This procedure is designed to avoid the compications associated with hernia repair, restore the function of the abdominal wall and improve the overall appearance of the abdominal wall.

The primary advantage of this procedure is the return of the Rectus abdominus muscle to its anatomic origin without incising the lateral musculature. Our repair is performed in two different planes with mesh to prevent both fistula and extrusion, and also to strengthen the repair. A panniculectomy is added to reduced the problems of redundant skin and adipose tissue and provide contour to the abdomen.

A restrospective review of all patients undergoing large ventral hernia repair between June 2002-June 2005 was conducted. Patient's charts were reviewed for Reason for surgery, complications from prior operations, Hernia size, Body Mass Index (BMI), Type of surgery, Type of mesh used, Complications, Patient satisfaction, Patient elaboration and Comments.

We have had no recurrences, improved functional status of the patients and complete patient satisfaction with the final appearance of the abdominal wall. We believe this method to be effective in reestablishing the natural anatomic unit of the abdominal wall musculature thereby restoring normal function.