Our Approach to the Rives-Stoppa Technique

  • Paolo Negro
  • Francesco Gossetti
  • Linda D’Amore
Part of the Updates in Surgery book series (UPDATESSURG)


Most surgeons performing abdominal-wall surgery consider the Rives-Stoppa technique to be the gold standard procedure in the open treatment of midline ventral hernias, particularly incisional hernias. As is well-known, this procedure involves: (1) anatomic plasty of the posterior lamina of the rectus sheath, from the xyphoid apophysis to the linear arcuata (of Douglas) and from there, depending on the wall defect, dissection of the pre-peritoneal space to the pubic symphysis and the Bogros space; (2) implantation of the mesh in the newly formed retromuscular space above and/or below the umbilicus (sub-lay repair). Plasty of the linea alba concludes the layered reconstruction of the abdominal wall and separates the mesh from the subcutaneous tissue.


Incisional Hernia Rectus Muscle Rectus Sheath Incisional Hernia Repair Intercostal Nerve 
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© Springer-Verlag Italia 2008

Authors and Affiliations

  • Paolo Negro
  • Francesco Gossetti
  • Linda D’Amore

There are no affiliations available

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