Incisional hernias continue to remain serious surgical problems. Countless procedures have been advocated for the cure of them; numerous suggestions have been offered to prevent them.
It seems reasonable to presume that though considerable time and concentration are utilized in the performance of the operation within the abdomen, often a too hurried and careless closure is effected by a weary operator or an inexperienced assistant.
The incidence seems variable according to the reports. In hospitals where many hernias are operated on, incisional hernias are less frequent than other types of ruptures. B. L. Coley,1 in 3,000 consecutive herniotomies performed at the hospital for the ruptured and crippled in New York, reported only a 1.5 per cent incidence of postoperative hernias. During a four year period (1923 to 1927, inclusive) at the Boston City Hospital2 there were 304 patients with this condition operated on. Stanton3 noted 24
CAVE HW. INCIDENCE AND PREVENTION OF INCISIONAL HERNIAS. JAMA. 1933;101(26):2038–2042. doi:10.1001/jama.1933.02740510030008