[A more rational reconstruction of the abdominal wall]

An important turning point in our clinical experience in treating defects of the abdominal wall came just over three years ago. The possibility of obtaining a de-stressed closure by carrying our appropriate manouevres of detachment and separation of the broad muscles of the abdomen, suggested by O.M. Ramirez, represented a new development that deserved further exploration and clinical verification. The encouraging results obtained with a follow-up of over three years have made it possible to extend the application of this technique. We moreover believe that a preparation of the muscles of the abdominal wall carried out in this manner can represent a more rational substrate also for possible alloplastic implants.