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DOI: 10.1055/s-0038-1666800
Retromuscular Sublay Technique for Ventral Hernia Repair
Publication History
Publication Date:
24 July 2018 (online)
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Abstract
Rives and Stoppa described the sublay technique of hernia repair more than half a century ago, but it took almost three decades to become truly appreciated and even longer for its full clinical potential and benefits to be realized. Modifications to the original operation have significantly improved surgical approaches, postsurgical outcomes, and quality of life. The retromuscular approach requires technical expertise and a firm grasp of the anatomy. With constant substitution of the terms sublay, retrorectus, retromuscular, preperitoneal, and Rives-Stoppa throughout the literature, the nuances need to be distinguished to appreciate the surgical planes encountered during the operation. This article explains the origin of the nomenclature while clarifying these terms, describing the technique, highlighting outcomes, and discussing future considerations.
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References
- 1 Luijendijk RW, Hop WC, van den Tol MP. , et al. A comparison of suture repair with mesh repair for incisional hernia. N Engl J Med 2000; 343 (06) 392-398
- 2 Burger JWA, Luijendijk RW, Hop WCJ, Halm JA, Verdaasdonk EGG, Jeekel J. Long-term follow-up of a randomized controlled trial of suture versus mesh repair of incisional hernia. Ann Surg 2004; 240 (04) 578-583 , discussion 583–585
- 3 Nguyen MT, Berger RL, Hicks SC. , et al. Comparison of outcomes of synthetic mesh vs suture repair of elective primary ventral herniorrhaphy: a systematic review and meta-analysis. JAMA Surg 2014; 149 (05) 415-421
- 4 Holihan JL, Nguyen DH, Nguyen MT, Mo J, Kao LS, Liang MK. Mesh location in open ventral hernia repair: a systematic review and network meta-analysis. World J Surg 2016; 40 (01) 89-99
- 5 Albino FP, Patel KM, Nahabedian MY, Sosin M, Attinger CE, Bhanot P. Does mesh location matter in abdominal wall reconstruction? A systematic review of the literature and a summary of recommendations. Plast Reconstr Surg 2013; 132 (05) 1295-1304
- 6 Holihan JL, Bondre I, Askenasy EP. , et al; Ventral Hernia Outcomes Collaborative (VHOC) Writing Group. Sublay versus underlay in open ventral hernia repair. J Surg Res 2016; 202 (01) 26-32
- 7 Liang MK, Holihan JL, Itani K. , et al. Ventral hernia management: expert consensus guided by systematic review. Ann Surg 2017; 265 (01) 80-89
- 8 Stoppa RE. The treatment of complicated groin and incisional hernias. World J Surg 1989; 13 (05) 545-554
- 9 Faylona JM. Evolution of ventral hernia repair. Asian J Endosc Surg 2017; 10 (03) 252-258
- 10 McLanahan D, King LT, Weems C, Novotney M, Gibson K. Retrorectus prosthetic mesh repair of midline abdominal hernia. Am J Surg 1997; 173 (05) 445-449
- 11 Carbonell A. Rives-Stoppa retromuscular repair. In: Novitsky Y. , ed. Hernia Surgery: Current Principles. Switzerland: Springer International Publishing; 2016
- 12 Stoppa R, Petit J, Abourachid H. , et al. Original procedure of groin hernia repair: interposition without fixation of Dacron tulle prosthesis by subperitoneal median approach [in French]. Chirurgie 1973; 99 (02) 119-123
- 13 Rives J, Lardennois B, Pire JC, Hibon J. Large incisional hernias. The importance of flail abdomen and of subsequent respiratory disorders [in French]. Chirurgie 1973; 99 (08) 547-563
- 14 Read RC. Crucial steps in the evolution of the preperitoneal approaches to the groin: an historical review. Hernia 2011; 15 (01) 1-5
- 15 Ramirez OM, Ruas E, Dellon AL. “Components separation” method for closure of abdominal-wall defects: an anatomic and clinical study. Plast Reconstr Surg 1990; 86 (03) 519-526
- 16 Carbonell AM, Cobb WS, Chen SM. Posterior components separation during retromuscular hernia repair. Hernia 2008; 12 (04) 359-362
- 17 Pauli EM, Wang J, Petro CC, Juza RM, Novitsky YW, Rosen MJ. Posterior component separation with transversus abdominis release successfully addresses recurrent ventral hernias following anterior component separation. Hernia 2015; 19 (02) 285-291
- 18 Novitsky YW, Elliott HL, Orenstein SB, Rosen MJ. Transversus abdominis muscle release: a novel approach to posterior component separation during complex abdominal wall reconstruction. Am J Surg 2012; 204 (05) 709-716
- 19 Wantz GE. Giant prosthetic reinforcement of the visceral sac. Surg Gynecol Obstet 1989; 169 (05) 408-417
- 20 Saulis AS, Dumanian GA. Periumbilical rectus abdominis perforator preservation significantly reduces superficial wound complications in “separation of parts” hernia repairs. Plast Reconstr Surg 2002; 109 (07) 2275-2280 , discussion 2281–2282
- 21 Rosen MJ, Jin J, McGee MF, Williams C, Marks J, Ponsky JL. Laparoscopic component separation in the single-stage treatment of infected abdominal wall prosthetic removal. Hernia 2007; 11 (05) 435-440
- 22 Blatnik JA, Krpata DM, Novitsky YW. Transversus abdominis release as an alternative component separation technique for ventral hernia repair. JAMA Surg 2016; 151 (04) 383-384
- 23 Winder JS, Behar BJ, Juza RM, Potochny J, Pauli EM. Transversus abdominis release for abdominal wall reconstruction: early experience with a novel technique. J Am Coll Surg 2016; 223 (02) 271-278
- 24 Cobb WS, Warren JA, Ewing JA, Burnikel A, Merchant M, Carbonell AM. Open retromuscular mesh repair of complex incisional hernia: predictors of wound events and recurrence. J Am Coll Surg 2015; 220 (04) 606-613
- 25 Petro CC, Posielski NM, Raigani S, Criss CN, Orenstein SB, Novitsky YW. Risk factors for wound morbidity after open retromuscular (sublay) hernia repair. Surgery 2015; 158 (06) 1658-1668
- 26 Fischer JP, Basta MN, Mirzabeigi MN. , et al. A risk model and cost analysis of incisional hernia after elective, abdominal surgery based upon 12,373 cases: the case for targeted prophylactic intervention. Ann Surg 2016; 263 (05) 1010-1017
- 27 Krpata DM, Blatnik JA, Novitsky YW, Rosen MJ. Evaluation of high-risk, comorbid patients undergoing open ventral hernia repair with synthetic mesh. Surgery 2013; 153 (01) 120-125
- 28 Timmermans L, de Goede B, van Dijk SM, Kleinrensink GJ, Jeekel J, Lange JF. Meta-analysis of sublay versus onlay mesh repair in incisional hernia surgery. Am J Surg 2014; 207 (06) 980-988
- 29 Usher FC, Ochsner J, Tuttle Jr LL. Use of Marlex mesh in the repair of incisional hernias. Am Surg 1958; 24 (12) 969-974
- 30 Baylón K, Rodríguez-Camarillo P, Elías-Zúñiga A, Díaz-Elizondo JA, Gilkerson R, Lozano K. Past, Present and Future of Surgical Meshes: A Review. Membranes (Basel) 2017; 7 (03) 7
- 31 Brown CN, Finch JG. Which mesh for hernia repair?. Ann R Coll Surg Engl 2010; 92 (04) 272-278
- 32 Bilsel Y, Abci I. The search for ideal hernia repair; mesh materials and types. Int J Surg 2012; 10 (06) 317-321
- 33 Pandit AS, Henry JA. Design of surgical meshes: an engineering perspective. Technol Health Care 2004; 12 (01) 51-65
- 34 Li J, Ji Z, Zhang W, Li L. The comparison of lightweight mesh and standard mesh in incisional hernia repair with the open sublay technique: the results of a meta-analysis. Surg Laparosc Endosc Percutan Tech 2015; 25 (03) 238-244
- 35 Iqbal CW, Pham TH, Joseph A, Mai J, Thompson GB, Sarr MG. Long-term outcome of 254 complex incisional hernia repairs using the modified Rives-Stoppa technique. World J Surg 2007; 31 (12) 2398-2404
- 36 Oprea V, Matei O, Leucă D. , et al. Late results and quality of life after Rives-Stoppa repair for incisional hernias: a prospective clinical study. Chirurgia (Bucur) 2013; 108 (05) 679-683
- 37 Fayezizadeh M, Majumder A, Belyansky I, Novitsky YW. Outcomes of retromuscular porcine biologic mesh repairs using transversus abdominis release reconstruction. J Am Coll Surg 2016; 223 (03) 461-468
- 38 Fischer JP, Basta MN, Krishnan NM, Wink JD, Kovach SJ. A cost-utility assessment of mesh selection in clean-contaminated ventral hernia repair. Plast Reconstr Surg 2016; 137 (02) 647-659
- 39 Rosen MJ, Bauer JJ, Harmaty M. , et al. Multicenter, prospective, longitudinal study of the recurrence, surgical site infection, and quality of life after contaminated ventral hernia repair using biosynthetic absorbable mesh: the COBRA study. Ann Surg 2017; 265 (01) 205-211
- 40 Alizai PH, Andert A, Lelaona E, Neumann UP, Klink CD, Jansen M. Impact of obesity on postoperative complications after laparoscopic and open incisional hernia repair: a prospective cohort study. Int J Surg 2017; 48: 220-224
- 41 Itatsu K, Yokoyama Y, Sugawara G. , et al. Incidence of and risk factors for incisional hernia after abdominal surgery. Br J Surg 2014; 101 (11) 1439-1447
- 42 Holihan JL, Alawadi ZM, Harris JW. , et al. Ventral hernia: patient selection, treatment, and management. Curr Probl Surg 2016; 53 (07) 307-354
- 43 Schroeder AD, Debus ES, Schroeder M, Reinpold WM. Laparoscopic transperitoneal sublay mesh repair: a new technique for the cure of ventral and incisional hernias. Surg Endosc 2013; 27 (02) 648-654
- 44 Rogmark P, Petersson U, Bringman S. , et al. Short-term outcomes for open and laparoscopic midline incisional hernia repair: a randomized multicenter controlled trial: the ProLOVE (prospective randomized trial on open versus laparoscopic operation of ventral eventrations) trial. Ann Surg 2013; 258 (01) 37-45
- 45 Tandon A, Pathak S, Lyons NJ, Nunes QM, Daniels IR, Smart NJ. Meta-analysis of closure of the fascial defect during laparoscopic incisional and ventral hernia repair. Br J Surg 2016; 103 (12) 1598-1607
- 46 Carbonell AM, Warren JA, Prabhu AS. , et al. Reducing length of stay using a robotic-assisted approach for retromuscular ventral hernia repair: a comparative analysis from the Americas hernia society quality collaborative. Ann Surg 2018; 267 (02) 210-217
- 47 Weltz AS, Sibia US, Zahiri HR, Schoeneborn A, Park A, Belyansky I. Operative outcomes after open abdominal wall reconstruction with retromuscular mesh fixation using fibrin glue versus transfascial sutures. Am Surg 2017; 83 (09) 937-942
- 48 Verhelst J, de Goede B, Kleinrensink GJ, Jeekel J, Lange JF, van Eeghem KH. Open incisional hernia repair with a self-gripping retromuscular Parietex mesh: a retrospective cohort study. Int J Surg 2015; 13: 184-188