Background: Abdominal incisional hernias are a common condition in surgical practice. Numerous surgical procedures have been used to repair them with different results. Objective: This study aims to find the place of shoelace darn in the repair of incisional hernias. Method: Fifty patients with abdominal incisional hernias have been managed by shoelace darn method in this prospective study. The details of operative technique has been described. Results: Shoelace darn was relatively easy procedure associated with fewer complications. There were no true recurrences noted. Conclusion: Shoelace darn repair still remains as an excellent technique in management of abdominal incisional hernias , despite advent of mesh. 

Keywords: Incisional Hernia; Shoelace Repair; Diabetes Mellitus; Mesh; Modified Shoelace Technique.