Laparoscopic vs Open Incisional Hernia Repair

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Abstract
Incisional hernia is the most frequent surgical complication after laparotomy. Up to 30% of all patients undergoing laparotomy develop an incisional hernia. This is associated with discomfort, pain, respiratory restriction, and dissatisfactory cosmetic results.1-6 The associated morbidity often results in subsequent hernia repair.7,8 Although significant improvements have been achieved in the field of incisional hernia concerning operative technique and the use of prosthetic materials, recurrence rates remain high at 32% to 63%.9 Risk factors associated with recurrence, such as hernia size, unfortunately cannot be influenced.10 The quest for more effective and less invasive techniques continues.