new method for the repair of Medicine and paramedian incisional herniasa Rectus Repair

ABSTRACT

Forty four patients with large and difficult mid-line and paramedian incisional hernias were included in. this study; 31 were females [70.5%] and 13 were males [29.5%]. Their ages ranged from 35 to 72 years with mean age .42.5 Twenty eight [64%] patients had infraumbilical incisional hernias, and 16 patients [36%] had supraumblical [cat incisional hernias. This study is a trial to restore the normal anatomy of mid line. Anterior rectus sheath, both recti muscles in close contact to each other, posterior rectus sheath, and peritoneum. This is by utilizing two incisions, one is made in anterior rectus sheath cm or more from the edge of the defect, completely encircle the defect, another two relaxing incisions are made in lateral part of external oblique aponeurosis. So it was called a "Rectus Repair". All patients underwent the rectus repair. Hospital stay ranged from 12 to 21 days.Early postoperative complications were minor as chest infection, seroma, wound infection. serous discharge, wound gaping, and sinus formation, all were conservatively controlled. Follow-up for 1 to 3 years with no detectable recurrence. Rectus repair provides anatomical reconstruction of abdominal wall in layers without tension on the suture lines