Anchorage overlapping repair of incisional hernia

Fifty-five incisional hernias at different sites were repaired by fashioning strips of the hernial sac with its entire coverings of collagen scar at one side. The strips are reversed through holes made in the superficial overlapping muscular layer and fixed back to the ipsilateral side. There were no major recurrences over a 2-10-year period except for a minor one at the upper end of a vertical repair. The operation was likewise performed with success in 28 patients with para-umbilical hernias. This triple layer anchorage technique is practically and theoretically sound since recurrences due to sliding of layers of simple overlapping repair with stitches cutting out do not occur.