Introduction
hernia
Incisional hernia remains a continuous problem in surgery. Although great efforts have been undertaken to optimize the primary closure of a laparotomy, the number of incisional hernia repairs has remained steady over the past decade, with almost 50,000 repairs in Germany each year. However, although retromuscular hernia repair is considered the gold standard, different surgical techniques are used. To date, a vast number of prospective randomized trials dealing with incisional hernia repair have been published [