinionbehalf of the Italian Laparoscopic Ventral Hernia Guideline GroupReceived:26 January 2023/Accepted:10 May 2023eThe Author(s)2023AbstractPrimary and incisional ventral hernias are significant public health issues for their prevalence,variability of professionalpractices,and high costs associated with the treatment In 2019,the Board of Directors of the Italian Society for EndoscopicSurgery (SICE)promoted the development of new guidelines on the laparoscopic treatment of ventral hernias,according tothe new national regulation.In 2022,the guideline was accepted by the government agency,and it was published,in Italian,on the SNLG website.Here,we report the adopted methodology and the guideline's recommendations,as established in itsdiffusion policy.This guideline is produced according to the methodology indicated by the SNGL and applying the Gradingof Recommendations,Assessment,Development,and Evaluations(GRADE)methodology.Fifteen recommendations wereproduced as a result of 4 PICO questions.The level of recommendation was conditional for 12 of them and conditional tomoderate for one.This guideline's strengths include relying on an extensive systematic review of the literature and applyinga rigorous GRADE method.It also has several limitations.The literature on the topic is continuously and rapidly evolving;our results are based on findings that need constant re-appraisal.It is focused only on minimally invasive techniques andcannot consider broader issues (e.g.,diagnostics,indication for surgery,pre-habilitation).Keywords Italian Guidelines.Laparoscopic ventral hernia repair.Minimally invasive ventral hernia repairBackgroundventral hernia repair can also imply long and painful peri-ods of illness,absence from work,and possible adversePrimary and incisional ventral hernias are significant pub-outcomes.Surgery can be highly challenging due to thelic health issues for their prevalence,variability of profes-size of the hernia defect,prolonged operative time,extentsional practices.and high costs associated with the treat-of adhesions.and risk of iatrogenic bowel injuries.Thement.Abdominal wall surgery for primary and incisionalcomplexity of the evidence available in the literature and☒Monica Ortenzi0Department of Surgery,Geneva University Hospitals,monica.ortenzi@gmail.comGeneva.SwitzerlandDivision of General Surgery,ASL Viterbo,San GiovanniDepartment of General and Emergency Surgery.MarcheDecollato-Andosilla Hospital,Civita Castellana.ItalyPolytechnic University,Via Conca 71,60126 Ancona,ItalyDepartment of Surgical Science.University of Cagliari.Department of Medical-Surgical Sciences and TranslationMedicine,Faculty of Medicine and Psy
