Rives-Stoppa procedure for repair of large incisional hernias: experience with 57 patients

Bauer, Joel J.; Harris, Michael T.; Gorfine, Stephen R.; Kreel, Isadore

doi:10.1007/s10029-002-0071-3

Cited by 137 publications

(75 citation statements)

References 9 publications

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“…12 Hernia recurrence is a distressing event to patient and embarrassing to surgeons and tension free mesh repair is an ideal technique which has decreased the incidence of recurrence. 22 The location of the reinforcement appears to influence outcomes.…”

Section: Discussionmentioning

confidence: 99%

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Comparative evaluation of sublay versus onlay meshplasty in incisional and ventral hernias

et al. 2017

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Background: Hernia derived from the Latin word, is a protrusion of a viscus or part of a viscus through an abnormal opening in the walls of its containing cavity. Objectives of present study were to evaluate sublay Vs onlay meshplasty in incisional and ventral hernia and to compare and determine duration of operation and hospital stay, post-operative complications and recurrences.Methods: The study was conducted at Dr. D. Y. Patil Medical College and Hospital, DPU University, for a period of 2 years (from July 2015 - September 2017) and is a prospective and comparative randomized type of study using 100 cases (Group A Onlay and Group B Sublay - 50 each). The study was approved by the Institute’s Ethics Committee.Results: 100 patients were operated in our study. In group B, the mean operative time [70.72±18.56], and in group A mean operative time (50.96±12.61). The duration of hospital stay was an of average 7.62±1.78 days in group B, and an average hospital stay of 8.84±1.89 in group A. Suture site infection was18%. group A (26%) and group B (12%). Seroma was seen in 5 patients, group A (8 %) and in group B (2%). Flap necrosis was 8% in group A and in 6% in group B. 10 patients had wound dehiscence, group A (14%) and group B (6%). 4 patients were reported with mesh infection (6%) in group A and (2%) in group B. Recurrence was 1% group A.Conclusions: Sublay meshplasty is good alternative to onlay meshplasty that may be applicable to all forms of ventral and incisional hernias. The mesh related complication rate and recurrence was found to be minimal.

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Section: Discussionmentioning

confidence: 99%

“…10,21,22 Many studies of same interest compared the recurrence rate in onlay versus sublay repair and found higher incidence in case of onlay maneuver. 23,10,22 In the present study reported incidence of recurrence in both techniques comparable with those concluded in the previous works.…”

Section: Sublay Onlaymentioning

confidence: 99%

Comparative evaluation of sublay versus onlay meshplasty in incisional and ventral hernias

et al. 2017

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“…Recurrence rates reported by other authors for GPRVS: Rene Stoppa (2-3.3%) in his initial article and 0.5-1.1% in later articles. [17][18][19] In a series of 57 patients studied by Stoppa"s GPRVS, there were 01 recurrence, seroma-12%, wound infection-3.5% (requiring prosthesis removal). Nyhus -1.7% for recurrent hernias and 0.56% for primary repairs.…”

Section: Recurrencesmentioning

confidence: 99%

Stoppa’s modified, open preperitoneal prolene mesh hernioplasty: a critical analysis of operative outcome in 70 cases

Burad¹,

Ray²

2016

Int Surg J

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Background:Since the dawn of the surgical history, hernias of the abdominal wall have been the most common condition requiring surgery. Hernia poses a major surgical health concern in any society. Despite the frequency of surgical repair, perfect results continue to elude surgeons, and the rate of recurrence is humbling. Hernia has been known since evolution of man and the history of hernia is the history of surgery. Stoppa et al first described a technique aimed at eliminating hernias by reinforcing the peritoneal space with a giant prosthesis called the giant prosthetic reinforcement of visceral sac (GPRVS). This research article presents our experience in managing a varied range of abdominal hernia by not so often practiced Stoppa’s GPRVS with significant modifications and very good results. The aim was to evaluate the operative outcome by Stoppa’s modified open preperitoneal prolene mesh hernioplasty in primary/recurrent/multirecurrent abdominal hernias and to determine the complications.Methods: This study was carried out in our hospital between May 2008 and June 2010. Total of 70 patients were included in the study which were managed by modified Stoppa’s modified open preperitoneal prolene mesh hernioplasty.Results:This procedure has certain inherent advantages like it avoids entering a defiled surgical plane through distorted anatomy, in cases of recurrent hernia and permits inspection of all potential hernial sites. It is truly tensionless and sutureless repair.Conclusions: This novel technique has given excellent results. We would like to recommend Stoppa’s repair based on our experience for recurrent and multirecurrent abdominal hernias, large Incisional and bilateral inguinal hernia.

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“…The use of synthetic meshes has reduced the recurrence rate in incisional hernia repair by up to 60% [1][2][3][4]. The type of mesh and the plane in which it is inserted it have been a matter of debate among surgeons over the last 3 decades and results remain variable.…”

Section: Introductionmentioning

confidence: 99%

Polyvinylidene Fluoride-coated Polypropylene Mesh for Intraperitoneal Onlay Mesh (IPOM) Repair of Ventral and Incisional Herniae

Sitaramachandra¹

2015

J Gastrointest Dig Syst

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Background: Dynamesh is a Polyvinylidene fluoride-coated polypropylene mesh. Its main use is for ventral hernia repairs as an on-lay mesh. The mesh was designed to have similar elasticity to the abdominal wall. It is reported to have good anti-adhesive properties while the large pores ensure rapid integration into the abdominal wall. A small series last year reported a high rate of complications with such a mesh. We have used this mesh with few anecdotal concerns and therefore present a more formal retrospective study of complications in our series.

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Rives-Stoppa procedure for repair of large incisional hernias: experience with 57 patients

Cited by 137 publications

References 9 publications

Comparative evaluation of sublay versus onlay meshplasty in incisional and ventral hernias

Comparative evaluation of sublay versus onlay meshplasty in incisional and ventral hernias

Stoppa’s modified, open preperitoneal prolene mesh hernioplasty: a critical analysis of operative outcome in 70 cases

Polyvinylidene Fluoride-coated Polypropylene Mesh for Intraperitoneal Onlay Mesh (IPOM) Repair of Ventral and Incisional Herniae

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