Onlay versus rives-stoppa techniques in the treatment of incisional hernias

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dc.contributor.authorALMEIDA, Claudio Claudino Alves
dc.date.accessioned2024-01-05T18:14:50Z
dc.date.available2024-01-05T18:14:50Z
dc.date.issued2023
dc.description.abstractIn the surgical correction of large incisional hernias, the use of a prosthesis is essential in most cases regardless of the technique chosen. The preference is for the polypropylene prosthesis. AIMS: To compare the onlay and Rives-Stoppa techniques in the correction of incisional hernias, their immediate results, complications, advantages, and disadvantages. METHODS: Two groups of patients with incisional hernias were analyzed, submitted to the onlay (19 patients) and Rives-Stoppa (17 patients) techniques, and that used polypropylene prostheses. General epidemiological variables, perioperative data variables, and postoperative complications were assessed. RESULTS: The patients’ epidemiologic profile was similar between both groups. The majority were women (58.4%), with a mean age of 65.5 years and a previous mean body mass index of 41.5 kg/m². The Rives-Stoppa technique was employed in most patients (52.7%). Those submitted to the onlay technique had longer abdominal drainage time and longer hospital stay, as well as a higher incidence of seromas and surgical wound infection. CONCLUSIONS: The incisional herniorrhaphy technique with the placement of a pre-peritoneal polypropylene mesh by the Rives-Stoppa technique was superior to the onlay due to lower rates of drain use, hospital stay, and postoperative complications.
dc.identifier.urihttp://repositorio.gasparvianna.pa.gov.br/handle/hc/341
dc.language.isoen
dc.subjectHernia; Hernia abdominal; Seroma; Surgical wound infection; Length of stay.
dc.titleOnlay versus rives-stoppa techniques in the treatment of incisional hernias
dc.title.alternativeTécnicas onlay versus rives-stoppa no tratamento das hérnias incisionais
dc.typeArticle
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