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Stoppa operation

The Stoppa repair is a tension free type of hernia repair. It is performed by wrapping the lower part of the parietal peritoneum with prosthetic mesh and placing it at a preperitoneal level over Fruchauds myopectineal orifice. It was first described in 1975 by Rene Stoppa.^[1] This operation is also known as giant prosthetic reinforcement of the visceral sac (GPRVS).^[2]

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This technique has met particular success in the repair of bilateral hernias, large scrotal hernias, and recurrent or rerecurrent hernias in which conventional repair is difficult and carries a high morbidity and failure rate.^[3] The most recent reported recurrence rate (involving 230 patients with 420 hernias and a maximum of 8 years follow-up) was 0.71%.^[4]

The Laparoscopic transabdominal preperitoneal repair (TAPP) uses exactly the same principles as the Stoppa repair, however it is performed laparoscopically.^[5]

References

^ Stoppa R, Petit J, Henry X (1975). "Unsutured Dacron prosthesis in groin hernias". Int Surg 60 (8): 411-2. PMID 125731.
^ Wantz G (1989). "Giant prosthetic reinforcement of the visceral sac". Surg Gynecol Obstet 169 (5): 408-17. PMID 2814751.
^ Lowham A, Filipi C, Fitzgibbons R, Stoppa R, Wantz G, Felix E, Crafton W (1997). "Mechanisms of hernia recurrence after preperitoneal mesh repair. Traditional and laparoscopic". Ann Surg 225 (4): 422-31. PMID 9114802.
^ Maghsoudi H, Pourzand A. "Giant prosthetic reinforcement of the visceral sac: the Stoppa groin hernia repair in 234 patients". Ann Saudi Med 25 (3): 228-32. PMID 16119524.
^ Beets G, Dirksen C, Go P, Geisler F, Baeten C, Kootstra G (1999). "Open or laparoscopic preperitoneal mesh repair for recurrent inguinal hernia? A randomized controlled trial". Surg Endosc 13 (4): 323-7. PMID 10094739.