Comparison of life quality between patients undergoing modified primary closure and retromuscular mesh repair for abdominal incisional hernia.

The abdominal incisional hernias placed in the midline will be grouped into two. In the stidy group the components separation technique will be used. After surgical reduction of the hernia, the healthy fascial edges will be isolated. Then a wide skin flap will be raised on both sides of the midline incision. The lateral edge of the rectus muscle will be identified. An incision will be done to the external oblique fascia through the length of the original incision just lateral to the lateral border of the rectus bundle, protecting the Spigel line. The incision which will be deepened just under the external oblique muscle fibers sparing the underlying internal oblique and transversus abdominis muscles. The plane between the external and internal oblique muscles will be advanced through the whole length upto the level of the midaxillary line. This procedure will be repeated for the contralateral side. The healthy medial fascial edges of the rectus muscles will be approximated using polypropylene continuous sutures.