Conclusion
obese, hernia
RECURRENCE, OBESE
In this randomized controlled trial, short- and long-term outcomes after laparoscopic incisional hernia repair were not superior to open surgery. Reconstruction of the midline and retromuscular mesh placement (minimally invasive or open) is currently considered best practice, and therefore, the laparoscopic intraperitoneal mesh placement is only used in selected cases (i.e., morbid obese patients). The persisting high recurrence rates, reduced quality of life, and suboptimal satisfaction warrant the need for patient’s expectation management in the preoperative process and individualized surgical management.