To Study the Repair of Incisional Hernia by Preperitoneal Meshplasty
Keywords:Incisional Hernia, Hernioplasty,preperitoneal repair
The preperitoneal mesh repair an excellent method called as Rive’s stoppa technique where mesh was placed
between peritoneum and abdominal wall or rectus muscle and posterior rectus sheath(9). The main advantage
of pre peritoneal mesh repair are - Less chance of mesh infection and erosion through skin because the
graft lies in preperitoneal plane between posterior rectus sheath and peritoneum, avoids adhesions, bowel
obstruction, enterocutaneous fistula and erosion of mesh, minimal morbidity and duration of hospital
stay is less compared to other techniques. The main disadvantage is it is more time consuming, extensive
preparation of preperitoneal plane and surgical experience. In our study 30 patients of incisional hernia were
subjected to preperitoneal mesh repair by Rive’s stoppa technique.
It was found that there were :
1. Less number of postoperative complications.
2. No recurrence was noticed in this study.
3. Preperitoneal mesh repair had excellent long-term results with minimal morbidity.As Compared with
other types of mesh repair techniques (in literature), the preperitoneal mesh repair is the gold standard
treatment for incisional hernia repair.
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