We use cookies to offer you an optimal experience on our website. By browsing our website, you accept the use of cookies.

The online university of IRCAD

Thanks to our partners medtronic storz

Discover WebSurg,

the world's no.1 minimally invasive surgery website

Join the No.1 e-learning website! We offer first-rate educational content provided by world-renowned experts in all fields of minimally invasive surgery. All content meets Health on the Net Foundation (HONCode) standards, which guarantee quality and reliability.

Benefit from the wide range of specialties for free and without limitation. The website is accessible on computers, tablets, and mobile phones.
Join our 392 426 registered members.

Join us now!
MIS operative techniques
Worldwide leading experts
Training certification for surgeons
World's largest online community

Recently uploaded on WebSurg

Surgical intervention
Complex cases in laparoscopic recurrent and incisional hernia repair: multi-recurrence, infections, fistulas, difficult abdomen
The term ‘‘complex (abdominal wall) hernia’’ is often used by general surgeons and other specialists working in the abdomen to describe abdominal wall hernias which are technically challenging and time-consuming.

Four categories were created to classify and discuss the criteria, which were proposed to be included in the definition of ‘‘complex abdominal wall hernia’’: defect size and location, patient history and risk factors, contamination and soft tissue condition, and clinical scenario.
Defect size is an important variable; increased size is a risk factor for 30-day readmission rate and recurrence.
Wound contamination is usually classified according to the US National Research Council Group including clean, clean-contaminated, contaminated, and dirty/infected. It is well-known that contamination and subsequent infection are an important cause of wound dehiscence and reherniation which impair wound healing dynamics.
A recurrent hernia is considered a risk factor for a new recurrence.
Patient status is an important factor. Conditions such as abnormal collagen type I/type III ratio and genetic connective tissue disorders are associated with an increased risk of herniation. Older age, male gender, chronic pulmonary disease, coughing, ascites, jaundice, anemia, emergency surgery, wound infection, obesity, steroid use, hypoalbuminemia, hypertension, perioperative shock are also important risk factors.

The reported incidence of incisional hernia is about 2 to 11% after all laparotomies.
The ideal repair for an abdominal incisional hernia is to restore the anatomical and physiological integrity of the abdominal wall by reconstructing the midline. However, 30 to 50% of defects larger than 6cm recur after primary closure.
The insertion of a synthetic mesh helps to decrease or relieve tension on the suture line and can reduce the incidence of recurrence to 10% or less.
But foreign prosthetic materials have been associated with a high risk of complications such as protrusion, extrusion, infection, and intestinal fistulization.
Laparoscopic repair has provided further improvements with lower infection rates, shorter hospital stay, and a reduction in recurrence with rates of 4 to 16% in recent studies.
In this topic addressing complex laparoscopic cases, we show different scenarios including recurrent infected incisional hernia, fistulization, multi-recurrent incisional hernia, migration, and conversion.
Complex cases in laparoscopic recurrent and incisional hernia repair: multi-recurrence, infections, fistulas, difficult abdomen
Antonio D'Urso, Didier Mutter, Jacques Marescaux
1 month ago

World virtual university

In minimally invasive surgery

Minimally invasive surgical videos
Operative techniques
Expert opinions
392 426

A wide range of content,

covering all minimally invasive surgery specialties


One of our experts gives you a comprehensive overview of a given topic or technique at its highest level of general development, achieved at a particular time.

Monthly focus

Discover our focus on a specific topic including key lectures and live surgical demonstrations.

How to

Find all the tips and tricks from our experts.


Join our IRCAD webinars virtually, make the most of our live online conference broadcasts, and chat online with our experts.

Hall of Fame

Participate in the Hall of Fame contest and send your contributions to WebSurg, in order to share your knowledge with thousands of people worldwide.

Be part of our virtual university


  • Watch our sequenced and subtitled videos
  • Customize your account according to your fields of interest
  • Learn the newest minimally invasive surgical techniques
  • Exchange with our experts and members
  • Become the best in your field


  • Record your surgical operations
  • Submit your videos to WebSurg
  • Answer the questions of our members
  • Share your knowledge with our community
  • Become a worldwide reference

Contribute now

Training of excellence / Certified by Healthcare Certification Organizations

WebSurg offers the possibility to learn many different techniques by watching videos and lectures. It is also possible to refine your new skills by taking an online CME test, and if you pass it, you can obtain a certification

WebSurg e-learning activities are accredited by the EUMS-EACCME (European Accreditation Council for Continuing Medical Education, Institution of the European Union of Medical Specialists).

IRCAD is accredited as a comprehensive Accredited Education Institute (AEI) by the American College of Surgeons (ACS). This certification also includes WebSurg, an online IRCAD program.

Health on the net

Health on the Net Foundation Code of Conduct (HONcode): certifies the reliability and credibility of the information provided on WebSurg. WebSurg respects the eight ethical principles defined by the HONcode.

FREE CME Credits

WebSurg offers ECMEC credits to surgeons who have successfully passed e-learning activities.
EACCME Credits convertible into AMA PRA category 1 Credits™.

Selection of courses in our partner centers

Stay up-to-date on upcoming courses taking place at IRCAD institutes.

IRCAD France

    View more

    IRCAD Barretos

      View more

      IRCAD Rio

        View more

        IRCAD Taiwan

          View more

          IRCAD Africa


          Coming soon


              View more