Chapter 5 Open Retromuscular Ventral Hernia Repair
1 Clinical Anatomy







2 Preoperative Considerations
Preoperative Imaging

Preoperative Optimization
Choosing the Type of Mesh



3 Operative Steps
Planning Incision
Lysis of Adhesions, Removal of Old Mesh
Incision of the Posterior Rectus Sheath (Rives-Stoppa-Wantz Technique)



Lateralization of the Dissection Plane Beyond the Linea Semilunaris



Posterior Layer Reconstruction

Mesh Fixation




Reconstruction of the Linea Alba


4 Postoperative Care
General


Diet

5 Outcomes

6 Pearls and Pitfalls
1 Anatomy

2 Preoperative Considerations
3 Intraoperative Considerations
4 Technical Considerations






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