Rives technique, a gold standard for incisional hernias -- our experience

Area of Science:

• Abdominal Surgery
• Surgical Oncology
• Gastroenterology

Background:

• Incisional hernias affect up to 18% of patients post-abdominal surgery.
• Simple suture repairs have high recurrence rates (up to 50%).
• Alloplastic procedures reduce relapse rates, but optimal techniques are sought.

Purpose of the Study:

• To evaluate the effectiveness of the Rives-Stoppa sublay mesh repair technique for incisional hernias.
• To assess recurrence and complication rates associated with this modified technique.
• To confirm the Rives-Stoppa technique's ability to create a strong, functional abdominal wall.

Main Methods:

• Retrospective analysis of 45 patients with incisional hernias.
• All patients underwent repair using the modified Rives-Stoppa sublay mesh technique.
• Standardized surgical approach performed by a single surgical team.

Main Results:

• The Rives-Stoppa technique demonstrated effectiveness in repairing incisional hernias.
• No patients required reoperation during the study period.
• Recurrence and complication rates were comparable to established literature values.

Conclusions:

• The Rives-Stoppa sublay mesh repair is a highly effective method for treating incisional hernias.
• The technique yields low recurrence and complication rates, ensuring a strong and functional abdominal wall.
• This approach offers a reliable solution for incisional hernia repair in abdominal surgery.