Related Experiment Video
Updated: Jul 14, 2026

Use of a Rat Model to Study Ventral Abdominal Hernia Repair
Published on: October 2, 2017
Cranial preperitoneal extension of the retromuscular repair in midline hernias: The Madrid Rives technique
Marcello De Luca1, Javier Lopez-Monclus2, Luis Alberto Blázquez Hernando3
1Servicio de Cirugía General y Aparato Digestivo, Hospital Quirónsalud Valle del Henares, Av. de la Constitución, 249, Torrejón de Ardoz, Madrid, 28850, Spain.
Purpose:
This is a modification of the original retromuscular approach of Rives-Stoppa-Wantz for midline hernia reconstruction. This novel approach preserves the safety and efficacy of the original one while offering two key advantages: maintaining the anatomical and functional integrity of the cranial portion of the posterior rectus sheath and enabling a wider cranial dissection, essential for achieving greater overlap in M1-M2 hernias.
Results:
Between January 2015 and September 2024, 100 patients underwent surgery (82 open, 18 laparoscopic). A total of 19 surgical site occurrences were recorded, of which 7 required procedural intervention. There were 5 cases of surgical site infection, 4 superficial and 1 deep. During a mean follow-up of 24,2 months, 3 CT-scan-confirmed recurrences and 4 cases of bulging were observed.
Conclusion:
The MR technique enables safe and effective retromuscular-preperitoneal reconstruction of midline hernias, minimizing recurrences and improving the long-term structural integrity of the abdominal wall.
Related Concept Videos
Muscles of the Vertebral Column
Superficial Layer:
The superficial layer consists primarily of the splenius muscles, which include the splenius capitis and splenius cervicis. These muscles are mainly responsible for the head and cervical spine movements, including extension, rotation, and lateral bending. The splenius capitis...
Muscles of the Thorax
The diaphragm is at the core of thoracic musculature, the primary muscle involved in breathing. This expansive, dome-shaped muscle marks the division between the thoracic and abdominal cavities. It originates...
Flail Chest-II
Assessment:
1. Clinical Evaluation:
History:
Chest Physiotherapy
Purpose
CPT is primarily used for patients with excessive bronchial secretions who have difficulty clearing...

