To discuss the safety and feasibility of the laparoscopic intraperitoneal onlay mesh technique for the treatment of abdominal incisional hernia.

The clinical data of 103 patients undergoing laparoscopic intraperitoneal onlay mesh technique for abdominal incisional hernias in the General Hospital of the Southern Theater from 2014 to 2019 were retrospectively analyzed. Observing the operation time, postoperative exhaust time, hospitalization time, complications and recurrence.

All operations were successfully completed. The average operation time, postoperative exhaust time and hospitalization time were (100±10) min, (40±8) h and (7.5±1.5) d, respectively. During the operation, one case was found to be combined with an umbilical hernia and we performed a hernioplasty. Another case was combined with right direct inguinal hernia and we performed transabdominal preperitoneal hernia repair . The third case with incarcerated intestinal obstruction was combined with intestinal necrosis, and we performed enterotomy anastomosis. Minor postoperative complications were resolved with short-term treatment. All patients were followed for 3 to 24 months without hernia recurrence.

Laparoscopic intraperitoneal onlay mesh technique for the treatment of abdominal incisional hernias is safe, effective, minimally invasive, and has the advantages of occult hernia detection, rapid recovery, a low complication rate, a short hospitalization time, a low recurrence rate, etc.