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Obesity predisposes to incisional herniation and increased the incidence of recurrence after conventional open repair. Only sparse data on the safety and security of laparoscopic ventral hernia repair (LVHR) for morbidly obese patients are available. This study compared the incidence of perioperative complications and early recurrence after LVHR between morbidly obese and non–morbidly obese patients.

The case records of consecutive patients who underwent LVHR between December 2002 and August 2007 were reviewed. Patients with a body mass index (BMI) lower than 35 kg/m² were compared with morbidly obesity patients who had a BMI of 35 kg/m² or higher.

The study included 168 patients (87 men) with a median age of 55 years (range, 24–92 years). Two conversions to …