P-013 Results of Anatomical Reconstruction of Rectus Abdominis Sheath as a Variant of Rives Technique

Abstract

Aim To describe our results of the anatomical reconstruction of the midline as a variant of the Rives technique. Material and Methods 53 cases of midline incisional hernia M2, M3, M4 according to the EHS classification were treated between Jan 2016 and Jan 2022 in our Unit by the same surgeon using a modified Rives technique (reconstruct the midline by continuous sutures to create a new linea alba, where the polypropylene mesh will be fixed; the lateral region is not fixed with suture, only a tissue adhesive -Tisseel®- is used) Results Average duration of surgery: 132 min (113–215 min), Mean Age 57 years (32–72), 21 females and 32 males, mean BMI 29 (23–34), . The average stay was 3.7 days, the immediate postoperative pain was 3.8 according to the EVA scale, drainage was used in 7 cases (13.2%). There were 2 infectious complications in surgical site without requiring mesh explantation (3,8%), 3 seromas occurred (5,6%). Discussion Hernia recurrence has decreased in recent years due to the incorporation of mesh. There are other important factors when we evaluate the results of hernia repair technique. Anatomical reconstruction offers adequate results. Conclusion Anatomical reconstruction of rectus sheath offers good results as an option to the repair of midline hernias