Hospital de Clínicas Gaspar Viana, General Surgery Service - Belém (PA), Brazil.
Arq Bras Cir Dig. 2023 Oct 13;36:e1766. doi: 10.1590/0102-672020230048e1766. eCollection 2023.
In 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.
To compare the onlay and Rives-Stoppa techniques in the correction of incisional hernias, their immediate results, complications, advantages, and disadvantages.
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.
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.
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.
在大型切口疝的手术矫正中，大多数情况下无论选择何种技术，使用假体都是必不可少的。首选是聚丙烯假体。
比较网片外置修补术和 Rives-Stoppa 修补术在切口疝矫正中的应用，比较其即刻结果、并发症、优缺点。
对接受网片外置修补术（19 例）和 Rives-Stoppa 修补术（17 例）的切口疝患者进行分析，均使用聚丙烯假体。评估一般人口统计学变量、围手术期数据变量和术后并发症。
两组患者的流行病学特征相似。大多数为女性（58.4%），平均年龄 65.5 岁，平均体重指数为 41.5kg/m²。大多数患者采用 Rives-Stoppa 技术（52.7%）。接受网片外置修补术的患者腹部引流时间和住院时间较长，血清肿和手术切口感染的发生率较高。
与网片外置修补术相比，通过 Rives-Stoppa 技术在腹膜前放置聚丙烯网片的切口疝修补术，由于引流管使用率、住院时间和术后并发症发生率较低，效果更优。
