The purpose of this article is to explore the therapeutic effect of laparoscopic hernia repair combined with biological patch in the treatment of giant incisional hernia.

The clinical data of seven patients with giant incisional hernia treated by laparoscopic incisional hernia repair combined with biological patch in our hospital from Jan. 2014 to Dec. 2016 were analyzed retrospectively.

The operation time was from 70-390 minutes. The VAS pain scores on 24 hours operatively, POD3 and POD7 were(4.8±0.69), (4.1±0.89) and (3.9±1.10) respectively. The postoperative anal exhaust time was (2.2±0.95)days. The average postoperative hospitalization time was (18.2±9.2)days. The postoperative complications included three cases of fever (42.9%, 3/7), two cases of abdominal infection (28.6%, 2/7), three cases of fat liquefaction of incision (42.9%, 3/7), two cases of wound infection (28.6%, 2/7), two cases of abdominal wall seroma (28.6%, 2/7), two cases of adhesive intestinal obstruction after operation (28.6%, 2/7), two cases were filled by effusion (28.6%, 2/7), one case of pulmonary infection (14.3%, 1/7). All patients were followed up for an average of 36 months. Postoperative abdominal pain or discomfort occurred in two cases (28.6%, 2/7), and one case(14.3%, 1/7) recurred 24 months after operation.

Laparoscopic herniorrhaphy combined with biological patch is safe and effective for the treatment of huge incisional hernia, but its long-term effect needs further observation.