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. 2024 Jun;28(3):745-759.
doi: 10.1007/s10029-023-02853-5. Epub 2023 Aug 15.

Open IPOMs for medium/large incisional ventral hernia repairs in the French Hernia Registry: factors associated with their use and mesh-related outcomes

J-F Gillion  1 , G Fromont  2 , R Verhaeghe  3 , P Tiry  4 , D Binot  3 , T Dugué  5 , A Dabrowski  4 ; Hernia Club members
Collaborators, Affiliations

Open IPOMs for medium/large incisional ventral hernia repairs in the French Hernia Registry: factors associated with their use and mesh-related outcomes

J-F Gillion et al. Hernia. 2024 Jun.

Abstract

Purpose: The use of open intra-peritoneal onlay mesh repairs (O-IPOMs) for treating medium/large incisional ventral hernias has come into question due to the development of minimally invasive and sublay procedures. This study aimed to identify factors that are associated with the use of O-IPOMs in France.

Methods: We analysed prospectively collected data from the French Hernia Registry on incisional ventral hernia repairs (IVHR) for hernias ≥ 4 cm in width.

Results: We obtained data for 2261 IVHR (from 11/09/2011 to 30/03/2020): 733 O-IPOMs and 1,528 other techniques. We found that the O-IPOMs were performed on patients with more patient-related risk factors compared with the other techniques. Specifically, there was a higher proportion of patients with ASA III/IV (40.47% vs. 28.02%; p < 0.00001) and at least one patient-related risk factor (66.17% vs. 58.51%; p = 0.0005). Of the 733 O-IPOMs, 195 used Ventrio ST™ (VST), the most commonly used mesh for such IPOMs in our database; the other 538 O-IPOMs used other meshes (OM). The VST subgroup had a higher proportion of patients with ASA III/IV (52.58% vs. 36.07%; p < 0.0001) and on anticoagulants (26.04% vs. 18.41%; p = 0.0229) compared with the OM subgroup; they also had a lower recurrence rate after 2 years (5.83% vs. 15.41%; p = 0.008). However, large (≥ 10 cm) or lateral defects were more common in the OM subgroup, and their mesh/defect area ratio was lower.

Conclusion: O-IPOMs were performed on patients with more comorbidities and/or complex incisional hernias compared with other techniques.

Keywords: Comorbidities; Incisional hernia; Intraperitoneal; Mesh repair; Open IPOM; Ventral hernia.

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References

    1. Parker SG, Halligan S, Liang MK, Muysoms FE, Adrales GL, Boutall A et al (2020) International classification of abdominal wall planes (ICAP) to describe mesh insertion for ventral hernia repair. Br J Surg 107(3):209–217. https://doi.org/10.1002/bjs.11400 - DOI - PubMed
    1. Bittner R, Bain K, Bansal VK, Berrevoet F, Bingener-Casey J, Chen D et al (2019) Update of Guidelines for laparoscopic treatment of ventral and incisional abdominal wall hernias (International Endohernia Society (IEHS))—part A. Surg Endosc 33(10):3069–3139. https://doi.org/10.1007/s00464-019-06907-7 - DOI - PubMed - PMC
    1. Petro CC, Thomas JD, Tu C, Krpata DM, Beffa LR, Rosen MJ et al (2022) Robotic vs laparoscopic ventral hernia repair with intraperitoneal mesh: 1-year exploratory outcomes of the PROVE-IT randomized clinical trial. J Am Coll Surg 234(6):1160–1165. https://doi.org/10.1097/XCS.0000000000000171 - DOI - PubMed
    1. Berrevoet F, D’Hont F, Rogiers X, Troisi R, de Hemptinne B (2011) Open intraperitoneal versus retromuscular mesh repair for umbilical hernias less than 3 cm diameter. Am J Surg 201(1):85–90 - DOI - PubMed
    1. Berrevoet F, Doerhoff C, Muysoms F, Hopson S, Muzi MG, Nienhuijs S et al (2017) A multicenter prospective study of patients undergoing open ventral hernia repair with intraperitoneal positioning using the monofilament polyester composite ventral patch: interim results of the PANACEA study. Med Devices (Auckl) 10:81–88. https://doi.org/10.1016/j.amjsurg.2010.01.022 - DOI - PubMed

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