Initial experience with laparoscopic repair of incisional hernias

Background: Development of a safe, unobtrusive means to repair the large incisional hernia continues to represent a challenge to surgeons. Methods: A retrospective analysis of the first 12 patients who underwent an attempt at laparoscopic repair of an incisional hernia at a single institution was carried out. Results: Of the 12 attempts at laparoscopic repair, 11 were completed. No serious perioperative morbidity was encountered. During a mean follow-up of 12.5 months, one recurrence (due to a technical shortcoming that has since been overcome) was identified. Conclusions: The laparoscopic approach to incisional hernia repair is a safe alternative to open repair of abdominal wall defects.