Abstract
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.
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References
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Negro, P., Gossetti, F., D’Amore, L. (2008). Our Approach to the Rives-Stoppa Technique. In: Incisional Hernia. Updates in Surgery. Springer, Milano. https://doi.org/10.1007/978-88-470-0722-2_13
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DOI: https://doi.org/10.1007/978-88-470-0722-2_13
Publisher Name: Springer, Milano
Print ISBN: 978-88-470-0721-5
Online ISBN: 978-88-470-0722-2
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