In the last two decades, one of the main goals of research into laparoscopic intraperitoneal onlay mesh (IPOM) technique for ventral hernia (VH) repair has been to eliminate the transfixation sutures, their intra- and postoperative complications, and reducing operation time.

The technology industry has produced a many alternative expensive fixation devices.

Generally, surgeons use these alternatives in a non-standardized manner, consequently none of these devices has been uniformly accepted by literature.

The role of minimally invasive surgery in obese/superobese (O/S) populations with VH has not been studied extensively, although several studies have shown that obesity is not a controindication to laparoscopic IPOM. In fact, recent literature on the use of this technique has proved that IPOM is superior to open surgey in VH treatment.

We thought our VH O/S patients would benefit from the sutureless "Slim-Mesh" technique and we started to study its effect on them in 2009. The primary goal was to eliminate transfixation sutures and their intra- and postoperative complications in laparoscopic VH repair even from the O/S populations. The secondary goal was to reduce the operation time.

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