The Benefit of Open Rives-Stoppa Procedure in Complex Incisional Hernia
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| Title: | The Benefit of Open Rives-Stoppa Procedure in Complex Incisional Hernia |
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| Authors: | Bledi Masati, Asfloral Haxhiu, Marsel Dhima, Tomi Punmira, Gentian Zikaj, Alfred Ibrahimi, Agron Dogjani |
| Source: | Albanian Journal of Trauma and Emergency Surgery, Vol 8, Iss 1 (2024) |
| Publisher Information: | Albanian Society for Trauma and Emergency Surgery, 2024. |
| Publication Year: | 2024 |
| Subject Terms: | Mesh polypropylene, RD1-811, Rives-Stoppa Procedure, RC86-88.9, Surgery, Medical emergencies. Critical care. Intensive care. First aid, Incisional Hernia, abdominal wall surgery, 3. Good health |
| Description: | Introduction: Ventral hernia is one of the most common general surgical pathologies. An incisional hernia will develop in 10–15% of patients with an abdominal incision, and the risk increases to up to 23% in those who develop surgical site infections. Ventral hernia repairs are mostly elective (90%) procedures, but the repair methods are highly variable. Popularized in Europe by Rives and Stoppa, the retromuscular technique has proven to be very effective, with a 94.2% probability of having the lowest odds for recurrence and a 77.3% probability of having the lowest odds for SSI. The study aimed to evaluate our experience at a secondary care center performing Rives-Stoppa repair for abdominal ventral and incisional hernias. Materials and Methods: Between April 2019 and August 2021, 46 patients in the practice at a secondary regional hospital, Teni Konomi, Korce, Albania, underwent a Rives-Stoppa incisional hernia repair. Results: There were 14 (31%) males and 32(69%) females (age range 31-75). Most incisional hernias were midline xiphoid-pubic incision and supraumbilical, with several subcostals (2 right and 1 left) hernias.At the time of repair, most incisional hernias were symptomatic and evident on physical exam. In four cases, the hernia sac was incarcerated at the presentation time. Conclusion: The Rives-Stoppa technique has excellent long-term results and low morbidity in patients with large primary or recurrent incisional hernias. It is the gold standard for most surgeons. Keywords: Incisional Hernia, mesh, polypropylene, abdominal wall surgery, rectus muscle |
| Document Type: | Article |
| ISSN: | 2616-4922 2521-8778 |
| DOI: | 10.32391/ajtes.v8i1.381 |
| Access URL: | https://doaj.org/article/668b132cb6d74170bafe1ccf3600460b |
| Rights: | CC BY NC |
| Accession Number: | edsair.doi.dedup.....c2199ff5bb7ce5384c342e2f4464106f |
| Database: | OpenAIRE |
Nájsť tento článok vo Web of Science | Abstract: | Introduction: Ventral hernia is one of the most common general surgical pathologies. An incisional hernia will develop in 10–15% of patients with an abdominal incision, and the risk increases to up to 23% in those who develop surgical site infections. Ventral hernia repairs are mostly elective (90%) procedures, but the repair methods are highly variable. Popularized in Europe by Rives and Stoppa, the retromuscular technique has proven to be very effective, with a 94.2% probability of having the lowest odds for recurrence and a 77.3% probability of having the lowest odds for SSI. The study aimed to evaluate our experience at a secondary care center performing Rives-Stoppa repair for abdominal ventral and incisional hernias. Materials and Methods: Between April 2019 and August 2021, 46 patients in the practice at a secondary regional hospital, Teni Konomi, Korce, Albania, underwent a Rives-Stoppa incisional hernia repair. Results: There were 14 (31%) males and 32(69%) females (age range 31-75). Most incisional hernias were midline xiphoid-pubic incision and supraumbilical, with several subcostals (2 right and 1 left) hernias.At the time of repair, most incisional hernias were symptomatic and evident on physical exam. In four cases, the hernia sac was incarcerated at the presentation time. Conclusion: The Rives-Stoppa technique has excellent long-term results and low morbidity in patients with large primary or recurrent incisional hernias. It is the gold standard for most surgeons. Keywords: Incisional Hernia, mesh, polypropylene, abdominal wall surgery, rectus muscle |
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| ISSN: | 26164922 25218778 |
| DOI: | 10.32391/ajtes.v8i1.381 |