Open incisional hernia repair with a self-gripping retromuscular Parietex mesh: A retrospective cohort study
| Autor: | J. F. Lange, Joost Verhelst, Johannes Jeekel, K.H.A. van Eeghem, B. de Goede, G. J. Kleinrensink |
|---|---|
| Přispěvatelé: | Surgery, Neurosciences |
| Rok vydání: | 2015 |
| Předmět: |
Adult
Male medicine.medical_specialty Abdominal pain Incisional hernia medicine.medical_treatment Polyesters Prosthesis Abdominal wall Recurrence medicine Outpatient clinic Humans Hernia Herniorrhaphy Aged Retrospective Studies business.industry General surgery Chronic pain Retrospective cohort study General Medicine Middle Aged Surgical Mesh medicine.disease Hernia Ventral Surgery surgical procedures operative medicine.anatomical_structure Feasibility Studies Female Collagen medicine.symptom business |
| Zdroj: | International Journal of Surgery, 13, 184-188. Elsevier |
| ISSN: | 1743-9159 1743-9191 |
| Popis: | Introduction: The Rives-Stoppa and component separation technique are considered to be favourable techniques in the treatment of complex incisional hernias. However, mesh-related complications like chronic pain are still a common problem after mesh repair. As a result, a new self-gripping mesh to omit suture fixation has been developed. This study aimed to evaluate the safety and feasibility of the Parietex (TM) Progrip self-gripping mesh in retromuscular position for the treatment of incisional hernias. Methods: Patients with incisional hernia who underwent repair between June 2012 and June 2014, using a self-gripping mesh in retromuscular position, were included in the study. All patients visited the outpatient clinic to identify postoperative complications and early recurrence. Results: A total of 28 consecutive patients with a median age of 48 years were included in the study. Twenty-two patients (79%) were diagnosed with an incisional hernia, of whom nine (32%) had a recurrence. Six patients (21%) had an incisional hernia combined with another abdominal wall hernia. The median follow-up was 12 weeks (IQR: 8-20 weeks). Twenty-three patients (82%) did not report any pain at their final outpatient clinic visit; two patients (7%) reported mild abdominal pain, and three patients (11%) had moderate abdominal pain. None of the 28 patients developed a recurrence during follow-up. Conclusion: This is the first study concerning the use of a Parietex (TM) Progrip mesh placed in retromuscular position. The study shows that it is a safe and feasible prosthesis in incisional hernias repair, as short-term recurrence did not occur and adverse events were limited. (C) 2014 Surgical Associates Ltd. Published by Elsevier Ltd. All rights reserved. |
| Databáze: | OpenAIRE |
| Externí odkaz: |
|
Full Text from ScienceDirect