Repair of complex and large incisional hernias: Comparison of anterior component separation technique and modified rives-stoppa technique

Authors : Suat Benek, İlhan Bali

Pages : 92-100

Doi:10.58961/hmj.1552050

View : 25 | Download : 26

Publication Date : 2024-12-20

Article Type : Research Paper

Abstract :Repair of complex and large incisional hernias: Comparison of anterior component separation technique and modified rives-stoppa technique Abstract Background: Incisional hernias are one of the common complications after abdominal surgeries. In this article, we compared the anterior component separation technique (ACST) and the modified rives-stoppa technique (MRST). Materials and methods: The records of 78 patients who underwent surgery for large incisional hernia between January 2017 and December 2022 were reviewed. Patients who were followed for at least 1 year, had an abdominal defect larger than 10 cm and area loss ≥20% were included in the study. Immunosuppressive patients, patients with severe cardiac, respiratory and hepatic insufficiency were not included in the study. The patients were divided into two parts: mesh-supported ACST (group 1) and MRST (group 2). The groups were compared in terms of recurrence, complications, and other clinical features. Results: 33 patients in group 1 and 29 patients in group 2 were included in the study. The difference was seen between the two groups in terms of surgery time, postoperative hospital stay, number of drains, drain removal time, and return to normal life. In Group 2, the duration of surgery, postoperative hospital stay and return to normal life were shorter, the number of drains used was less, and the drains were removed earlier. The difference was seen between the two groups in terms of postoperative pain score (VAS). In Group 2, the pain score was lower on the 1st and 3rd days. Conclusion: In conclusion, although there was no difference between the two groups in terms of recurrence and postoperative morbidities but a difference was found in terms of duration of surgery, postoperative pain, length of hospital stay and return to normal life in terms of cost-effective results. Keywords: Large incisional hernia, recurrent hernia, rives-stoppa, component separation technique
Keywords : Dev insizyonel herni, nüks herni, river stoppa, birleşenlerine ayırma tekniği