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FRANCIS C. USHER, M.D.

AMA Arch Surg. 1958;76(1):58-61.

	Since this article does not have an abstract, we have provided the first 150 words of the full text PDF and any section headings.

The use of patch grafts of cutis and of tantalum mesh for the repair of incisional hernias has become increasingly popular during the past 10 years, judging from the numerous reports in the literature.

The repair of those incisional hernias in which fascial aponeuroses can be imbricated without undue tension, according to the technique described by W. J. Mayo, is probably the best that can be obtained. Although originally designed for the repair of umbilical hernias, the principle of overlapping musculofascial layers can be applied to any incisional hernia, vertical or transverse, provided the tension is not too great. Enlarging the hernial defect by incising the hernial ring at both ends of its long axis often permits overlapping without too much tension. There is, however, a sizable minority of hernias in which primary closure cannot be done. It is this type of hernia that is best repaired with some type . . . [Full Text PDF of this Article]

Author Affiliations
Houston, Texas

From the Department of Surgery of the Baylor University College of Medicine and the Veterans' Administration Hospital.

Footnotes
Submitted for publication May 6, 1957.

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