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Updated: Jul 10, 2026

Application of a New Mesh Fixation Method in Laparoscopic Incisional Hernia Repair

Application of a New Mesh Fixation Method in Laparoscopic Incisional Hernia Repair

Published on: December 23, 2022

Intraperitoneal modification of the Rives-Stoppa repair for large incisional hernias.

R F Williams¹, D F Martin, M T Mulrooney

¹Department of Surgery, University of Tennessee Health Science Center, 50 Humphreys Center, #30, Memphis, TN 38120, USA.

Hernia : the Journal of Hernias and Abdominal Wall Surgery

|November 21, 2007

Summary

This study shows a modified Rives-Stoppa repair for ventral hernias significantly lowers recurrence rates. The intraperitoneal mesh placement resulted in a 0.9% recurrence rate, demonstrating improved outcomes for large hernia repairs.

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Area of Science:

Abdominal surgery
Hernia repair
Surgical innovation

Background:

Ventral/incisional hernia recurrence rates vary widely with open repair techniques.
Classic Rives-Stoppa repair has recurrence rates around 6%.
Some US techniques have recurrence rates as high as 35-45%.

Purpose of the Study:

To report a modified Rives-Stoppa repair technique for ventral hernias.
To evaluate the recurrence rates, complications, and mesh infection rates of this modification.
To assess the efficacy of intraperitoneal prosthetic placement in large ventral hernia repairs.

Main Methods:

A retrospective chart review of 115 patients undergoing open ventral incisional hernia repair from 2000-2006.
All repairs utilized an intraperitoneal mesh placement modification of the Rives-Stoppa repair.

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Last Updated: Jul 10, 2026

Application of a New Mesh Fixation Method in Laparoscopic Incisional Hernia Repair

Application of a New Mesh Fixation Method in Laparoscopic Incisional Hernia Repair

Published on: December 23, 2022

Data collected included patient characteristics, operative details, and postoperative outcomes, focusing on hernia recurrence, complications, and mesh infection.

Main Results:

The modified repair resulted in a 3.4% overall recurrence rate (4/115 patients).
Recurrence not related to mesh infection requiring removal was 0.9%.
Complications occurred in 26% of patients, with seroma formation being most common (16%).

Conclusions:

The intraperitoneal modification of the Rives-Stoppa repair achieves very low recurrence rates for large ventral hernias.
This technique demonstrates minimal complications and a low rate of mesh infection.
The method restores abdominal wall architecture and protects the mesh from superficial wound issues.