incissional hernia is rare. Mainly it occurs after nephrectomy or pyelolithotomy. It may be diffuse without any fascial gap. It is due to muscle atrophy. Surgery is not advised in these cases. In cases where there is a muscle gap. Surgery has to be done. CT scan is diagnostic. Laparoscopy is the preferred way for surgery. Open techniques are difficult. The Peritoneum
has to be separated. from the muscles and a mesh has to placed peperitneally. Muscles are to be closed over the mesh. I have done one case today.
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