Modified shoelace technique for repair of large midline incisional hernia

Operations for large and recurrent abdominal hernia have a high associated recurrence rate although it is lower when prosthetic material is used. Many techniques were prescribed for repair of such hernia with varying degree of success. We present in this study a modification of the old shoelace technique used for repair of large midline incisional hernia discussing the results and the complications associated with such modification especially infection, respiratory complications and recurrence. We concluded that modified shoelace technique is a good method for repair of large midline incisional hernia as it is associated with low incidence of respiratory complications and recurrence