Retromuscular Mesh Repair of a Hernia in a Scar According to Rives – Our First Experience

Czech version

Authors: J. Buček; J. Jeřábek; P. Piskač; T. Novotný
Authors‘ workplace: II. chirurgická klinika FN u sv. Anny, Brno, přednosta doc. MUDr. J. Leypold, CSc.
Published in: Rozhl. Chir., 2005, roč. 84, č. 11, s. 543-546.
Category: Monothematic special - Original

Overview

The authors present a group of 24 patients with hernias in scars operated from February 2004 to January 2005 (12 months) using a retromuscular reconstruction procedure according to Rives. 20 procedure following central laparotomies and 4 procedures following lateral laparotomies were conducted. The defect sizes ranged from 5 to 16 cm. A polypropylene mesh was used which was placed between the rectus abdominis muscle and the posterior leaf of the rectus abdominis sheath. The mesh was covered by the fascia with a minimum overlap of 5 cm in all directions. The mean follow- up period was six months (1–12 months) and no early relapses were recorderd. The complications rate was acceptable – 1× secondary wound healing, 2× seroma, 1× non-transmural MI in a patient with a cardiac ischemic disorder. The retromuscular reconstruction procedure according to Rives appears to be an appropriate method for management of large ventral hernias with excellent results and minimum complications.

Key words:
ventral hernia – mesh – tension free