extraperitoneal cicatricial hernia repair with implantation of nonresorbable synthetic mesh large incisional hernias and recurrences were treated by extraperitoneal implantation of polypropylene mesh using a sublay technique in 37 patients there were 10 minor 5 haematoma 3 seroma 2 patients with postoperative increased temperature and 2 major complications 1 case of skin necorsis 1 deed wound infection with fistulation and involvement of mesh within a mean followup time of 17 months we saw 3 recurrences effects of hypotensive anesthesia in anterior maxillary osteotomy deliberate hypotension as a means of reducing loss of blood providing a more ideal operative field and shortening operating time has been used in other surgical disciplines such as neurosurgery vascular surgery and orthopedic surgery this controlled study compared the effects of hypotensive and normotensive anesthesia on loss of blood quality of surgical field and length of surgery in one type of orthognathic surgical procedurethe anterior maxillary osteotomy