To Study the Repair of Incisional Hernia by Preperitoneal Meshplasty

Abstract

The preperitoneal mesh repair an excellent method called as Rive’s stoppa technique where mesh was placedbetween peritoneum and abdominal wall or rectus muscle and posterior rectus sheath(9). The main advantageof pre peritoneal mesh repair are - Less chance of mesh infection and erosion through skin because thegraft lies in preperitoneal plane between posterior rectus sheath and peritoneum, avoids adhesions, bowelobstruction, enterocutaneous fistula and erosion of mesh, minimal morbidity and duration of hospitalstay is less compared to other techniques. The main disadvantage is it is more time consuming, extensivepreparation of preperitoneal plane and surgical experience. In our study 30 patients of incisional hernia weresubjected to preperitoneal mesh repair by Rive’s stoppa technique.It was found that there were :1. Less number of postoperative complications.2. No recurrence was noticed in this study.3. Preperitoneal mesh repair had excellent long-term results with minimal morbidity.As Compared withother types of mesh repair techniques (in literature), the preperitoneal mesh repair is the gold standardtreatment for incisional hernia repair.