RT Journal
A1 Mohammadhosseini B
T1 OPen mesh repair of ventral incisional hernias with tacker with less complication
JF Archives of Surgery
JO Archives of Surgery
YR 2010
FD October 1
VO 145
IS 10
SP 1021
OP 1022
DO 10.1001/archsurg.2010.200
UL http://dx.doi.org/10.1001/archsurg.2010.200
AB 
Avoiding seroma formation, in the previous 5 years, I treated my few patients who had recurrent and re-recurrent incisional hernias without a wide subcutaneous dissection, laying the appropriate size of a dual layer or polyvinylidene fluoride mesh in the abdominal cavity. Using this method, we do not make any effort to close the abdomen in the midline. Mesh fixation can be done in one side through the open abdomen (by tacker or stitches). The other side of the mesh is fixed through the full abdominal wall (including skin) by small incisions on the skin and by using long tension-suture needles. The major drawback is multiple small disfiguring incisions on the side of the abdominal skin.