World Journal of Surgery

, Volume 34, Issue 7, pp 1696–1701 | Cite as

RETRACTED ARTICLE: Long-Term Outcome of Rives–Stoppa Technique in Complex Ventral Incisional Hernia Repair

  • Mostafa Mehrabi
  • Ali Jangjoo
  • Hassan Tavoosi
  • Mahdi KahromEmail author
  • Hadi Kahrom



Use of the Rives–Stoppa procedure for ventral incisional hernia repair (RS-VIHR), in which the prosthesis is placed between the rectus abdominis muscle and the posterior sheath, has diminished reherniation markedly and is the most promising open technique.

Materials and methods

Over a 5-year period 176 open abdominal wall incisional hernia repairs were performed in our department by the Rives–Stoppa technique. The prosthetic material used was Mersilene and the mean follow-up time was 96 months (range: 62–121 months).


During the 5-year period, 123 women and 53 men with mean age of 50.8 ± 13.3 years (range: 24–79 years) underwent RS-VIHR. Of these patients, 80 (45.4%) had had a prior VIHR and 18 had undergone multiple previous attempts at repair. Overall postoperative mortality and morbidity were 0 and 10.2%, respectively. The total recurrence rate was 1.1%, which occurred in patients with late prosthetic infection requiring mesh explantation. Except for prosthetic infection there was no correlation between hernia recurrence and age, gender, defect size, position of incision, seroma formation, respiratory complication, or superficial wound infection (p > 0.05).


The Rives–Stoppa repair of complex ventral incisional hernia using a Mersilene prosthesis is a safe and durable technique with excellent long-term results and minimal serious morbidity, with an overall recurrence rate in the present series of 1.1%. Prosthesis infection requiring mesh explantation might be a risk factor for hernia recurrence.


Hernia Repair Incisional Hernia Ventral 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.


  1. 1.
    Flum DR, Horvath K, Koepsell T (2003) Have outcomes of incisional hernia repair improved with time? Ann Surg 237:129–135PubMedCentralPubMedCrossRefGoogle Scholar
  2. 2.
    Mudge M, Hughes LE (1985) Incisional hernia: a 10-year prospective study of incidence and attitudes. Br J Surg 72:70–71PubMedCrossRefGoogle Scholar
  3. 3.
    Cassar K, Munro A (2002) Surgical treatment of incisional hernia. Br J Surg 89:534–545PubMedCrossRefGoogle Scholar
  4. 4.
    Van der Linden FT, van Vroonhoven TJ (1988) Long-term results after surgical correction of incisional hernia. Neth J Surg 40:127–129PubMedGoogle Scholar
  5. 5.
    Langer S, Christianson J (1985) Long-term results after incisional hernia repair. Acta Chir Scand 151:217–219PubMedGoogle Scholar
  6. 6.
    Koller R, Miholic J, Jakl RJ (1997) Repair of incisional hernias with expanded polytetrafluoroethylene. Eur J Surg 163:261–266PubMedGoogle Scholar
  7. 7.
    Luijendijk RW, Hop WC, van den Tol MP et al (2000) A comparison of suture repair with mesh repair for incisional hernia. N Engl J Med 343:392–398PubMedCrossRefGoogle Scholar
  8. 8.
    Burger JWA, Luijendijk RW, Hop WCJ et al (2004) Long-term follow-up of randomized controlled trial of suture versus mesh repair of incisional hernia. Ann Surg 240:578–585PubMedCentralPubMedGoogle Scholar
  9. 9.
    Girotto JA, Chiaramonte M, Menon NG et al (2003) Recalcitrant abdominal wall hernias: long-term superiority of autologous tissue repair. Plast Reconstr Surg 112:106–114PubMedCrossRefGoogle Scholar
  10. 10.
    de Vries Reilingh TS, van Goor H, Rosman C et al (2003) “Components separation technique” for the repair of large abdominal wall hernias. J Am Coll Surg 196:32–37PubMedCrossRefGoogle Scholar
  11. 11.
    Disa JJ, Goldberg NH, Carlton JM et al (1998) Restoring abdominal wall integrity in contaminated tissue-deficient wounds using autologous fascia grafts. Plast Reconstr Surg 101:979–986PubMedCrossRefGoogle Scholar
  12. 12.
    Vargo D (2004) Components separation in the management of the difficult abdominal wall. Am J Surg 188:633–637PubMedCrossRefGoogle Scholar
  13. 13.
    LeBlanc KA, Booth WV, Whitaker JM et al (2001) Laparoscopic incisional and ventral herniorraphy: our initial 100 patients. Hernia 5:41–45PubMedCrossRefGoogle Scholar
  14. 14.
    Temudom T, Siadati M, Sarr MG (1996) Repair of complex giant or recurrent ventral hernias by using tension-free intraparietal prosthetic mesh (Stoppa technique): lessons learned from our initial experience (fifty patients). Surgery 120:738–743; discussion 743–744PubMedCrossRefGoogle Scholar
  15. 15.
    Stoppa R, Louis D, Henry X et al (1985) [Postoperative eventrations: apropos of a series of 247 surgically treated patients]. Chirurgie 111:303–305PubMedGoogle Scholar
  16. 16.
    Stoppa R, Henry X, Verhaeghe P et al (1981) [Trends in the surgical treatment of chronic dehiscences of the abdominal walls]. Bull Acad Natl Med 165:493–501PubMedGoogle Scholar
  17. 17.
    Rives J, Stoppa R, Fortesa L et al (1968) [Dacron patches and their place in surgery of groin hernia: 65 cases collected from a complete series of 274 hernia operations]. Ann Chir 22:159–171PubMedGoogle Scholar
  18. 18.
    Rives J, Pire JC, Flament JB et al (1977) [Treatment of large eventrations (apropos of 133 cases)]. Minerva Chir 32:749–756PubMedGoogle Scholar
  19. 19.
    Bauer JJ, Harris MT, GorWne SR, Kreel I (2002) Rives–Stoppa procedure for repair of large incisional hernias: experience with 57 patients. Hernia 6:120–123PubMedCrossRefGoogle Scholar
  20. 20.
    Sidhu BS, Sharma PK (2001) Tension-free open mesh repair of ventral hernia—Stoppa’s technique. Int Surg 86:229–234PubMedGoogle Scholar
  21. 21.
    Morris-Stiff GJ, Hughes LE (1998) The outcome of nonabsorbable mesh placed within the abdominal cavity: literature review and clinical experience. J Am Coll Surg 186:352–367PubMedCrossRefGoogle Scholar
  22. 22.
    Amid PK, Shulman AG, Lichtenstein IL (1994) A simple stapling technique for prosthetic repair of massive incisional hernias. Am Surg 60:934–937PubMedGoogle Scholar
  23. 23.
    Bendavid R (2004) The unified theory of hernia formation. Hernia 8:171–176PubMedGoogle Scholar
  24. 24.
    Jansen PL, Mertens PrP, Schumpelick V et al (2004) The biology of hernia formation. Surgery 136:1–4PubMedCrossRefGoogle Scholar

Copyright information

© Société Internationale de Chirurgie 2010

Authors and Affiliations

  • Mostafa Mehrabi
    • 1
  • Ali Jangjoo
    • 1
  • Hassan Tavoosi
    • 1
  • Mahdi Kahrom
    • 1
    Email author
  • Hadi Kahrom
    • 1
  1. 1.Department of General Surgery, Imam Reza HospitalMashhad University of Medical SciencesMashhadIran

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