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. Sarr

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123 Scopus citations

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.

Original languageEnglish (US)
Pages (from-to)2398-2404
Number of pages7
JournalWorld Journal of Surgery
Volume31
Issue number12
DOIs
StatePublished - Dec 1 2007

ASJC Scopus subject areas

  • Surgery

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    Iqbal, C. W., Pham, T. H., Joseph, A., Mai, J., Thompson, G. B., & Sarr, M. G. (2007). Long-term outcome of 254 complex incisional hernia repairs using the modified rives-stoppa technique. World Journal of Surgery, 31(12), 2398-2404. https://doi.org/10.1007/s00268-007-9260-7