Surgical management of large incisional hernias by an intraperitoneal Mersilene mesh and an aponeurotic graft.

The surgical repair of large midline incisional hernias must respect, in part, the loss of abdominal wall substance created by the lesion while, at the same time, recreating a strong abdominal wall. The combination of an intraperitoneal mesh, reinforced by a plasty of the anterior layer of the rectus sheath, fulfills these conditions and provides a good functional result in 130 instances.