ABSTRACT
A retrospective analysis of cases of incisional hernia following caesarean section has been carried out at the University of Nigeria Teaching Hospital; Enugu; over a 10-year period. The lower midline vertical incision was the predominant approach. A low incidence of incisional hernia was noted. Its major factors were primary caesarean section; high parity; sepsis and anaemia. Heavy nylon suture was mainly used for its repair; the two main techniques being the side to side closure in anatomical layers and the Mayo-overlap method. A low recurrence rate was observed and was attributed to underreporting. Prophylactic antibiotics and the use of the Pfannenstiel incision are the methods suggested for further reduction of the incidence of incisional hernia