Outcomes of the Rives–Stoppa technique in incisional hernia repair: ten years of experience

Abstract

The R-S technique is the most promising open technique, with low recurrence rates, excellent long-time results, and minimal serious morbidity. Age might be an important factor in recurrence rate.

Long-term results of laparoscopic versus open intraperitoneal onlay mesh incisional hernia repair: a propensity score-matched analysis

“…An overview of studies reporting recurrence rates after incisional hernia repair after a follow-up of at least 5 years is given in Fig. 5 to set our findings in the context to the existing literature [26–37]. …”

Multidetector CT of expected findings and early postoperative complications after current techniques for ventral hernia repair

“…Before the availability of modern PMs, the rate of postoperative hernia recurrence approached 50 %. Current techniques for VHR rely on PM implantation, may be performed during either open surgery or – increasingly – laparoscopic surgery, and consistently achieve favourable results with minimal perioperative morbidity (3.7 % overall complication rate) and limited (7.5–10 %) recurrence rate [ 1 , 3 , 4 , 10 – 12 ].…”

“…Postoperative seromas develop at the operated anterior abdominal wall in almost 10 % of patients. After open VHR, serous fluid collects in the retromuscular–prefascial space; conversely, following laparoscopic surgery, seromas result from peritoneal fluid flowing through the porous PM and accumulating within the residual hernia sac [ 8 , 11 , 12 , 21 ].…”

“…Although post-VHR iatrogenic complications are reported in up to 18–25 % of patients overall, the majority of cases are minor and do not require hospitalization or specific treatment. The commonest specific complications include infection, small bowel obstruction, and haemorrhage, in descending order of frequency [ 3 , 4 , 11 , 12 ].…”

“…Clinical manifestations such as purulent discharge, tender swelling, fever, abnormal acute-phase reactants, and leukocyte count should be investigated with bacteriological cultures and treated aggressively. Mesh infection is of concern to surgeons, since it cannot be treated with antibiotics and almost invariably requires removal of the PM [ 2 – 4 , 11 , 12 ].…”