Cranial preperitoneal extension of the retromuscular repair in midline hernias: The Madrid Rives technique

IF 2.7 3区医学 Q1 SURGERY

American journal of surgery Pub Date : 2025-09-23 DOI:10.1016/j.amjsurg.2025.116626

Marcello De Luca , Javier Lopez-Monclus , Luis Alberto Blázquez Hernando , Alvaro Robin Valle de Lersundi , Joaquin Manuel Muñoz-Rodriguez , Laura Roman-Garcia de León , Manuel Medina Pedrique , Miguel Ángel Garcia-Ureña

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引用次数: 0

Abstract

Purpose

This is a modification of the original retromuscular approach of Rives-Stoppa-Wantz for midline hernia reconstruction. This novel approach preserves the safety and efficacy of the original one while offering two key advantages: maintaining the anatomical and functional integrity of the cranial portion of the posterior rectus sheath and enabling a wider cranial dissection, essential for achieving greater overlap in M1-M2 hernias.

Results

Between January 2015 and September 2024, 100 patients underwent surgery (82 open, 18 laparoscopic). A total of 19 surgical site occurrences were recorded, of which 7 required procedural intervention. There were 5 cases of surgical site infection, 4 superficial and 1 deep. During a mean follow-up of 24,2 months, 3 CT-scan-confirmed recurrences and 4 cases of bulging were observed.

Conclusion

The MR technique enables safe and effective retromuscular-preperitoneal reconstruction of midline hernias, minimizing recurrences and improving the long-term structural integrity of the abdominal wall.

Abstract Image

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腹膜前颅肌后延伸修复中线疝：马德里Rives技术

目的：本文是对最初的rivers - stoppa - wantz肌肉后入路进行改良，用于中线疝重建。这种新方法保留了原始方法的安全性和有效性，同时提供了两个关键优势：保持后直肌鞘颅部的解剖和功能完整性，并实现更广泛的颅夹层，这对于实现M1-M2疝的更大重叠至关重要。结果2015年1月至2024年9月，100例患者接受手术治疗（开放82例，腹腔镜18例）。共记录19例手术部位发生，其中7例需要手术干预。手术部位感染5例，浅表感染4例，深部感染1例。在平均随访24,2个月期间，观察到3例ct扫描证实的复发和4例膨出。结论磁共振技术能够安全有效地对中线疝进行腹膜前肌后重建，减少复发，提高腹壁的长期结构完整性。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

American journal of surgery 医学-外科

CiteScore

5.00

自引率

6.70%

发文量

570

审稿时长

56 days

期刊介绍： The American Journal of Surgery® is a peer-reviewed journal designed for the general surgeon who performs abdominal, cancer, vascular, head and neck, breast, colorectal, and other forms of surgery. AJS is the official journal of 7 major surgical societies* and publishes their official papers as well as independently submitted clinical studies, editorials, reviews, brief reports, correspondence and book reviews.