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

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Abstract

Background

Use of the Rives–Stoppa (R–S) technique has markedly diminished recurrence rate. Our aim was to assess the outcomes of Iranian patients undergoing the R–S technique and to determine factors affecting recurrence rate and time.

Methods

Over a 10-year period, 86 open abdominal wall incisional hernia repairs were performed using the R–S technique. Prolene and Mersilene meshes were used. Main outcome measures were the rate and time of recurrence and mortality.

Results

Sixty-six women and 20 men underwent the R–S technique (mean age: 51.21 ± 13.01 years; mean follow up period: 67.60 ± 32.55 months). The total recurrence rate was 5.8%. Most of these occurred in the first 12 months of follow up. Mersilene was used in 61%. There was no correlation between hernia recurrence and age, gender, defect size, mesh size, mesh type, number of meshes used, type of operation, position of incision, seroma, respiratory complications, ICU admission, or wound complications (P > 0.05). Overall postoperative complication rate was 18.2%. Except for type of operation, there was no correlation between the factors mentioned and recurrence time. Cumulative 5 and 10-year recurrence rate were 4.2 and 12.5%, respectively.

Conclusion

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.

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References

  1. Bauer JJ, Harris MT, Gorfine SR, Kreel I (2002) Rives–Stoppa procedure for repair of large incisional hernias: experience with 57 patients. Hernia 6:120–123

    Article  PubMed  CAS  Google Scholar 

  2. Hesselink VJ, Luijendik RW, De Wilt JHW, Heide R (1993) An evaluation of risk factor in incisional hernia recurrence. Surg Gynecol Obstet 176:228–234

    PubMed  CAS  Google Scholar 

  3. Israelsson LA (2002) Wound failure and incisional hernia: mechanisms and prevention. In: Fitzgibbons RJ, Greenburg AG (eds) Nyhus and Condon’s hernia. Lippincott Williams & Wilkins, Philadelphia, pp 327–340

    Google Scholar 

  4. Mudge M, Hughes LE (1985) Incisional hernia: a 10-year prospective study of incidences and attitudes. Br J Surg 72:70–71

    PubMed  CAS  Google Scholar 

  5. Santora TA, Roslyn JJ (1993) Incisional hernia. Surg Clin North Am 73:557–570

    PubMed  CAS  Google Scholar 

  6. Flum DR, Horvath K, Koepsell T (2003) Have outcomes of incisional hernia repair improved with time? Ann Surg 237:129–135

    Article  PubMed  Google Scholar 

  7. Langer C, Schaper A, Liersch T et al (2005) Prognosis factors in incisional hernia surgery: 25 years of experience. Hernia 9:16–21

    Article  PubMed  CAS  Google Scholar 

  8. Luijendijk RW, Hop WCJ, Tol MP, Lange DCD, Braaksma MKM, Ifzermans JNM (2000) A comparison of suture repair with mesh repair for incisional hernia. N Engl J Med 343:392–398

    Article  PubMed  CAS  Google Scholar 

  9. Stoppa R, Louis D, Verhaeghe P, Henry X, Plachot JP (1987) Current surgical treatment of post-operative eventrations. Int Surg 72:42–44

    PubMed  CAS  Google Scholar 

  10. Sidhu BS, Sharma PK (2001) Tension-free open mesh repair of ventral hernia—Stoppa’s technique. Int Surg 86:229–234

    PubMed  CAS  Google Scholar 

  11. Wantz GE (1982) Giant prosthetic reinforcement of the visceral sac. Surg Clin North Am 64:269–285

    Google Scholar 

  12. Kaufman Z, Engelberg M, Zarger M (1981) Fecal fistula: a late complication of Marlex mesh repair. Dis Colon Rectum 24:543–544

    PubMed  CAS  Google Scholar 

  13. Flament JB, Rives J, Palot J (1995) Major incisional hernia. In: Cheveral JP (ed) Hernia and Surgery of the abdominal wall. Springer, Berlin Heidelberg New York, pp 116–144

    Google Scholar 

  14. Heniford BT, Park A, Ramshaw BJ, Voeller G (2003) Laparoscopic repair of ventral hernias: nine years’ experience with 850 consecutive hernias. Ann Surg 238:391–400

    PubMed  Google Scholar 

  15. Stoppa RE (1989) The treatment of complicated groin and incisional hernias. World J Surg 13:545–554

    Article  PubMed  CAS  Google Scholar 

  16. Rives J, Pire JC, Flament HB, Palot JP, Body C (1985) Treatment of large eventrations. New therapeutic indications apropos of 322 cases. Chirurgie 111:215–225

    PubMed  CAS  Google Scholar 

  17. Franklin ME, Gonzalez JJ, Glass JL, Manjarrez A (2004) Laparoscopic ventral and incisional hernia repair: an 11-year experience. Hernia 8:23–27

    Article  PubMed  Google Scholar 

  18. Morris-Stiff GJ, Hughes LE (1998) The outcome of nonabsorbable mesh placed within his abdominal cavity: literature review and clinical experience. J Am Coll Surg 186:352–367

    Article  PubMed  CAS  Google Scholar 

  19. Chari R, Chari V, Eisenstat M, Chung R (2000) A case controlled study of laparoscopic incisional hernia repair. Surg Endosc 14:117–119

    PubMed  CAS  Google Scholar 

  20. Heniford BT, Ramshaw BJ (2000) Laparoscopic ventral hernia repair: a report of 100 consecutive cases. Surg Endosc 14:419–423

    Article  PubMed  CAS  Google Scholar 

  21. Farrakha M (2000) Laparoscopic treatment of ventral hernia: a bilayer repair. Surg Endosc 14:1156–1158

    Article  PubMed  CAS  Google Scholar 

  22. Szymanski J, Voitk A, Joffe J, Alvarez C, Rosenthal G (2000) Technique and early results of outpatient laparoscopic mesh onlay repair of ventral hernias. Surg Endosc 14:582–584

    Article  PubMed  CAS  Google Scholar 

  23. Perrone JM, Soper NJ, Eagon JC, Klingensmith ME, Aft RL, Frisella MM, Brunt LM (2005) Perioperative outcomes and complications of laparoscopic ventral hernia repair. Surgery 138:708–715

    Article  PubMed  Google Scholar 

  24. Heniford BT, Park A, Ramshaw BJ, Voeller G (2000) Laparoscopic ventral and incisional hernia repair in 407 patients. J Am Coll Surg 190:645–650

    Article  PubMed  CAS  Google Scholar 

  25. Duce AM, Muguerza JM, Villeta R et al (1997) The Rives operation for the repair of incisional hernias. Hernia 1:175–177

    Article  Google Scholar 

  26. McLanahan D, King LT, Weems C, Novotney M, Gibson K (1997) Retrorectus prosthetic mesh repair of midline abdominal hernia. Am J Surg 173:446–449

    Article  Google Scholar 

  27. Temudon T, Siadati M, Sarr MG (1996) Repair of complex giant or recurrent ventral hernias by using tension-free intra-parietal prosthetic mesh (Stoppa technique): lessons learned from our initial experience (fifty patients). Surgery 120:738–744

    Article  Google Scholar 

  28. Wantz GE (1991) Incisional hernioplasty with Mersilene. Surg Gynecol Obstet 172:129–137

    PubMed  CAS  Google Scholar 

  29. Amid PK, Shulman AG, Lichtenstein IL (1994) A simple stapling technique for prosthetic repair of massive incisional hernias. Am Surg 60:936–937

    Google Scholar 

  30. Ferranti F, Triveri P, Mancini P, Di Paola M (2003) The treatment of large midline incisional hernias using a retromuscular prosthetic meshes (Stoppa–Rives technique). Chir Ital 55:129–136 (abstract)

    Google Scholar 

  31. Basoglu M, Yildirgan MI, Yilmaz I et al (2004) Late complications of incisional hernias following prosthetic mesh repair. Acta Chir Belg 104:425–428

    PubMed  CAS  Google Scholar 

  32. Langer C, Liersch T, Kley C et al (2003) Twenty-five years of experience in incisional hernia surgery: a comparative retrospective study of 432 incisional hernia repairs. Chirurg 74:638–645

    Article  PubMed  CAS  Google Scholar 

  33. Leber GE, Garb JL, Alexander AI, Reed WP (1998) Long-term complication associated with prosthetic repair incisional hernia. Arch Surg 133:378–382

    Article  PubMed  CAS  Google Scholar 

  34. Schumpelick V, Klosterhalfan B, Mulder M, Klinge U (1999) Minimierte poly propylene Netze zur praperitonealen Netz plastic (PNP): eine pro-spektive randomisierte klinische studie. Chirurg 70:422–430

    Article  PubMed  CAS  Google Scholar 

  35. Liakakos T, Karanikas I, Panagiotidis H, Dendrinos S (1994) Use of Marlex mesh in the repair of recurrent incisional hernia. Br J Surg 81:248–249

    PubMed  CAS  Google Scholar 

  36. Burger JW, Luijendijk RW, Hop WC, Halm JA, Verdaasdonk EG, Jeekel J (2004) Long-term follow up of a randomized controlled trial of suture versus mesh repair of incisional hernia. Ann Surg 204:578–585

    Google Scholar 

  37. Heartstill L, Richards ML, Arfai N et al (2005) Open Rives–Stoppa ventral hernia repair made simple and successful but not for everyone. Hernia 9:162–166

    Article  Google Scholar 

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Correspondence to A. Yaghoobi Notash.

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Yaghoobi Notash, A., Yaghoobi Notash , A., Seied Farshi, J. et al. Outcomes of the Rives–Stoppa technique in incisional hernia repair: ten years of experience. Hernia 11, 25–29 (2007). https://doi.org/10.1007/s10029-006-0141-z

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  • DOI: https://doi.org/10.1007/s10029-006-0141-z

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