this study tried to overcome some of the
problems that face the surgeon while repairing a
complex large ventral midline hernia. We used the
hernia sac (peritoneum) to bridge the defect and prevent
adhesion formation between the intestine and the inner
mish layer without any additional cost. On the other
hand, we performed a double layer (Sandwitch)
technique with the two meshes separated by the
approximated recti muscles. This is supposed to give
more strength to the repair. Actually this technique
appears to be promising with good results regarding
deep wound infection and hernia recurrence.