Publication:

Stoppa’s modified, open preperitoneal prolene mesh hernioplasty: a critical analysis of operative outcome in 70 cases

Background Since the dawn of the surgical history, hernias of the abdominal wall have been the most common condition requiring surgery. Hernia poses a major surgical health concern in any society. Despite the frequency of surgical repair, perfect results continue to elude surgeons, and the rate of recurrence is humbling. Hernia has been known since evolution of man and the history of hernia is the history of surgery. Stoppa et al first described a technique aimed at eliminating hernias by reinforcing the peritoneal space with a giant prosthesis called the giant prosthetic reinforcement of visceral sac (GPRVS). This research article presents our experience in managing a varied range of abdominal hernia by not so often practiced Stoppa’s GPRVS with significant modifications and very good results. The aim was to evaluate the operative outcome by Stoppa’s modified open preperitoneal prolene mesh hernioplasty in primary/recurrent/multirecurrent abdominal hernias and to determine the complications.

Methods This study was carried out in our hospital between May 2008 and June 2010. Total of 70 patients were included in the study which were managed by modified Stoppa’s modified open preperitoneal prolene mesh hernioplasty.

Results This procedure has certain inherent advantages like it avoids entering a defiled surgical plane through distorted anatomy, in cases of recurrent hernia and permits inspection of all potential hernial sites. It is truly tensionless and sutureless repair.

Conclusions This novel technique has given excellent results. We would like to recommend Stoppa’s repair based on our experience for recurrent and multirecurrent abdominal hernias, large Incisional and bilateral inguinal hernia.