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World Journal of Surgery

, Volume 31, Issue 12, pp 2398–2404 | Cite as

Long-Term Outcome of 254 Complex Incisional Hernia Repairs Using the Modified Rives-Stoppa Technique

  • Corey W. Iqbal
  • Tuan H. Pham
  • Anthony Joseph
  • Jane Mai
  • Geoffrey B. Thompson
  • Michael G. SarrEmail author
Article

Abstract

Background

Repair of complex incisional hernias poses a major challenge.

Aim

The aim of this study was to review the outcomes of the modified Rives-Stoppa repair of complex incisional hernias using a synthetic prosthesis.

Methods

We reviewed patients undergoing a modified Rives-Stoppa repair of complex incisional hernias from 1990 to 2003. Patients were followed through clinic visits and mailed questionnaires. Follow-up data were complete in all patients (mean 70 months, range 24–177 months), and 87% of patients completed a mailed questionnaire. Primary outcome included mortality, morbidity, and hernia recurrence. Secondary outcome measures were duration of hospital stay, long-term abdominal wall pain, and self-reported patient satisfaction.

Results

Altogether, 254 patients underwent a modified Rives-Stoppa repair. Among them, 60% had a significant co-morbidity, and 30% had one or more previously failed hernia repairs. Mortality was zero, and overall morbidity was 13% (wound infection 4%, prosthetic infection 3%, seroma/hematoma 4%). The overall hernia recurrence rate was 5%, including explantation of mesh because of infection. Wound/prosthetic infection was predictive for hernia recurrence (31% vs. 4%, p = 0.003). Among the respondents, 89% reported overall satisfaction with their repair.

Conclusion

The Rives-Stoppa repair of complex incisional hernias using synthetic prosthetic materials is safe with a low recurrence rate (5%) and high patient satisfaction. Postoperative wound infection is a risk factor for hernia recurrence.

Keywords

Chronic Obstructive Pulmonary Disease Hernia Repair Incisional Hernia Rectus Muscle Hernia Recurrence 
These keywords were added by machine and not by the authors. This process is experimental and the keywords may be updated as the learning algorithm improves.

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Copyright information

© Société Internationale de Chirurgie 2007

Authors and Affiliations

  • Corey W. Iqbal
    • 1
  • Tuan H. Pham
    • 1
  • Anthony Joseph
    • 1
  • Jane Mai
    • 1
  • Geoffrey B. Thompson
    • 1
  • Michael G. Sarr
    • 1
    Email author
  1. 1.Department of SurgeryMayo Clinic College of MedicineRochesterUSA

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