New technique for repairing incisional hernias with Marlex mesh.

A technique using Marlex mesh for the repair of incisional hernias in which the mesh is placed deep to the muscles and the musculofascial layers are closed completely over the mesh is described. Great mechanical advantage is obtained and healing of the wound by primary repair is made possible. This technique has been used in 31 patients since February 1978 with good results. Most of the 31 patients had large defects, and primary closure over the mesh was possible in all of them.