Long-Term Outcome of Rives-Stoppa Technique in Complex Ventral Incisional Hernia Repair (Retracted Article)
Long-Term Outcome of Rives-Stoppa Technique in Complex Ventral Incisional Hernia Repair (Retracted Article)
复制标题
DOI：
10.1007/s00268-010-0426-3
复制
发表时间：
2010-07-01
影响因子：
2.6
通讯作者：
Kahrom, Hadi
中科院分区：
文献类型：
--
作者：
Mehrabi, Mostafa;Jangjoo, Ali;Kahrom, Hadi
背景使用Rives Stoppa程序腹侧切口疝修补术（RS-VIHR），其中假体放置在腹直肌和后鞘之间，减少了reherniation显着，是最有前途的开放technology.Materials和方法超过5年的时间176开放腹壁切口疝修补术在我们的部门进行的Rives Stoppa技术。结果在5年的随访期间，123名女性和53名男性，平均年龄为50.8 ± 13.3岁（范围：24-79岁），接受了RS-VIHR。在这些患者中，80例（45.4%）既往接受过VIHR，18例既往接受过多次修复尝试。总体术后死亡率和发病率分别为0和10.2%。总复发率为1.1%，发生在需要补片修补的晚期假体感染患者中。除假体感染外，疝复发与年龄、性别、缺损大小、切口位置、血清肿形成、呼吸系统并发症或浅表伤口感染无关结论使用Mersilene假体行Rives Stoppa修补术治疗复杂腹壁切口疝是一种安全耐用的技术，具有良好的长期效果和最低的严重并发症，本系列的总复发率为1.1%。需要补片修补的假体感染可能是疝复发的风险因素。
Background 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).Results 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).Conclusions 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.