title: Modified rives technique (double-breasted alloplasty) in the repair of large incisional hernias.
abstract: Prosthetic materials in surgery have been widely used to repair incisional hernias thus reducing the recurrence rate. The wrong use of such prostheses has been the cause of serious postoperative complications. We propose a tension-free technique which allows the best abdominal wall reconstruction with correct positioning of the mesh even for large parietal defects. A retrospective study was conducted in a series of 64 patients treated with our personal technique using a polypropylene mesh for large incisional hernias. Median follow-up was 32 months. We had 1 case of respiratory discomfort (1.5%) and 4 recurrences (6.25%). No prosthesis infections were reported. The proposed surgical procedure allows correct prosthesis implantation and good short-term and long-term results. This versatile, reproducible technique can also be used for minor incisional hernias.
authors.affiliation: General Surgery Unit, Civil Hospital of Vignola.
authors.forename: Ubaldo
authors.initials: U
authors.lastname: Pintaudi
authors.forename: Stefano
authors.initials: S
authors.lastname: Perrone
authors.forename: Cristiano
authors.initials: C
authors.lastname: Trenti
authors.forename: Edoardo
authors.initials: E
authors.lastname: Cariani
authors.forename: Michele
authors.initials: M
authors.lastname: Varoli
authors.forename: Giuseppe
authors.initials: G
authors.lastname: Colucci
mesh_terms: D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D005260:Female; D006555:Hernia, Ventral / Q000473:pathology / Q000601:surgery*; D006801:Humans; D008297:Male; D008875:Middle Aged; D012189:Retrospective Studies; D013514:Surgical Procedures, Operative / Q000379:methods