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Related Experiment Video

Updated: Jun 11, 2026

Surgical Closure of Equine Abdomen, Prevention, and Management of Incisional Complications

Surgical Closure of Equine Abdomen, Prevention, and Management of Incisional Complications

Published on: May 10, 2024

Incisional hernia rates following laparoscopic colorectal resection.

J R A Skipworth¹, Y Khan, R W Motson

¹Department of Surgery and Interventional Science, University College London, 4th Floor, Medical School Building, 74 Huntley Street, London WC1E 6AU, UK. j.skipworth@ucl.ac.uk

International Journal of Surgery (London, England)

|July 7, 2010

Summary

Laparoscopic colorectal surgery did not decrease incisional hernia rates compared to open surgery. However, hernias in laparoscopic cases were smaller and often suitable for laparoscopic repair.

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Area of Science:

Abdominal Surgery
Minimally Invasive Procedures
Surgical Complications

Background:

Incisional hernias are a common complication of open abdominal surgery, occurring in 4-18% of cases.
These hernias often develop within two years and pose a significant challenge for surgeons.

Purpose of the Study:

To prospectively evaluate incisional hernia rates in patients undergoing laparoscopic colorectal resection.
To compare hernia rates between laparoscopic and open procedures.

Main Methods:

A prospective review of 167 patients undergoing laparoscopic colorectal resection.
Standardized wound closure techniques were used for all incisions.
Patients were followed up and examined by an independent senior surgeon.

Main Results:

Seven percent (12/167) of patients developed an incisional hernia.
Most hernias occurred at the specimen extraction site.
Ten of the twelve hernias were successfully repaired laparoscopically.

Conclusions:

Laparoscopic colorectal surgery does not appear to reduce incisional hernia rates.
Hernias resulting from laparoscopic procedures may be smaller and more amenable to laparoscopic repair.
Further research is needed to fully understand the long-term implications.