da-silva repair of large incisional hernia

The technique of peritoneal apponeurotic transposition devised by da-Silva is described. It was performed on 24 patients with large hernia. No recurrence was found in any of these patients. The mean time of following up was 33 months. This technique proved to be simple resulting in tension free sutures with no use of foreign body. It produces a correct anatomical reconstruction with low recurrence rate