Rectus Abdominis Sheath Inversion Flap Reinforced With Polypropylene Mesh (RASIFRPM): A Reconstructive Alternative for the Management of Complex Ventral Hernia

Complex hernias require a staged approach to abdominal closure. In patients where primary fascial closure is not possible, several techniques have been proposed for early abdominal wall reconstruction. Rectus abdominis sheath inversion flap reinforced with polypropylene mesh (RASIFRPM) is a reconstructive technique for complex abdominal hernias that combines bilateral release of the rectus abdominis sheath with its medial mobilization and prosthetic reinforcement. We present a case of a hernia with loss of domain that required early reconstruction to achieve complete abdominal wall closure.