Boundary Incisional Hernias. Diagnosis and Therapy of a Rare Pathology

Incisional hernia is a frequent complication of abdominal surgery with an incidence reported in the literature of 2–20%. The condition is associated with local and systemic, potentially severe risks. The incidence of incisional-hernia recurrence is even higher, between 8 and 55%, depending on the initial type of repair technique. Thus, incisional hernia should be regarded as a serious and disabling clinical condition, with a poorly understood aetiology and dangerous complications, especially incarceration with resulting obstruction or necrosis of the bowel and omentum. Other aspects of incisional hernia must also be mentioned, such as total loss of the abdominal contents due to postural, respiratory, and dynamic deficiencies that impair overall physical activity and the daily quality of life.