The T-Line technique allows for less dissection and easier fixation.

Less dissection may reduce operative times and seroma formation.

Using mesh extension instead of sutures simplifies the procedure, is less fatiguing, and may reduce pain caused by suture fixation.

(1)   The first bite of the self- locking stitch can be a shallow bite lateral to the edge of the mesh. The extensions would then be pulled to create the desired amount of tension on the mesh body.

(2)   The needle is then passed through a center portion of the extension where the first bite entered the fascia and placed slightly deeper through the tissue exiting just lateral to the exit of the first bite.

(3)   The second bite is pulled to create a snug loop around the fascia. The needle is then passed through a center pore of the extension where it exits on the first bite.

(4)   The extension is drawn snug to complete the self-locking stitch, and the excess extension is cut.