The Laparoscopic Intracorporeal Rectus Aponeuroplsaty (LIRA technique) was developed to improve the results of laparoscopic ventral hernia repair, reducing tension in midline closure and promoting a more solid repair by facilitating healing, thus reducing pain, recurrence and postoperative bulging. One of its main drawbacks is the placement of an intraperitoneal mesh, which has been associated with potential medium and long-term complications (adhesion, occlusion or intestinal fistulas). In this video we show a modification of the LIRA technique in which we perform the same procedure in the preperitoneal space, not leaving the mesh exposed to intraabdominal viscera and avoiding its traumatic fixation, covering it at the end of the procedure with the peritoneum and, therefore, eliminating these possible complications. This technique could be a real alternative in primary midline hernias in which the peritoneum is intact (Fig. 1).
Impact factor
The Impact Factor measures the average number of citations received in a particular year by papers published in the journal during the two preceding years.
© Clarivate Analytics, Journal Citation Reports 2025
Impact factor 2024
1.3
Citescore 2024
1.0
SJR
SRJ is a prestige metric based on the idea that not all citations are the same. SJR uses a similar algorithm as the Google page rank; it provides a quantitative and qualitative measure of the journal's impact.
See moreSJR 2024
0.233
SNIP
SNIP measures contextual citation impact by wighting citations based on the total number of citations in a subject field.
See moreSNIP 2024
0.377
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