This technique has been used to cover large aponeurotic gaps, and it carries extremely high recurrence rates. 21, 22 In the extraperitoneal underlay technique, the mesh is placed retromuscularly and preperitoneally, as described by Stoppa in 1989. 8 This technique requires limited soft tissue dissection; therefore, it carries low morbidity and recurrence rates. 22, 23 The intraperitoneal underlay technique was introduced by McCarthy and Twiest 24 in 1981.

Oklahoma has almost, but never quite elected a Republican Governor. But in national politics the Sooner State has twice strayed from the Democratic reservation (Harding and Hoover).

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