True about incisional hernia

Incisional herniaIncisional hernias have been repoed in 10-50% of laparotomy incisions and 1-5% of laparoscopic po-site incisions.Causation due to patient, wound and surgeon factorsOften multiple defects within the same scarObstruction is common but strangulation is rareSimple suture techniques without the use of prosthetic mesh for reinforcement, are not recommended because of the high risk of recurrence.Open and laparoscopic repairs possibleRef: Bailey and love 27e pg: 1040