RT Journal
A1 Itani KF
T1 OPen mesh repair of ventral incisional hernias with tacker with less complication—reply
JF Archives of Surgery
JO Archives of Surgery
YR 2010
FD October 1
VO 145
IS 10
SP 1022
OP 1022
DO 10.1001/archsurg.2010.201
UL http://dx.doi.org/10.1001/archsurg.2010.201
AB 
The investigators of our study selected an open technique that does not replicate the laparoscopic repair in an open way like the sublay Stoppa repair or one of its variations. As such, they selected the Chevrel repair, which requires less flap dissection than either the Ramirez or Stoppa repairs and is easier to perform with less of a steep learning curve. The technique Dr Mohammadhosseini describes is a modified Stoppa repair, which requires no flap elevations and which others have described with some variation in this journal.2 These variations in the placement of a sublay mesh are appealing but were not shown to reduce the incidence of seroma or other complications in prospective trials. For the purpose of our prospective randomized trial, a procedure with a proven track record had to be selected.