New trend in repair of large incisional hernias using explored peritoneal inversion reinforced by double fascial approximation flaps

ABSTRACT

One hundered large abdominal incisional hernias were treated following a new modified technique using peritoneal inversion reinforced by double fascial approximation of the anterior rectus sheath as two flaps without use mesh in 81% of cases. The average follow up was three years, Good clinical results without pain were found more than 97 per cent of the patients.Recurrence occurred only in three patients [3 percent]. The complications were wound infection in 2 cases and parietal necrosis in one case. These results are significant, justify the use of this new technique especially even in recurrent, large ones and concurrent case