[Plastic surgical repair according to Lazar da Silva in large median eventrations]

Lazaro da Silva's technique is postulated as a method free of relapses provided autologous endogenous tissues are made use of. It consists in the raising of three flaps cut from the hernial sac, anterior and posterior sheats of the rectus abdominis muscles. The suture lines lie in three different anatomical planes, thereby promoting restoration of the integrity and anatomical patterns of the anterior abdominal wall. The procedure is used in three patients presenting xiphopubic eventration of > 5 years longstanding. During the follow-up study (1.5 to 3 years) no relapses are registered. The technique described yields very encouraging results. Further comprehensive studies along this line will demonstrate whether or not the reputation of the procedure gained abroad will be confirmed.