Fig. 1

Schematic illustration of the technique for bilateral anterior rectus abdominis sheath turnover flap method. a First, the skin and subcutaneous tissue are separated from the anterior rectus sheath as a flap bilaterally beyond the lateral border of the rectus abdominis sheath. A longitudinal incision is then made in each anterior rectus sheath ≥ 1 cm inside the lateral border. After confirming the presence of the rectus abdominis muscle, the incision is extended the entire length of the anterior rectus sheath. The anterior rectus sheath is then dissected from the lateral to medial face, freeing it from the rectus abdominis muscles. b It is reflected medially and approximated with interrupted absorbable sutures to cover the abdominal contents. The skin is closed primarily or secondarily