Incisional hernia repair using Stoppa technique

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Date of download: 7/6/2016 Copyright © 2016 American Medical Association. All rights reserved. From: Abdominal Wall Reconstruction: Lessons Learned From.
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Dissection of the distal ureter. (A) Urinary bladder
Intraperitoneal view of polytetrafluoroethylene mesh used for laparoscopic ventral incisional hernia repair. The mesh is in place on the posterior aspect.
Intraperitoneal view of expanded polytetrafluoroethylene mesh used for laparoscopic ventral incisional hernia repair. The mesh is in place on the posterior.
Mapleson D circuit. Note that the fresh gas inlet (FGI) is distal to the adjustable pressure-limiting (APL) valve and proximal to the patient end. (Reproduced.
A. Layers of the abdominal wall in an anterior open approach to hernia repair. B. Identification of indirect and direct hernia sacs once the spermatic.
Annular suturing techniques. A. Interrupted sutures. B
The defect is converted to a parallelogram with angles of 60 and 120 degrees, and the flap is designed accordingly. (Adapted from Morrow CP, Curtin JP.
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The myometrium is incised carefully to avoid cutting the fetal head
(Reproduced with permission from Jemal A, et al: Cancer statistics, CA Cancer J Clin 58:71, 2008.) Source: Chapter 17. The Breast, Schwartz's Principles.
Ludwig Rehn, a surgeon from Frankfurt, Germany, who performed the first successful suture of a human heart wound. (Reproduced with permission from Mead.
The H double advancement flap: (a) excision of tumour with planned flaps; (b) pulling the flaps together; (c) flaps sutured to repair defect Source: Skin.
Reproduced with permission from Chang JB, Stein TA
Cross-section of the abdominal wall demonstrating a “sublay “ or “Stoppa” incisional hernia repair with mesh (green) placed in the retrorectus position.
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Schematic demonstrating placement of transfascial sutures lateral to the rectus muscle securing the mesh in place (Stoppa repair). (A) Upper abdominal.
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Adapted with permission from Hsia, J et al
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Open incisional hernia repair with a self-gripping retromuscular Parietex mesh: A retrospective cohort study  J. Verhelst, B. de Goede, G.J. Kleinrensink,
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Incisional hernia repair using Stoppa technique Incisional hernia repair using Stoppa technique. Upper abdominal incisional hernias can be repaired with mesh extending above the coastal margins. Transfascial sutures secure the mesh ­circumferentially (A, B). Lower incisional hernias extend into the pelvis and the visceral sac holds the lower aspect of the mesh in place with the patient in the upright position; only a retropubic suture secures the lower aspect of the mesh (C). (Adapted with permission from: Wantz GE. Atlas of Hernia Surgery. New York, NY: Raven Press; 1991.) Source: Bioprosthetic and Prosthetic Materials in Abdominal Wall Reconstruction and Hernia Repair, Radical and Reconstructive Gynecologic Cancer Surgery Citation: Bristow RE, Chi DS. Radical and Reconstructive Gynecologic Cancer Surgery; 2015 Available at: http://obgyn.mhmedical.com/DownloadImage.aspx?image=/data/books/1577/bri_ch20_f006.png&sec=95458826&BookID=1577&ChapterSecID=95458788&imagename= Accessed: November 15, 2017 Copyright © 2017 McGraw-Hill Education. All rights reserved

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