The Benefit of Open Rives-Stoppa Procedure in Complex Incisional Hernia.

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

Comparative Analysis of Bilateral Open Inguinal Hernia Repair and Rives-Stoppa Repair: A Comprehensive Review

“…Extensive studies have consistently demonstrated that this method yields excellent long-term outcomes with remarkably low morbidity rates, particularly in patients with large primary or recurrent incisional hernias. This establishes it as the gold standard for many surgeons [23]. Characterized by a retromuscular approach, the Rives-Stoppa procedure has proven highly effective, boasting a high likelihood of achieving the lowest odds for both recurrence and surgical site infections (SSI) [23].…”

“…This establishes it as the gold standard for many surgeons [23]. Characterized by a retromuscular approach, the Rives-Stoppa procedure has proven highly effective, boasting a high likelihood of achieving the lowest odds for both recurrence and surgical site infections (SSI) [23]. Moreover, a modified version of the Rives-Stoppa repair has notably reduced recurrence rates and complications, with only a minimal proportion of patients experiencing recurrent incisional hernias [23].…”

“…Characterized by a retromuscular approach, the Rives-Stoppa procedure has proven highly effective, boasting a high likelihood of achieving the lowest odds for both recurrence and surgical site infections (SSI) [23]. Moreover, a modified version of the Rives-Stoppa repair has notably reduced recurrence rates and complications, with only a minimal proportion of patients experiencing recurrent incisional hernias [23]. Comparative analyses have indicated that when contrasted with onlay mesh repair techniques, such as the retro-rectus (Rives-Stoppa) repair, the Rives-Stoppa technique showcases favorable outcomes, often superior or at least comparable to other approaches, except for occurrences of SSI, which are less frequent following laparoscopic repairs [24].…”