SlideShare a Scribd company logo
1 of 7
dr hakan gök
Jean Rives Rene Stoppa
 Linea alba’nın yeniden oluşturulması.
 Myofasyal ilerleme. (3-5-3 Ramirez)
 Yama için moleküler ve mekanik olarak daha iyi bir yuva
- Tip I/III kolajen oranı
- Daha iyi doku bütünleşmesi
- Yama daha stabil
Kas arkası planın avantajları
- Açık yaklaşım
- Minimal invaziv teknikler
- Lap-RS
- eTEP-RS
- rRS
Rives-Stoppa yaklaşım seçenekleri

More Related Content

What's hot

Different types of laparoscopic hernia repair
Different types of laparoscopic hernia repairDifferent types of laparoscopic hernia repair
Different types of laparoscopic hernia repairIbrahim Abunohaiah
 
Component seperation technique for the repair of very large ventral hernias
Component seperation technique for the repair of very large ventral hernias Component seperation technique for the repair of very large ventral hernias
Component seperation technique for the repair of very large ventral hernias nikhilameerchetty
 
Laparoscopic groin hernia repair anatomy & technique
Laparoscopic groin hernia repair   anatomy & techniqueLaparoscopic groin hernia repair   anatomy & technique
Laparoscopic groin hernia repair anatomy & techniqueforegutsurgeon
 
Breast oncoplastic surgery
Breast oncoplastic surgery Breast oncoplastic surgery
Breast oncoplastic surgery Fadi Alnehlaoui
 
Laparoscopic Ventral Hernia Repair
Laparoscopic Ventral Hernia RepairLaparoscopic Ventral Hernia Repair
Laparoscopic Ventral Hernia RepairGeorge S. Ferzli
 
Laparoscopic vs Open Inguinal Hernia repair
Laparoscopic vs Open Inguinal Hernia repairLaparoscopic vs Open Inguinal Hernia repair
Laparoscopic vs Open Inguinal Hernia repairAndrew Wright
 
Bowel anastomosis
Bowel anastomosisBowel anastomosis
Bowel anastomosisAsif Ansari
 
Extra Levator Abdomino Perineal Resection
Extra Levator Abdomino Perineal Resection Extra Levator Abdomino Perineal Resection
Extra Levator Abdomino Perineal Resection Dr Harsh Shah
 
Novitsky's TAR
Novitsky's TARNovitsky's TAR
Novitsky's TARHakan Gök
 
Laparoscopic Herniorrhaphy: TEP
Laparoscopic Herniorrhaphy: TEPLaparoscopic Herniorrhaphy: TEP
Laparoscopic Herniorrhaphy: TEPGeorge S. Ferzli
 
Laparoscopic Ventral Hernia Repair Ppt. DR DILIP S.RAJPAL
Laparoscopic Ventral Hernia Repair Ppt. DR DILIP S.RAJPALLaparoscopic Ventral Hernia Repair Ppt. DR DILIP S.RAJPAL
Laparoscopic Ventral Hernia Repair Ppt. DR DILIP S.RAJPALdiliprajpal
 
Bile duct injuries in Laparocsopic cholecystectomy
Bile duct injuries in Laparocsopic cholecystectomyBile duct injuries in Laparocsopic cholecystectomy
Bile duct injuries in Laparocsopic cholecystectomyUCMS-TH Bhairahwa, NEPAL
 
Duodenal injuries
Duodenal injuriesDuodenal injuries
Duodenal injuriesjoemdas
 
Hilar Cholangiocarcinoma
Hilar Cholangiocarcinoma Hilar Cholangiocarcinoma
Hilar Cholangiocarcinoma Dr Harsh Shah
 
Whipple complication
Whipple complicationWhipple complication
Whipple complicationAnil Kumar
 
D2 distal gastrectomy final
D2 distal gastrectomy finalD2 distal gastrectomy final
D2 distal gastrectomy finalDr Amit Dangi
 

What's hot (20)

Different types of laparoscopic hernia repair
Different types of laparoscopic hernia repairDifferent types of laparoscopic hernia repair
Different types of laparoscopic hernia repair
 
Component seperation technique for the repair of very large ventral hernias
Component seperation technique for the repair of very large ventral hernias Component seperation technique for the repair of very large ventral hernias
Component seperation technique for the repair of very large ventral hernias
 
Laparoscopic groin hernia repair anatomy & technique
Laparoscopic groin hernia repair   anatomy & techniqueLaparoscopic groin hernia repair   anatomy & technique
Laparoscopic groin hernia repair anatomy & technique
 
Mirizzi syndrome ppt
Mirizzi syndrome pptMirizzi syndrome ppt
Mirizzi syndrome ppt
 
Breast oncoplastic surgery
Breast oncoplastic surgery Breast oncoplastic surgery
Breast oncoplastic surgery
 
Laparoscopic Ventral Hernia Repair
Laparoscopic Ventral Hernia RepairLaparoscopic Ventral Hernia Repair
Laparoscopic Ventral Hernia Repair
 
Laparoscopic vs Open Inguinal Hernia repair
Laparoscopic vs Open Inguinal Hernia repairLaparoscopic vs Open Inguinal Hernia repair
Laparoscopic vs Open Inguinal Hernia repair
 
Bowel anastomosis
Bowel anastomosisBowel anastomosis
Bowel anastomosis
 
Damage Control Surgery
Damage Control SurgeryDamage Control Surgery
Damage Control Surgery
 
Extra Levator Abdomino Perineal Resection
Extra Levator Abdomino Perineal Resection Extra Levator Abdomino Perineal Resection
Extra Levator Abdomino Perineal Resection
 
Novitsky's TAR
Novitsky's TARNovitsky's TAR
Novitsky's TAR
 
Laparoscopic Herniorrhaphy: TEP
Laparoscopic Herniorrhaphy: TEPLaparoscopic Herniorrhaphy: TEP
Laparoscopic Herniorrhaphy: TEP
 
Laparoscopic Ventral Hernia Repair Ppt. DR DILIP S.RAJPAL
Laparoscopic Ventral Hernia Repair Ppt. DR DILIP S.RAJPALLaparoscopic Ventral Hernia Repair Ppt. DR DILIP S.RAJPAL
Laparoscopic Ventral Hernia Repair Ppt. DR DILIP S.RAJPAL
 
Bile duct injuries in Laparocsopic cholecystectomy
Bile duct injuries in Laparocsopic cholecystectomyBile duct injuries in Laparocsopic cholecystectomy
Bile duct injuries in Laparocsopic cholecystectomy
 
Duodenal injuries
Duodenal injuriesDuodenal injuries
Duodenal injuries
 
Intestinal anastomosis and staplers
Intestinal anastomosis and staplersIntestinal anastomosis and staplers
Intestinal anastomosis and staplers
 
Hilar Cholangiocarcinoma
Hilar Cholangiocarcinoma Hilar Cholangiocarcinoma
Hilar Cholangiocarcinoma
 
Abcd of lapchole
Abcd of lapchole     Abcd of lapchole
Abcd of lapchole
 
Whipple complication
Whipple complicationWhipple complication
Whipple complication
 
D2 distal gastrectomy final
D2 distal gastrectomy finalD2 distal gastrectomy final
D2 distal gastrectomy final
 

Rives-Stoppa technique

  • 3.  Linea alba’nın yeniden oluşturulması.  Myofasyal ilerleme. (3-5-3 Ramirez)  Yama için moleküler ve mekanik olarak daha iyi bir yuva - Tip I/III kolajen oranı - Daha iyi doku bütünleşmesi - Yama daha stabil Kas arkası planın avantajları
  • 4.
  • 5.
  • 6.
  • 7. - Açık yaklaşım - Minimal invaziv teknikler - Lap-RS - eTEP-RS - rRS Rives-Stoppa yaklaşım seçenekleri

Editor's Notes

  1. 1
  2. Basically we can define four main factors. The Patient factor, like age or habits, e.g. Smoking. The surgeon. This could for example include the surgeons expierence in a certain procedure. The surgical technique that will be used. Some techniques may be more suitable or not suitable for a patient. And finally the selection of the mesh. To cover all this in one presentation we would probably be together for hours. Our focus today is the Mesh Selectoin to improve patiant outcome. Questions: Who decides on the mesh selection? Who is responsible for the clinical outcome? Mesh decision is a clinical decision!