Open incisional hernia repair with a self-gripping retromuscular Parietex mesh: a retrospective cohort study.

Abstract

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™ 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™ 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.

• Authors: J Verhelst, B de Goede, G J Kleinrensink, J Jeekel, J F Lange, K H A van Eeghem
• Journal: International journal of surgery (London, England) (Int J Surg) Vol. 13 Pg. 184-188 (Jan 2015) ISSN: 1743-9159 [Electronic] United States
• PMID: 25498491 (Publication Type: Evaluation Study, Journal Article)
• Copyright: Copyright © 2014 Surgical Associates Ltd. Published by Elsevier Ltd. All rights reserved.

Chemical References

• Polyesters
• parietex
• Collagen

Topics

• Adult
• Aged
• Collagen (adverse effects)
• Feasibility Studies
• Female
• Hernia, Ventral (surgery)
• Herniorrhaphy (instrumentation)
• Humans
• Male
• Middle Aged
• Polyesters (adverse effects)
• Recurrence
• Retrospective Studies
• Surgical Mesh (adverse effects)