An implantable prosthesis for repairing an abdominal wall defect is disclosed. The implantable prosthesis comprises a multi-layer soft tissue repair patch including a first mesh layer (66), a second mesh layer (68) as well as an adhesion resistant barrier layer (104), the first mesh layer located between the second mesh layer and the barrier layer； and at least one tether (24,26) extending from a side of the repair patch opposite the barrier layer, the at least one tether having a sufficient length to extend from the patch and through the abdominal wall defect when the patch is on one side of the defect, so that a portion of the at least one tether is accessible on the other side of the defect for manipulation from outside a patient's body； a support member provided on the soft tissue repair patch； and at least one tether including a repair fabric that is susceptible to tissue and muscle integration.
