Medial incisional ventral hernia repair with Adhesix ® autoadhesive mesh: descriptive study.

Autor: Ferrer Martínez A; Cirugía General y del Aparato Digestivo, Hospital Universitario de Getafe, Carretera Madrid-Toledo, Km 12,500, 28905, Getafe, Spain. aliciaferrermart@gmail.com., Castillo Fe MJ; Cirugía General y del Aparato Digestivo, Hospital Universitario Santa Cristina, Madrid, Spain., Alonso García MT; Cirugía General y del Aparato Digestivo, Hospital Universitario Santa Cristina, Madrid, Spain., Villar Riu S; Cirugía General y del Aparato Digestivo, Hospital Universitario Santa Cristina, Madrid, Spain., Bonachia Naranjo O; Cirugía General y del Aparato Digestivo, Hospital Universitario Santa Cristina, Madrid, Spain., Sánchez Cabezudo C; Cirugía General y del Aparato Digestivo, Hospital Universitario Santa Cristina, Madrid, Spain., Marcos Herrero A; Cirugía General y del Aparato Digestivo, Hospital Universitario Santa Cristina, Madrid, Spain., Porrero Carro JL; Cirugía General y del Aparato Digestivo, Hospital Universitario Santa Cristina, Madrid, Spain.
Jazyk: angličtina
Zdroj: Hernia : the journal of hernias and abdominal wall surgery [Hernia] 2023 Aug; Vol. 27 (4), pp. 911-917. Date of Electronic Publication: 2023 May 13.
DOI: 10.1007/s10029-023-02766-3
Abstrakt: Nowadays, the gold standard for the surgical treatment of abdominal wall defects is the use of a mesh. There is an extensive variety of meshes, self-adhesive ones being among the most novel technologies. The literature on the self-adhesive mesh Adhesix ® (Cousin Biotech Laboratory, 59117 Wervicq South, France) in medial incisional ventral hernia is scarce. We performed a retrospective descriptive study with prospective data collection from 125 patients who underwent prosthetic repair of medial incisional ventral hernia-M1-M5 classification according to European Hernia Society (EHS)-with self-adhesive mesh Adhesix ® between 2013 and 2021. Follow-up was performed 1 month and yearly after the surgery. Postoperative complications and hernia recurrences were recorded. Epidemiological results were average BMI 30.5 kg/m 2 (SD 5), highlighting that overweight (41.6%) and obesity type 1 (25.6%) were the most represented groups. 34 patients (27.2%) had already undergone a previous abdominal wall surgery. The epigastric-umbilical (M2-M3 EHS classification, 22.4%) and umbilical (M3 EHS classification, 20%) hernias were the predominant groups. The elective surgery technique was Rives or Rives-Stoppa with an associated supraaponeurotic mesh if the closure of the anterior aponeurosis of the rectus sheath was not surgically closed (13 patients). The most frequent postoperative complication was seroma (26.4%). The recurrence rate was 7.2%. The average follow-up length was 2.6 years (SD 1.6 years). According to the results of this study and the literature available, we consider that the self-adhesive mesh Adhesix ® is an appropriate alternative mesh option for the repair of medial incisional ventral hernias.
(© 2023. The Author(s), under exclusive licence to Springer-Verlag France SAS, part of Springer Nature.)
Databáze: MEDLINE
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