Laparoscopic herniorraphy for abdominal multiple incisional hernia XU Da-hua, LIU Jia-feng, LIU Dong-bin, et al. Department of General Surgery, Xuan Wu Hospital, Capital Medical University, Beijing 100053, China Corresponding author: XU Da-hua, E-mail: dahuax @ yahoo.com.cn Abstract Objective To evaluate the surgical skill and the efficacy of laparoscopic herniorraphy for abdominal multiple incisional hernia. Methods A complicated case of four position abdominal incisional hernia from three times of surgery admitted in February 2008 at Beijing Xuan Wu Hospital of Capital Medical University was treated by laparoscopic herniorraphy with laparoscopic hernia clip and a large composix mesh. Results The length of hernia defects was 12cm, 9cm, 6cm and 3cm. A laparoscopic herniorraphy was succeed in the case of abdominal multiple incisional hernia without complication of intestinal injury. The case was followed-up for 6 months and no abdominal incisional hernia recurrent. Conclusion Laparoscopic herniorraphy is safe and effective for abdominal multiple incisional hernia. Laparoscopic herniorraphy is simple for the exploration of abdominal multiple incisional hernia defects, but open herniorraphy is more difficult. Laparoscopic herniorraphy is not only a minimally invasive surgery, but also a superior surgical skill for abdominal multiple incisional hernia.