Incisional hernia: The open techniques (excluding parastomal hernia)

Abstract

Incisional hernia is iatrogenic and its incidence has increased with each increment of abdominal surgical intervention. An incisional hernia is the most perfect example of a surgeon-dependent variable. The introduction of continuous ambulatory peritoneal dialysis was followed by its own unique harvest of incisional hernias [1, 2]. Laparoscopic surgery also added a new entity: port site hernia (Chap. xx) [3]. Although it was hoped that the latter would become infrequent with the advent of smaller ports, the overall incidence of abdominal wall herniation in the CLASICC trial of laparoscopic vs. open surgery for colorectal cancer revealed that there was no reduction in the incidence of abdominal wall hernias (9.2 % in the laparoscopic group vs. 8.6 % in the open group) comparing open resection vs. laparoscopic surgery [4].