Abdominal hernia repair using the Rives-Stoppa technique: an abdominal reconstruction.

Abstract

INTRODUCTION:

Retromuscular mesh hernia repair using Rives-Stoppa technique has demonstrated the best results when it comes to repairing large midline hernias. We present the first pediatric case successfully treated with this technique.

CLINICAL CASE:

This is the case of a 9-year-old male patient with hernia following urgent midline laparotomy. Basic repair principles included opening of the hernia sac and adhesiolysis, longitudinal incision on the posterior sheath of the rectus muscle and division of the retromuscular space, closure of the posterior sheath, placement of a mesh on this plane in the brand-new retromuscular space, and tension-free closure of the anterior musculo-aponeurotic flap, thus reconstructing the midline. No recurrences have been noted after a 2-year follow-up.

DISCUSSION:

Rives-Stoppa technique allows for a more anatomical layered reconstruction, which helps restore the anatomical and physiological properties of the abdominal wall. In our view, this could be a useful alternative for pediatric hernia treatment.

• Authors: A Y Molina Caballero, A Pérez Martínez, C Goñi Orayen
• Journal: Cirugia pediatrica : organo oficial de la Sociedad Espanola de Cirugia Pediatrica (Cir Pediatr) Vol. 34 Issue 3 Pg. 164-167 (Jul 01 2021) ISSN: 2445-2807 [Electronic] Spain
• Vernacular Title: Eventroplastia abdominal con técnica de Rives-Stoppa: reconstruyendo un abdomen.
• PMID: 34254758 (Publication Type: Case Reports)

Topics

• Abdominal Wall (surgery)
• Child
• Hernia, Ventral (surgery)
• Herniorrhaphy
• Humans
• Male
• Recurrence
• Surgical Mesh