[Repair of large laparoceles]

The authors report a series of 100 incisional hernias operated on and consider general and local problems in repair of wide hernias. They underline some rules in order to obtain a strong reconstruction, with minimal relapse risk and to avoid adverse systemic effects produced by the intervention itself. Now they consider synthetic meshes to be apt for the treatment of the largest hernias, in order to reinforce or to repair the fascial defect, as meshes are strong, easy to use and are well tolerated by tissues and have a good resistance to infection.