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. 2017 Dec;69(4):493-497.
doi: 10.1007/s13304-017-0444-x. Epub 2017 Apr 13.

Repair of primary and incisional hernias using composite mesh fixed with absorbable tackers: preliminary experience of a laparoscopic approach with a newly designed mesh in 29 cases

Ferdinando Agresta  1 , Alice Marzetti  2 , Silvia Vigna  2 , Daniela Prando  2 , Raffaele Porfidia  2 , Salomone Di Saverio  3
Affiliations

Repair of primary and incisional hernias using composite mesh fixed with absorbable tackers: preliminary experience of a laparoscopic approach with a newly designed mesh in 29 cases

Ferdinando Agresta et al. Updates Surg. 2017 Dec.

Abstract

Outcome of primary and incisional hernia repair is still affected by clinical complications in terms of recurrences, pain and discomfort. Factors like surgical approach, prosthesis characteristics and method of fixation might influence the outcome. We evaluated in a prospective observational study a cohort population which underwent primary and incisional laparoscopic hernia repair, with the use of a composite mesh in polypropylene fixed with absorbable devices. We focused on assessing the feasibility and safety of these procedures; they were always performed by an experienced laparoscopic surgeon, analyzing data from our patients through the EuraHS registry. Seventy nine procedures of primary and incisional hernia repair were performed from July 2013 to November 2015 at Santa Maria Regina degli Angeli Hospital in Adria (RO). All cases have been registered at the EuraHS registry ( http://www.eurahs.eu ); among them, we analyzed 29 procedures performed using a new composite polypropylene mesh (CMC, Clear Composite Mesh, DIPROMED srl San Mauro Torinese, Turin, Italy), fixed with absorbable tackers (ETHICON, Ethicon LLC Guaynabo, Puerto Rico 00969). We performed 23 incisional hernia repairs, 4 primary hernia repairs (1 umbilical, 2 epigastric and 1 lumbar hernia) and 2 parastomal hernia repairs. The median operation time was 65.1 min for elective and 81.4 min for urgent procedures (three cases). We had two post-operative complications (6.89%), one case of bleeding and another case of prolonged ileus successfully treated with conservative management. We had no recurrences at follow-up. According to QoL, at 12 months patients do not complain about any pain or discomfort for esthetic result. Laparoscopic treatment of primary and incisional hernia with the use of composite mesh in polypropylene fixed with absorbable devices is feasible and safe.

Keywords: Abdominal hernias; Absorbable tackers; Laparoscopy.

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Conflict of interest statement

Disclosures

Authors have nothing to disclose.

Conflict of interest

The authors declare that they have no conflict of interests.

Research involving human participants and/or animals

This article does not contain any studies with human participants or animals performed by any of the authors.

Informed consent

For this type of study formal consent is not required.

References

    1. Muysoms F, Campanelli G, Champault GC, DeBeaux AC, Dietz UA, Jeekel J, Klinge U, Kocjerling F, Mandala V, Montgomery A, Morales Conde S, Puppe F, Simmermacher RKJ, Smietanski M, Miserez M. EuraHS: the development of an international online platform for registration and outcome measurement of ventral abdominal wall hernia repair. Hernia. 2012;16:239–250. doi: 10.1007/s10029-012-0912-7. - DOI - PMC - PubMed
    1. Silecchia G, Campanile FC, Sanchez L, Ceccarelli G, Antinori A, Ansaloni L, Olmi S, Ferrari GC, Cuccurullo D, Baccari P, Agresta F, Vettoretto N, Piccoli M. Laparoscopic ventral/incisional hernia repair: updated Consensus Development Conference based guidelines [corrected] Surg Endosc. 2015;29(9):2463–2484. doi: 10.1007/s00464-015-4293-8. - DOI - PubMed
    1. Deeken CR, Faucher KM, Matthews BD. A review of the composition, characteristics, and effectiveness of barrier mesh prostheses utilized for laparoscopic ventral hernia repair. Surg Endosc. 2012;26(2):566–575. doi: 10.1007/s00464-011-1899-3. - DOI - PubMed
    1. Baktir A, Dogru O, Girgin M, Aygen E, Kanat BH, Dabak DO, Kuloglu T. The effects of different prosthetic materials on the formation of collagen types in incisional hernia. Hernia. 2013;17(2):249–253. doi: 10.1007/s10029-012-0979-1. - DOI - PubMed
    1. Ansaloni L, Catena F, Coccolini F, Fini M, Gazzotti F, Giardino R, Pinna AD. Peritoneal adhesions to prosthetic materials: an experimental comparative study of treated and untreated polypropylene meshes placed in the abdominal cavity. J Laparoendosc Adv Surg Tech A. 2009;19(3):369374. doi: 10.1089/lap.2008.0366. - DOI - PubMed

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