Laparoscopic surgery is constantly trying to progress and to surpass its contraindications. A previously operated abdomen or peritoneal adhesions represent nowadays only relative contraindications for a laparoscopic approach in abdominal visceral surgeries not primarily intended to correct parietal defects or to perform adhesiolysis. We present the laparoscopic approach through the incisional herni aand the giant umbilical hernia sac in 2 patients in need of emergency surgery for pathology. We support this laparoscopic approach in the following cases: the parietal defect cannot be repaired during the same intervention, it is of utmost importance to avoid the classical approach because of the increased risk for parietal and general complications, and the team has enough experience in the laparoscopic technique and the equipment functions flawlessly. | Laparoscopic approach through incisional or umbilical hernia sac
