Laparoscopic view of a ventral hernia with incarcerated omentum. The hernia contents must be dissected free from the abdominal wall to expose the hernia defect.
The stomach is retracted cephalad as the transverse colon is retracted caudad while the omentum is divided with the harmonic scalpel.
Completed plication buttressed with omentum. A drain may be placed if desired.