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Hernia Surgery pp 107-115 | Cite as

Rives-Stoppa Retromuscular Repair

  • Alfredo M. CarbonellIIEmail author
Chapter

Abstract

During the 1960s, Jean Rives and Rene Stoppa independently embarked on the development of the retromuscular and preperitoneal repair of incisional hernias. This sublay mesh technique is increasingly becoming the world’s standard approach to the complex repair of ventral hernias, due to its durability and long term outcomes in addition to the fact that mesh is excluded from the visceral contents and thus does not pose a problem for future abdominal surgery. Opening the rectus sheath and dissecting the posterior lamina away from the rectus muscle serves to liberate the rectus muscle from its very encasement in the sheath. This release allows the rectus muscle to widen and further medializes the linea alba, offsetting the tension at the suture line during midline abdominal wall reconstruction. Mesh is then placed in the well-vascularized retrorectus plane, and the midline abdominal wall musculature can be reapproximated overtop the mesh. Technical details of the procedure will be discussed in depth, with the aid of illustrations.

Keywords

Surgery Hernia: Incisional, ventral, interparietal Retromuscular, retrorectus, sublay Rives, Stoppa, Wantz, Ramirez Component separation Myofascial release Transversus abdominis release Technique Mesh 

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Copyright information

© Springer International Publishing Switzerland 2016

Authors and Affiliations

  1. 1.Division of Minimal Access and Bariatric SurgeryHernia Center, Greenville Health System, University of South Carolina School of Medicine GreenvilleGreenvilleUSA

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