This surgical video presents the minimally invasive management of a recurrent umbilical hernia using a two-port laparoscopic technique with a three-dimensional dual polyurethane mesh. Recurrent hernias require careful operative planning because previous repair can result in scar tissue, adhesions, altered tissue planes, and changes in the anatomy of the abdominal wall.

The laparoscopic procedure begins with safe abdominal access followed by visualization of the recurrent umbilical hernia and surrounding structures. Adhesiolysis is performed carefully when required to release adhesions and expose the abdominal wall. The hernia contents are reduced, and the complete defect is assessed before proceeding with mesh placement.

A 3D dual polyurethane mesh is positioned to provide adequate coverage of the defect and sufficient overlap with healthy abdominal wall tissue. Correct orientation and positioning of the mesh are important components of the procedure. Mesh fixation is performed according to the operative requirements, with attention to stable coverage of the recurrent defect and restoration of the integrity of the abdominal wall.

The two-port laparoscopic technique demonstrates an approach that uses limited access while maintaining the visualization required for complex hernia surgery. The case also emphasizes the importance of careful dissection, recognition of previous repair sites, avoidance of visceral injury, appropriate mesh selection, and secure mesh placement.

This video can serve as an educational resource for surgeons, gynecologists, surgical residents, and laparoscopic trainees who want to understand the technical principles involved in recurrent umbilical hernia repair. It also demonstrates the role of minimally invasive surgery and advanced mesh technology in the management of recurrent abdominal wall defects.