Abstract
Purpose
Ventral hernias are a common surgical issue and a myriad of surgical mesh designs has been developed for their treatment. Many of these new mesh designs have not been extensively tested and their complications rates are largely unknown. The C-QUR V-Patch Mesh™ combines a unique knit construction polypropylene mesh with an omega-3 fatty acid coating. There has only previously been one reported study investigating this mesh.
Methods
A multicentre cohort study, with a single surgeon, of 168 consecutive patients with ventral hernias underwent repair using a standardized open pre-peritoneal approach with the novel C-QUR V-Patch Mesh™ between January 2013 and June 2015. A median follow-up of 37 months was completed to assess the patients for hernia infection and recurrence rates. Mesh infections were further classified into early and late infections for further subgroup analysis.
Results
Infection and recurrence rates of the C-QUR V-Patch® were compared with similar published results of alternate mesh designs. Surgical site infection rates were 7.7% and recurrence rates were 2.4%. The infection rate rose dramatically to 19.0% when the mesh was placed intra-peritoneally. The rate of mesh explantation was 2.4% and usually occurred between 4 and 12 months post-operatively. Smoking was the only factor that appeared to be associated with recurrence.
Conclusion
This series finds that recurrence rates associated with the novel C-QUR V-Patch Mesh™ is acceptably low; however, infection rates appear to be higher when compared to comparable products for use in ventral hernia repairs.
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References
Dabbas N, Adams K, Pearson K, Royle GT (2011) Frequency of abdominal wall hernias: is classical teaching out of date? JRSM Short Rep 2(1):5. https://doi.org/10.1258/shorts.2010.010071
Poulouse BK, Shelton J, Phillips S, Moore D, Nealon W, Penson D, Beck W, Holzman MD (2012) Epidemiology and cost of ventral hernia repair: making the case for hernia research. Hernia 16(2):179–183. https://doi.org/10.1007/s10029-011-0879-9
Read RC (2005) The contributions of Usher and others to the elimination of tension from groin herniorrhapy. Hernia 9(3):208–211
Arroyo A, Garcia P, Perez F, Andreu J, Candela F, Calpena R (2001) Randomised clinical trial comparing suture and mesh repair of umbilical hernia in adults. Br J Surg 88(10):1321–1323
Keating JJ, Kennedy GT, Datta J, Schuricht A (2016) Outcomes of 157 V-Patch™ implants in the repair of umbilical, epigastric, and incisional hernias. Am Surg 82(1):6–10
Polat C, Dervisoglu A, Senyurek G, Bilgin M, Erzurumlu K, Ozkan K (2005) Umbilical hernia repair with the prolene hernia system. Am J Surg 190(1):61–64
Wassenberg D, Zarmpis N, Seip N, Ambe PC (2014) Closure of small and medium size umbilical hernias with the Proceed Ventral Patch in obese patients: a single center experience. Springerplus 3:686
Zarmpis N, Wassenberg D, Ambe PC (2015) Repair of small and medium size umbilical hernias with the “Proceed Ventral Patch” in the preperitoneal position. Am Surg 81(11):1144–1148
Ambe P, Meyer A, Kohler L (2013) Repair of small and medium size ventral hernias with a Proceed Ventral Patch: a single center retrospective analysis. Surg Today 43(4):381–385. https://doi.org/10.1007/s00595-012-0245-2
Bontinck J, Kyle-Leinhase I, Pletinckx P, Vergucht V, Beckers R, Muysoms F (2014) Single centre observational study to evaluate the safety and efficacy of the Proceed™ Ventral Patch to repair small ventral hernias. Hernia 18(5):671–680. https://doi.org/10.1007/s10029-013-1140-5
Tollens T, Den Hondt M, Devroe K, Terry C, Speybroeck S, Aelvoet C, Vanrykel JP (2011) Retrospective analysis of umbilical, epigastric, and small incisional hernia repair using the VentralexTM hernia patch. Hernia 15(5):531–540. https://doi.org/10.1007/s10029-011-0816-y
Iversen E, Lykke A, Hensler M, Jorgensen LN (2010) Abdominal wall hernia repair with a composite ePTFE/polypropylene mesh: clinical outcome and quality of life in 152 patients. Hernia 14(6):555–560. https://doi.org/10.1007/s10029-010-0729-1
Vychnevskaia K, Mucci-Hennekinne S, Casa C, Brachet D, Meunier K, Briennon X, Hamy A, Arnaud JP (2010) Intraperitoneal mesh repair of small ventral abdominal wall hernias with a Ventralex hernia patch. Dig Surg 27(5):433–435. https://doi.org/10.1159/000318783
Martin DF, Williams RF, Mulrooney T, Voeller GR (2008) Ventralex mesh in umbilical/epigastric hernia repairs: clinical outcomes and complications. Hernia 12(4):379–383. https://doi.org/10.1007/s10029-008-0351-7
Hadi HI, Maw A, Sarmah S, Kumar P (2006) Intraperitoneal tension-free repair of small midline ventral abdominal wall hernias with a Ventralex hernia patch: initial experience in 51 patients. Hernia 10(5):409–413
Kaufmann R, Halm JA, Eker HH, Klitsie PJ, Nieuwenhuizen J, Van Geldere D et al (2018) Mesh versus suture repair of umbilical hernia in adults: a randomised, double-blind, controlled, multicentre trial. Lancet 391(10123):860–869
Muysoms FE, Bontinck J, Pletinckx P (2011) Complications of mesh devices for intraperitoneal umbilical hernia repair: a word of caution. Hernia 15(4):463–468
Cobb W, Carbonell AM, Kalbaugh CL, Jones Y, Lokey JS (2009) Infection risk of open placement of intraperitoneal composite mesh. Am Surg 75(9):762–767
Halm JA, De Wall LL, Steyerberg EW, Jeekel J, Lange FL (2007) Intraperitoneal polypropylene mesh hernia repair complicates subsequent abdominal surgery. World J Surg 31(2):423–429
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DC, LB and CL declare no conflict of interest. This research received no specific grant from any funding agency in the public, commercial or not-for-profit sectors.
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Ethical Approval for this research was obtained through The Avenue Hospital Ethics Committee and was conducted in accordance with the Australian National Statement on Ethical Conduct in Human Research (2007).
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This article does not contain any studies with animals performed by any of the authors.
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Informed consent was obtained from each of the study participants.
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Cheng, D., Bonato, L. & Leinkram, C. Infection and recurrence rates of the C-QUR V-Patch™ in ventral hernia repairs. Hernia 22, 767–772 (2018). https://doi.org/10.1007/s10029-018-1791-3
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DOI: https://doi.org/10.1007/s10029-018-1791-3