Sign Up
Video preload image for Rives-Stoppa Retromuscular Repair for Incisional Hernia
jkl keys enabled
Keyboard Shortcuts:
J - Slow down playback
K / Space - Play / Pause
L - Accelerate playback
  • Title
  • 1. Introduction
  • 2. Surgical Approach
  • 3. Incision and Access to the Abdominal Cavity
  • 4. Hernia Sac Dissection and Excision
  • 5. Posterior Rectus Sheath Dissection
  • 6. Posterior Rectus Sheath Closure
  • 7. Check for Hemostasis
  • 8. Mesh Placement
  • 9. Placement of Drains
  • 10. Anterior Rectus Sheath Closure
  • 11. Excise Redundant Skin
  • 12. Closure
  • 13. Post-op Remarks

Article type:Descriptions of Clinical and Surgical Procedures

Rives-Stoppa Retromuscular Repair for Incisional Hernia

63719 views

Katherine Albutt, MD; Peter Fagenholz, MD
Massachusetts General Hospital

Manuscript Format: Full Text

Procedure Outline

1. Introduction

2. Surgical Approach

3. Incision and Access to the Abdominal Cavity

4. Hernia Sac Dissection and Excision

5. Posterior Rectus Sheath Dissection

  1. Left Posterior Rectus Sheath Incision
  2. Development of Left Posterior Rectus Space
  3. Right Posterior Rectus Sheath Incision (Part 1)
  4. Skin Incision Extension
  5. Further Cephalad Dissection
  6. Further Lateral Dissection
  7. Right Posterior Rectus Sheath Incision (Part 2)
  8. Development of Right Posterior Rectus Space

6. Posterior Rectus Sheath Closure

7. Check for Hemostasis

8. Mesh Placement

  1. Measure Area
  2. Prepare Mesh
  3. Transfascial Sutures

9. Placement of Drains

10. Anterior Rectus Sheath Closure

11. Excise Redundant Skin

12. Closure

  1. Subcutaneous Drain Placement
  2. Close Skin

13. Post-op Remarks

Share this Article

Authors

Filmed At:

Massachusetts General Hospital

Article Information

Publication Date
Article ID285
Production ID0285
Volume2023
Issue285
DOI
https://doi.org/10.24296/jomi/285