Objective: Incisional hernias complicate up to 11% of incisions with a possible recurrent rate of 44%. Assessment of the 
applicability and validity of combined fascial and prosthetic mesh repair in the management of incisional hernia. 
Methods: Forty patients (17M: 23F) were included in the study. Patients were subjected to hernia repair by a technique using both combining fascia and polypropylene mesh in the repair of all ventral incisional hernias, regardless the site of previous incision. Patients were followed up for morbidity or recurrence. 
Results: Post-operative complications included seroma formation in 6 patients, superficial wound infection in three and deep venous thrombosis in one. Post-operative hospital stay ranged from 1 to 22 days with a mean of 7.2 days. Patients were followed-up for a median of 21.3 months (range 9 to 49 months). Two patients (5%) reported a persistent small local induration and one (2.5%) reported persistent local pain. Single recurrence (2.5%) was encountered in this study. 
Conclusion: This technique is a tension free repair applicable to all types of incisional hernias, most of the mesh is lying deep under the rectus sheath and it has an acceptable complication rate with low recurrence rate.