Rives und stoppa. Rives took it upon himself to further the study of “eventration-maladie”, describing the complications of large hernias. It involves the retromuscular placement of mesh anterior to the posterior fascia and the primary closure of the anterior fascia. Therefore, is the restoration point to achieve where midline i. Three objectives of ventral her-nia surgery are thus achieved: treatment of the hernia (hernia reduction, contain-ment and prevention of recurrence), restoration of the anatomo-physiologic The Rives-Stoppa technique consists of the dissection between the rectus abdominis muscle and the posterior leaflet of its aponeurosis allowing the positioning of an underlay mesh. 1K subscribers Subscribed The Rives-Stoppa repair is a well-established procedure for ventral hernia repair, involving mesh placement in the retro-rectus plane and primary closure of the anterior rectus sheath. Between December 2 … Learn about the effective modified Rives-Stoppa repair for incisional hernias, with low recurrence rates and minimal complications. Component separation techniques allow medial advancement of the rectus abdominis muscle to Jun 24, 2020 · The Open Rives Stoppa and Ventral eTEP repairs are alike as there is retromuscular mesh placement for hernia repair in both procedures. After that, we What is abdominal wall reconstruction surgery? Abdominal wall reconstruction is the practice of taking a dysfunctional abdominal wall due to hernia disease and putting it back together using advanced surgical techniques. 10) Short- and long-term results of acetabular Robotic Rives-Stoppa Ventral Hernia Repair SAGES - Minimally Invasive Surgery Videos 102K subscribers Subscribed Introduction: The Enhanced-View Totally Extra Peritoneal Rives-Stoppa (e-TEP-RS) Technique for the repair of large, complex, ventral abdominal hernias has gained popularity especially in overcoming the disadvantages with Intra Peritoneal Onlay Mesh (IPOM) repairs and to enable siting of a large prosthetic mesh in an anatomical plane distinct Aug 27, 2024 · Aim The purpose of the study is to compare the two common open surgical methods for bilateral inguinal hernias: bilateral Lichtenstein repair and Rives-Stoppa repair. Greater anatomic reduction is achieved by Ilioinguinal approach; however, this does not necessarily translate into better clinical and functional outcomes which, overall, are comparable in the two analysed approaches. Since then, the technique has become the gold standard for an incisional Dec 24, 2024 · The Rives-Stoppa repair is a well-established procedure for ventral hernia repair, involving mesh placement in the retro-rectus plane and primary closure of the anterior rectus sheath. Posterior component separation yielded significantly more medialization of the posterior rectus sheath compared with Rives-Stoppa and anterior component separation. Apr 6, 2021 · Von ihm stammen 3 unterschiedliche Hernienoperationen: a) die Versorgung der Leisten- und Schenkelhernie von anterior mit präperitonealem Netz (Operation nach Rives); b) die beidseitige posteriore Netzversorgung der Leisten (später als Stoppa-Operation bekannt) und c) die wohl wichtigste Operation, die retromuskuläre Netzversorgung medianer Pelvis fractures are among the most difficult fractures to manage and treat for Orthopedic surgeons. Aim: To study the role of Giant Prosthetic Mesh Placement in the treatment of bilateral direct inguinal hernia. We present the results from the initial experience with eTEP repair Rives-Stoppa (eTEP-RS) at two Italian centers, and we provide an update on this approach. This approach combines the principles of the Rives-Stoppa procedure with the benefits of a minimally invasive, laparoscopic technique. Abstract Background: After years of playing second-fiddle to laparoscopic underlay repairs, the retro-muscular Rives-Stoppa repair is rapidly gaining popularity thanks to the endoscopic eTEP approach. Method: The posterior rectus sheath is incised and the retrorectus plane is developed. It is described as an open retromuscular hernia repair via midline laparotomy used to fix moderate-sized hernias by placing a piece of mesh within the retromuscular space confined laterally by the semilunar lines. It evaluates their benefits, drawbacks, and outcomes to improve the management of Most surgeons performing abdominal-wall surgery consider the Rives-Stoppa technique to be the gold standard procedure in the open treatment of midline ventral hernias, particularly incisional hernias. Incisional hernias are a prevalent problem in abdominal surgery and occur in 11% of patients who undergo laparotomy. Background Abdominal wall hernias are prevalent in the surgical field, and they Popularized in Europe by Rives and Stoppa, the sublay technique has proven to be very effective with low recurrence rates (0-23%) and minimal complications. Often Referred to as Only a “Rives-Stoppa Repair” Considered the Gold Standard Repair for Moderate-Large or Complex Midline Hernias Technique: Midline Abdominal IncisionDissect & Excise the Hernia Sac (Preserve the Lateral Edges of the Hernia Sac for Closure)Incise the Posterior Rectus Sheath Close to its Junction of the Anterior Rectus SheathGoal to Preserve Largest Area of Posterior Jun 12, 2016 · During the 1960s, Jean Rives and Rene Stoppa independently embarked on the development of the retromuscular and preperitoneal repair of incisional hernias. Background: The Rives-Stoppa (RS) repair of ventral incisional hernias (VIHR) is technically difficult. Rives Stoppa Repair and Posterior Layer Breakdown was presented at the Hall of Shame: Hernia Complications and Their Management session by Peter Santoro MD, Feb 1, 2024 · The modified Stoppa approach results in shorter operative time, less intra-operative blood loss and fewer complications than the ilioinguinal one. For a safe repair the technique, tips and tricks for developing this space are thorough. All anterior abdominal hernia repair codes now include placement of mesh as inherent. Retromuscular mesh hernia repair using Rives-Stoppa technique has demonstrated the best results when it comes to repairing large midline hernias. Our goal is to describe the “step-by-step” procedure for midline incisional hernia repair. Anatomic plasty restores the structure of the abdominal wall while place-ment of the mesh targets the biological defect. Feb 22, 2022 · Retro-rectus (Rives-Stoppa) repair results in excellent outcomes, superior or similar to other techniques for all outcomes except SSI. 1 e-learning website! We offer first-rate educational content provided by world-renowned experts in all fields of minimally invasive surgery. Wir bevorzugen die retromuskuläre bzw. In conclusion, the modified Hernia repair surgery is a common procedure to address the protrusion of organs or tissues through weakened muscles or connective tissue. The risk of infection can be reduced if fascia is closed over the prosthetic mesh. Stoppa made minor modifications to Rives’s technique of retromuscular mesh placement and, in conjunction with his own technique, authored the concept of French surgeon, Rene Stoppa from Amiens, also recognised the mechanical advantages of retro-fascial mesh and pioneered its use in the extraperitoneal plane for the repair of complex inguinal hernias. It evaluates their benefits, drawbacks, and outcomes to improve the management of bilateral inguinal hernias and enhance patient care … Rives-Stoppa Retromuscular Repair for Incisional Hernia JOMI - Journal of Medical Insight 41. Complex inguinal hernias especially recurrent have been managed by the Rives-Stoppa Most surgeons performing abdominal-wall surgery consider the Rives-Stoppa technique to be the gold standard procedure in the open treatment of midline ventral hernias, particularly incisional hernias. Medialization may be achieved by Rives-Stoppa, anterior component separation, or posterior component separation. In this video, we describe a STEP by STEP Rives-Stoppa retromuscular repair. It is incorrect to report 15734 for a standard Rives-Stoppa repair. As is well-known, this procedure involves: (1) anatomic plasty of All patients with primary or recurrent incisional ventral hernia who underwent elective Rives-Stoppa repair with PVDF mesh (DynaMesh®-CICAT or DynaMesh®-IPOM both from FEG Textiltechnik mbH, Aachen, Germany) between April 2009 and March 2020 were selected from the prospectively maintained database of the abdominal wall unit of Policlinico Umberto I – Sapienza University of Rome, Italy. This chapter presents a new technique in laparoscopic ventral hernia repair (LVHR), which combines the advantages of Rives-Stoppa procedure with the advantages of minimally invasive surgery (MIS)—it is about Basic principles of Rives-Stoppa retromuscular technique Materials and Methods A descriptive retrospective study was conducted at a secondary regional hospital, Teni Kon Albania, from April 2019 Oct 5, 2023 · Answer: Rives-Stoppa is an incisional hernia repair procedure in which mesh or other prosthesis is placed between the rectus abdominis muscle and the posterior sheath. Materials and Methods: Between April 2019 and August 2021, 46 patients in the practice at a secondary regional hospital, Teni Konomi, Korce, Albania, underwent a Rives-Stoppa incisional hernia repair. Zur Versorgung kleiner epigastrischer Hernien oder Nabelhernien (< 1 cm) ist eine Direktnaht möglich. The Rives-Stoppa (RS) method is considered the gold standard for repair of complex ventral hernia defects and allows placement of large pieces of mesh in the retrorectus (preperitoneal) space. All Jul 15, 2025 · The classic Rives-Stoppa repair is the seminal work of two French surgeons, Jean Rives and René Stoppa [2]. 7K subscribers Subscribe Rives-Stoppa repair is the procedure of choice for all midline incisional hernia being primary or recurrent if the defect is smaller than 8 cm with favorable immediate and long-term outcomes, regardless of age. Generally, the posterior component separation Fingerprint Dive into the research topics of 'Open Rives-Stoppa ventral hernia repair made simple and successful but not for everyone'. Find out the predictors for recurrence and compare results to alternative techniques. Nach netzbasiertem Operationsverfahren sind Episoden der Entlastung nicht erforderlich. Modified Rives-Stoppa technique The Rives-Stoppa technique, originally described in 1980, involves the precise placement of a mesh within the preperitoneal and retromuscular space, where vascularization is optimal, followed by the primary closure of the anterior fascia [19]. Laparoscopic Keyword (s): abdomen, abdominal wall, AHS, American Hernia Society, anatomy, atlas, atrophy, attending, Berlin, complication, defect, denervation, EHS, ethical, European Hernia Society, evolution, external oblique, fellow, grand rounds, groin hernia, hernia recurrence, hernia repair, hernia surgery, herniorrhaphy, IHC, incisional hernia Our results show that the Rives-Stoppa technique is an effective method for repairing incisional hernias. eTEP is a minimally Apr 12, 2017 · Modern hernia surgery has placed great emphasis on functional reconstruction of the abdominal wall, relying on the foundations of tissue-based, tension-free repair along with the latest technologies in mesh reinforcement. This sublay mesh technique is Feb 24, 2010 · It is confirmed that the modified Rives-Stoppa retromuscular repair is an effective method for the repair of incisional hernias and the complica-tion and recurrence rates compare favorably to results for currently popular alternative tech-niques. CASE REPORT Robotic transversus abdominis release (roboTAR) allows a minimally invasive approach to repairing large, complex ventral hernias, respecting the principles outlined by Rives and Stoppa in establishing a retromuscular preperitoneal approach. It is the gold standard for most surgeons. Rives-Stoppa technique is the gold standard in open ventral hernia repair. This topic will discuss the technical details of open posterior component separation operations. It extends all the advantages of a retro-muscular mesh placement-increased tolerance for infection, mechanical robustness, reduced need for mesh fixation-in an ergonomically acceptable system. Anatomic reduction is the main goal to reach in the acetabular fractures’ treatment. The abdominal wall The abdominal wall is one of the most complex anatomic structures Sep 7, 2023 · Sehen Sie sich dieses ausführliche, kommentierte chirurgische Video einer retromuskulären Rives-Stoppa-Hernienreparatur an, die am Massachusetts General Hospital von Dr. Primary suture clo-sure of The placement Rives-Stoppa compared . Rives-Stoppa is considered mesh placement, and as of 2023, mesh placement is included with all hernia repairs. Jan 20, 2024 · Conclusion: The Rives-Stoppa technique has excellent long-term results and low morbidity in patients with large primary or recurrent incisional hernias. This study aims to compare medialization achieved by these techniques in postmortem human specimens. Case Overview Patient History and Physical Exam This is a 63-year-old female with hypertension, asthma, and bipolar disorder who has an upper midline primary ventral hernia. Aug 23, 2023 · Posterior component separation techniques include the Rives-Stoppa retrorectus dissection and transversus abdominis release (TAR). The Rives-Stoppa retro-rectus repair is the most popular technique for reconstructing ventral hernia defects because of its reliability and excellent outcomes in relation to the alternatives and Nov 12, 2014 · INTRODUCTION Referred to by various names, the anterior intrapelvic approach (also known as AIP, Stoppa, modified Stoppa, extended Pfannenstiel, ilioanterior, third window) aims to expose the medial intrapelvic surface of the innominate bone for repair of acetabular and pelvic ring injuries. Conclusion: The Rives-Stoppa technique has excellent long-term results and low morbidity in patients with large primary or recurrent incisional hernias. Aug 12, 2025 · Minimally invasive Rives-Stoppa (MIRS) technique: a technique of retromuscular repair of ventral hernias preserving the posterior rectus sheath Original Article Published: 12 August 2025 Volume 29, article number 250, (2025) Cite this article May 29, 2017 · Laparoscopic Rives-Stoppa (Retro rectus) repair for Incisional Hernia ashwin thangavelu 26. This video covers what a Rives-Stoppa ventral hernia repair is. The absence of serious complications and hernia recurrences in patients with grafts in place suggests that the Rives-Stoppa procedure is … Jul 1, 2021 · The Rives-Stoppa repair technique entails dissecting a retro muscular plane between the muscle bellies and the posterior aponeurosis of the abdominal rectus muscles. The purpose of the study was to evaluate the experience of a single surgeon at a large tertiary care center performing a modified Rives-Stoppa repair for abdominal incisional hernias. Die Tatsache Background The Rives-Stoppa incisional hernia repair is the gold standard for mesh repair of complex incisional hernias. [2] This has been called Extended Totally Extraperitoneal RS repair (eTEP RS). Background Abdominal wall hernias are prevalent in the surgical field, and they Jun 21, 2017 · From Rives-Stoppa to TAR: The evolution of the retromuscular repair SAGES - Minimally Invasive Surgery Videos 97K subscribers 164. It extends all the advantages of a retro-muscular mesh placement—increased tolerance for infection, mechanical robustness, reduced need for mesh fixation—in an ergonomically acceptable system. In a modification of the Rives-Stoppa technique, the transversus abdominis is released medial to the linea semilunaris to expose a broad plane that extends from the central tendon of the diaphragm superiorly, to the space of Retzius inferiorly, and laterally to the retro-peritoneum. No description has been added to this video. Join the No. Respecting Rives-Stoppa principle Marc Miserez published the first MIS TEP ventral hernia repair (4); he was followed successfully by Wolfgang Reinpold with his EMILOS technique (Endoscopic Mini/Less Open Sublay) (5). When the defect is too wide to be closed without tension, a component separation procedure is added. This chapter presents a new technique in laparoscopic ventral hernia repair (LVHR), which combines the advantages of Rives-Stoppa procedure with the advantages of minimally invasive surgery (MIS)—it Oct 26, 2009 · The results presented here confirm that the modified Rives-Stoppa retromuscular repair is an effective method for the repair of incisional hernias. This sublay mesh technique is increasingly becoming the world’s standard approach to the complex repair 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. The Rives-Stoppa procedure achieves both an anatomic and a prosthetic repair. procedure of choice for to of recurrence repairing incisional techniques retromuscular and complication be A pivotal . The study aimed to evaluate our experience at a secondary care center performing Rives-Stoppa repair for abdominal ventral and incisional hernias. In our view, this could be a useful alternative for pediatric hernia treatment. The advent of the Rives Stoppa technique contributed to decreased recurrence and wound complications, providing a well-vascularized space for mesh placement. Some surgeons have extended the indication to ventral hernias with the purpose to place the mesh in the retromuscular space, as suggested by Rives and Stoppa (RS). Laparoscopic enhanced-view totally extraperitoneal Rives-Stoppa repair (eTEP-RS) for ventral and incisional hernias – early operative outcomes and technical remarks on a novel retromuscular approach How is a Rives-Stoppa incisional hernia repair with retrorectus mesh reported? Rives-Stoppa is an incisional hernia repair procedure in which mesh or other prosthesis is placed between the rectus abdominis muscle and the posterior sheath. Developed in the 1940s by pioneers Jean Rives and René Stoppa, this technique is now considered the gold standard for non-complex ventral hernia treatment due to its low recurrence rates. fibrin sealant (Group 2). The posterior rectus sheath dissection provides release of the rectus muscle and a well-vascularised “box” for mesh placement. Retromuscular hernia repair , as originally described by Rives and Stoppa, has gained significant traction in the recent surgical era [1 – 3]. It evaluates their benefits, drawbacks, and outcomes to improve the management of bilateral inguinal hernias and enhance patient care and results. präperitoneale Schicht zur Netzimplantation, einschließlich des Rives-Stoppa-Verfahrens (Sublay-Netz) und der posterioren Komponentenseparation mit der Madrid-Modifikation. Methods: In a prospective, randomized, single blinded, single center, study, patients undergoing elective surgery of ventral hernia repair with polypropylene mesh by the Rives-stoppa technique, were randomized to receive mesh fixation using transfascial prolene sutures (Group 1) vs. Jun 17, 2013 · Retromuscular Prefascial Mesh Hernia Repair (Jean RIVES – René STOPPA) por Ozimo Gama (MD | PhD) em 17 de junho de 2013 Discussion Rives and Stoppa reported an intrapelvic technique using an incision at the midline for the mesh repair of challenging and recurring hernia throughout the late 1960s until the early 1980s [9]. May 27, 2024 · Since its inception in 1973 by surgeons Jean Rives and Rene Stoppa, the Rives-Stoppa technique has emerged as a cornerstone in abdominal wall surgery. The eTEP ensures that the procedure remains minimally invasive while still enabling the surgeon to perform the Rives-Stoppa procedure, which is a standard method in ventral hernia repair. This review compares two prominent surgical techniques for hernia repair: the Rives-Stoppa repair and bilateral inguinal hernioplasty. Coupled with the principles May 18, 2020 · Background After years of playing second-fiddle to laparoscopic underlay repairs, the retro-muscular Rives-Stoppa repair is rapidly gaining popularity thanks to the endoscopic eTEP approach. Aug 29, 2024 · The Enhanced-view Totally Extraperitoneal (eTEP) Rives-Stoppa Repair is an advanced surgical technique used primarily for the repair of ventral and incisional hernias. Large incisional hernias require medialization of the rectus abdominis muscles to facilitate tension-free closure. Vor allem das Verfahren nach Lichtenstein hat dabei in den letzten 20 Jahren welt-weite Verbreitung gefunden. The latter rarely occurred, yet less frequently after IPOM repair, which is usually performed by laparoscopy. Recognizing it as either an extension of the Pfannenstiel approach or later of the Stoppa and Rives Jan 20, 2024 · In four cases, the hernia sac was incarcerated at the time of presentation. e. The combination of eTEP, Rives-Stoppa, and TAR procedure resolves these difficulties. Abdominal wall reconstruction is reserved for large, more complex, or recurrent hernias. Methods May 27, 2020 · Professors Jean Rives and Rene Stoppa published that the retrorectus space is the best for mesh placement in open ventral hernia repair and their technique has become the gold standard. May 1, 2019 · Large incisional hernias require medialization of the rectus abdominis muscles to facilitate tension-free closure. Oct 30, 2021 · The initial work of Rives and Stoppa in groin hernia repairs and their familiarity with the extraperitoneal space probably inspired them to extend their work to ventral hernias. Comparative analyses have indicated that when contrasted with onlay mesh repair techniques, such as the retro-rectus (Rives-Stoppa) repair, the Rives-Stoppa technique showcases favorable outcomes, often superior or at least comparable to other approaches, except for occurrences of SSI, which are less frequent following laparoscopic repairs [24]. We present the first pedi-atric case successfully treated with this technique. Rives-Stoppa repair is the gold standard for midline abdominal wall hernias. 8) and Stoppa et al. Modifications to the original operation have significantly improved surgical approaches, postsurgical outcomes, and quality of life. Bauchwandhernie Goldstandard der Bauchwandhernienchirurgie ist die offene Sublay-Netzhernioplastik nach Rives und Stoppa. The following study compares clinical outcomes and complications of Ilioinguinal versus modified Stoppa approach in Open Reduction and Internal Fixation (ORIF) of anterior column acetabulum fractures. Dec 29, 2023 · Ziel dieser Übersichtsarbeit ist es, eine Beschreibung der aktualisierten Operationsverfahren und Ergebnisse zu präsentieren. Conclusions: Combining the advantages of the Rives-Stoppa procedure with the the advantages of minimally invasive surgery (MIS), the eTEP approach tends to occupy an important place in ventral hernia repair. We start the surgery with a laparotomy as the patient presents with a midline incisional hernia. Aug 30, 2025 · This innovative evolution, now known as the Extended Totally Extraperitoneal Rives-Stoppa (eTEP-RS) repair, has broadened the horizons of hernia surgery [2]. more Abstract Introduction. closing in ventral reapproximated, a component separation technique fascia could the midline transversus al. Jul 1, 2021 · Rives-Stoppa technique allows for a more anatomical layered reconstruction, which helps restore the anatomical and physiological properties of the abdominal wall. Retro-rectus (Rives-Stoppa) repair results in excellent outcomes, superior or similar to other techniques for all outcomes except SSI. Aug 27, 2024 · Aim The purpose of the study is to compare the two common open surgical methods for bilateral inguinal hernias: bilateral Lichtenstein repair and Rives-Stoppa repair. [16] was The enhanced-view extended totally extraperitoneal (eTEP) approach for ventral hernia repair is a novel surgical technique. Given the prevalence of the technique, a thorough understanding of its intricate steps and anatomical relationships is considered essential for competent cranial dissection. Heutzutage gilt die Versorgung von Leistenhernien mit Meshverfahren als ein Standardvorgehen in der Hernienchirurgie. Dies ist begründet in der technischen Einfachheit des Vorgehens und in seinen guten Langzeitergebnissen mit einer niedri-gen Rezidivquote und Morbidität. Mar 13, 2025 · Our series demonstrates that robotic Rives-Stoppa AWR can be delivered in a safe manner with financial savings and equivalent operative time compared with open surgery. This document The Rives-Stoppa repair, also known as the GPRVS, is a tension-free technique for abdominal hernia repair that is considered more technically complex compared to bilateral inguinal hernioplasty using the Lichtenstein technique. 7) in the early 1990's, and was introduced as the method for approaching the anterior acetabulum and pelvic bone by Cole and Bolhofner 9) and Hirvensalo et al. The experience of one surgeon at The Ohio State University Medical Center suggests that a modified Rives-Stoppa incisional hernia repair compares favora-bly to the standard Rives-Stoppa repair as well as to other techniques for addressing incisional hernias. Together they form a unique fingerprint. Jun 11, 2016 · During the 1960s, Jean Rives and Rene Stoppa independently embarked on the development of the retromuscular and preperitoneal repair of incisional hernias. Anterior component separation may provide marginally more medialization of the anterior rectus sheath. Rives Stoppa is a technique of giant prosthetic mesh placement to reinforce the bilateral MPO thus preventing hernia. Peter Fagenholz. Basic principles of Rives-Stoppa retromuscular technique: A) Longitudinal incision on the posterior sheath of the rectus muscle. While this isn't a very commonly used approach anymore since the advent of laparoscopic surgery as well as component separation Sep 7, 2023 · Watch this full-length, narrated surgical video of a Rives-Stoppa retromuscular incisional hernia repair performed at Massachusetts General Hospital by Dr. Peter Fagenholz durchgeführt wurde. Fascial closure in large defects may require extensive dissection and can result in devascularization of the overlying skin and denervation of the abdominal wall musculature. Managing complex inguinal hernias has been a constant challenge for surgeons and its treatment is not without challenges with the routine current techniques. B) Dissection of a retromuscular plane between the muscle belly and Nov 12, 2021 · Here, we present the robotic eTEP retrorectus Rives-Stoppa repair of an upper midline primary ventral hernia in a 63-year-old female. In this series the Rives-Stoppa technique had excellent long-term results, with minimal morbidity, in patients with large primary or recurrent incisional hernias. However, both procedures are different in terms of surgical technique. The Rives-Stoppa repair involves a posterior approach with extensive mesh placement suitable for complex and recurrent Rives-Stoppa (RS) repair evolved as an effective repair with favorable outcomes and low morbidity. Aug 28, 2025 · The Rives-Stoppa repair, or open retromuscular repair, originated in the 1960s when two surgeons, Jean Rives and Rene Stoppa, independently developed an extraperitoneal hernia repair technique. Abdominal wall reconstructive techniques have been successfully implemented into the surgical armamentarium to repair large and complex incisional hernias. Aim The purpose of the study is to compare the two common open surgical methods for bilateral inguinal hernias: bilateral Lichtenstein repair and Rives-Stoppa repair. Jul 1, 2015 · The modified Stoppa approach is an intrapelvic approach initially used for inguinal hernia surgery by Rives et al. The Rives-Stoppa repair involves a posterior approach with extensive mesh placement suitable for complex and recurrent hernias. The retromuscular Aug 23, 2023 · Posterior component separation techniques include the Rives-Stoppa retrorectus dissection and transversus abdominis release (TAR). Abstract Professors Jean Rives and Rene Stoppa published that the retrorectus space is the best for mesh placement in open ventral hernia repair and their technique has become the gold standard. Sep 8, 2023 · Rives-Stoppa Retromuscular Repair for Incisional Hernia Katherine Albutt, MD; Peter Fagenholz, MD Massachusetts General Hospital There is no consensus on the optimal method of ventral hernia repair, and the choice of techniques is typically dictated by a combination of patient factors and surgeon expertise. The complica-tion and recurrence rates compare favorably to results for currently popular alternative tech-niques. Complications and recurrence rates are comparable with the results of other techniques. rsixohb02ogk1sbtan6ymtkmksmdsdtimbuzbl2cobr