A modified Rives–Stoppa technique with composite mesh (FLaPp) in large incisional hernia: a multicentric retrospective cohort study

Summary Background Large incisional hernias (LIH) are challenging conditions, often necessitating complex surgical procedures such as transversus abdominis muscle release (TAR). We evaluated the feasibility and effectiveness of tension-free abdominal wall repair LIH with an innovative modified Rives–Stoppa procedure employing a composite free lateral polypropylene (FLaPp) prosthesis. Methods Symptomatic patients affected by treated FLaPp prosthesis between April 2010 December 2016 were retrospectively analyzed. The is made up two layers: internal layer based on film that can be used in contact intestinal loops to address posterior peritoneal defect, external macroporous lightweight mesh, which classic according carried out. Results Forty-three enrolled study. All W3. Early complications seroma (16.3%), hematoma (11.6%), wound infection (7.0%), bowel injury (2.3%). Late sinus tract (4.7%), occasional pain (2.3%), stiff abdomen (9.3%). median operative time was 126 min hospitalization 8 days. At follow-up 40 months (range 37.5–117), recurrence rate 9.3% (4/43). Conclusion Use mesh approach effective strategy for managing selected cases presence low rates recurrences.