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Sublay Retrorectus Hernia Repair

Modified Rives-Stoppa open technique.

Written by: Saygı Hospital Health Guide Editorial Board
Last updated:

This content has been compiled by the Saygı Hospital Health Guide Editorial Board and is periodically reviewed by a specialist physician.

References (5)

This content is for informational purposes only and does not constitute medical advice. You can book an appointment at our Genel Cerrahi department. Book Appointment →

What is Sublay Retrorectus Hernia Repair?

Sublay retrorectus repair was developed by Rives and Stoppa. The mesh is placed below the hernia defect, behind the rectus muscle and in front of the posterior rectus sheath or peritoneum.

Often called the modified Rives-Stoppa repair, the technique relies on intraabdominal pressure pressing the mesh against the posterior rectus sheath, reinforcing the hernia area.

Use of porous polypropylene mesh, fixation with 5 to 6 cm overlap beyond the defect edges, and avoidance of mesh-bowel contact are the principal technical requirements; recurrence rates with this technique are around 5 percent.

Symptoms

Medium-sized ventral incisional hernia
Recurrent primary umbilical hernia
Large epigastric hernia
Small midline eventration
Posttraumatic abdominal wall reconstruction
Multidefect ventral hernia
Re-repair after mesh failure
Hernia coexisting with diastasis recti

Risk Factors

Chronic seroma
Hematoma in the retromuscular space
Mesh infection in 3 to 5 percent
Inferior epigastric vessel injury
Anterior rectus sheath weakening
Wound dehiscence and infection
Recurrence in 5 to 8 percent
Long-term chronic pain

When to See a Doctor?

If you experience any of the following symptoms, seek medical attention promptly:

  • Swelling and pain at the wound
  • Persistent drainage
  • Erythema and warmth at the incision
  • Fever and systemic findings
  • Functional limitation

Treatment Methods

01
Midline incision and dissection of the hernia sac
02
Opening of the anterior rectus sheath 1 to 2 cm lateral to the midline
03
Separation of the rectus muscle from the posterior sheath, creating the retromuscular space
04
Lateral dissection up to the linea semilunaris
05
Closure of the posterior rectus sheath and peritoneum with sutures
06
Placement of polypropylene mesh in the retromuscular space
07
Transfascial 2-0 suture fixation of the mesh to the anterior sheath
08
Closure of the anterior sheath in the midline with sutureless mesh fixation

Which Department to Visit?

You can visit our Genel Cerrahi department for these complaints. Our specialist physicians will create the most suitable treatment plan for you.

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Health Disclaimer: The information on this page is prepared for general informational purposes only. It does not replace medical diagnosis and treatment. Please consult your physician for your complaints. Saygı Hospital does not accept responsibility for actions taken based on the information on this page.