Combined abdominal wall paresis and incisional hernia after laparoscopic cholecystectomy

A case of combined abdominal wall paresis and incisional hernia after lapar oscopic cholecystectomy is reported. The paresis possibly occurred by a les ion of the N. intercostalis when extending the incision for stone extractio n. Possibly the paresis was a predisposing factor for the development of an incisional hernia. The causes of abdominal wall paresis are explored with a review of the literature. In spite of minimal trauma to the anterior abdo minal wall in laparoscopic procedures, the risk of iatrogenic lesions remai ns.