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Anatomic staple closure of midline incision of the upper part of the abdomen.

Using this technique of anatomic fascial staple closure, we have not seen a single wound disruption in nearly 800 patients. In the seven patients who had incisional hernias develop, all but one hernia occurred just above the umbilicus where the degree of fascial fiber dicussation was attenuated. In properly selected patients, our method of staple closure results in substantially decreased operating time and yields a dependable closure associated with minimal morbidity.