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Luijendijk, R.W., Hop, W.C., van den Tol, M.P., de Lange, D.C., Braaksma, M.M., JN, I.J., Boelhouwer, R. U., de Vries, B.C., Salu, M.K., Wereldsma, J.C., Bruijninckx, C.M. and Jeekel, J.A. (2000) Comparison of suture repair with mesh repair for incisional hernia. N Engl J Med, 343, 392–398.

has been cited by the following article:

• TITLE: Modified rives-stoppa repair for abdominal incisional hernias

  AUTHORS: Peter Nau, Clancy J. Clark, Mason Fisher, Gregory Walker, Bradley J. Needleman, E. Christopher Ellison, Peter Muscarella

  KEYWORDS: Incisional Hernia Repair; Mesh; Rives-Stoppa Repair; Abdominal Wall Defects

  JOURNAL NAME: Health, Vol.2 No.2, February 24, 2010

  ABSTRACT: Incisional hernias are a prevalent problem in abdominal surgery and occur in 11% of patients who undergo laparotomy. Primary suture clo-sure of incisional hernias results in a 31%-58% chance of recurrence. The addition of a pros-thetic mesh implant decreases recurrence rates to 8%-10%. Popularized in Europe by Rives and Stoppa, the sublay technique has proven to be very effective, with low recurrence rates (0%-23%) and minimal complications. The pur-pose of the study was to evaluate the experi-ence of a single surgeon at a large tertiary care center performing a modified Rives-Stoppa re-pair for abdominal incisional hernias. To do this, the records of all patients undergoing a modi-fied Rives-Stoppa incisional hernia repair be-tween January 2000 and August 2003 were ret-rospectively reviewed. Outpatient clinic notes, discharge summaries, operative reports, and laboratory data were reviewed for patient demographics, surgical data and postoperative complications. Univariate analysis was per-formed in order to identify predictors for recur-rence. During the study period, 83 patients un-derwent a modified Rives-Stoppa incisional hernia repair. Nineteen patients were excluded due to incomplete medical records. No patients required postoperative exploration for an in-tra-abdominal catastrophe. Twenty-five percent (n=16) of patients had a complication as a result of the hernia repair. Only two patients (3.1%) developed recurrent incisional hernias. History of diabetes (p=0.007) and benign prostatic hy-perplasia (p=0.000) were the only significant predictors for recurrence. The results presented here confirm that the modified Rives-Stoppa retromuscular repair is an effective method for the repair of incisional hernias. The complica-tion and recurrence rates compare favorably to results for currently popular alternative tech-niques.