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DynaMesh® in the repair of laparoscopic ventral hernia: a prospective trial

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Abstract

Purpose

To investigate mesh-related complications in patients undergoing laparoscopic ventral hernia repair using DynaMesh®.

Methods

In the period 1 January 2005 through 31 December 2010, 181 consecutive patients undergoing laparoscopic ventral hernia repair in our day surgery unit using DynaMesh® were entered prospectively in the National Danish Hernia Database. Data concerning abdominal reoperations after hernia repair were later collected on all 181 patients from the National Danish Health Registry. Postoperative telephone interviews were conducted estimating postoperative pain and patient satisfaction.

Results

Six % (11 patients) were reoperated because of mesh-related complications. Three had small bowel obstruction and one had a colonic fistula with mesh infection, all causing bowel resection and mesh removal. Mesh-related cutaneous fistula was seen in one patient. Six patients had a symptomatic recurrence requiring reoperation. Abdominal wall hematomas were seen in two cases, while two other patients had symptomatic large seromas, of which one was drained surgically. After a median follow-up of 34 months (range 12–63) in 140 patients, 66 % were pain free (0 on the Numeric Rating Scale (NRS)). Of 26 patients with moderate to severe pain (NRS > 3) at follow-up, only 4 regretted the operation. Sixteen patients thought they had a recurrence, of these only 3 regretted the operation.

Conclusion

The use of DynaMesh® in laparoscopic ventral hernia repair was associated with a 6 % risk of mesh-related reoperation in a high volume setting. Despite chronic pain in 19 %, after 34 months follow-up patient satisfaction was high.

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References

  1. LeBlanc KA, Booth WV (1993) Laparoscopic repair of incisional abdominal hernias using expanded polytetrafluoroethylene: preliminary findings. Surg Laparosc Endosc 3:39–41

    PubMed  CAS  Google Scholar 

  2. Sauerland S, Walgenbach M, Habermalz B, Seiler CM, Miserez M (2011) Laparoscopic versus open surgical techniques for ventral or incisional hernia repair. Cochrane Database Syst Rev 16: CD007781

  3. Forbes SS, Eskicioglu C, McLeod RS, Okrainec A (2009) Meta-analysis of randomized controlled trials comparing open and laparoscopic ventral and incisional hernia repair with mesh. Br J Surg 96:851–858

    Article  PubMed  CAS  Google Scholar 

  4. Itani KM, Hur K, Kim LT, Anthony T, Berger DH, Reda D, Neumayer L (2010) Comparison of laparoscopic and open repair with mesh for the treatment of ventral incisional hernia: a randomized trial. Arch Surg 145:322–328

    Article  PubMed  Google Scholar 

  5. Helgstrand F, Rosenberg J, Kehlet H, Bisgaard T (2011) Nationwide analysis of prolonged hospital stay and readmission after elective ventral hernia repair. Dan Med Bull 58:A4322

    PubMed  Google Scholar 

  6. Deeken CR, Faucher KM, Matthews BD (2012) A review of the composition, characteristics, and effectiveness of barrier mesh prostheses utilized for laparoscopic ventral hernia repair. Surg Endosc 26:566–575

    Article  PubMed  Google Scholar 

  7. Klinge U, Klosterhalfen B, Ottinger AP, Junge K, Schumpelick V (2002) PVDF as a new polymer for the construction of surgical meshes. Biomaterials 23:3487–3493

    Article  PubMed  CAS  Google Scholar 

  8. Berger D, Bientzle M (2009) Polyvinylidene fluoride: a suitable mesh material for laparoscopic incisional and parastomal hernia repair! A prospective, observational study with 344 patients. Hernia 13:167–172

    Article  PubMed  CAS  Google Scholar 

  9. Fortelny RH, Petter-Puchner AH, Glaser KS, Offner F, Benesch T, Rohr M (2010) Adverse effects of polyvinylidene fluoride-coated polypropylene mesh used for laparoscopic intraperitoneal onlay repair of incisional hernia. Br J Surg 97:1140–1145

    Article  PubMed  CAS  Google Scholar 

  10. Morales-Conde S, Cadet H, Cano A, Bustos M, Martín J, Morales-Mendez S (2005) Laparoscopic ventral hernia repair without sutures–double crown technique: our experience after 140 cases with a mean follow-up of 40 months. Int Surg 90:S56–S62

    PubMed  Google Scholar 

  11. Helgstrand F, Rosenberg J, Bay-Nielsen M, Friis-Andersen H, Wara P, Jorgensen LN, Kehlet H, Bisgaard T (2010) Establishment and initial experiences from the Danish Ventral Hernia Database. Hernia 14:131–135

    Article  PubMed  CAS  Google Scholar 

  12. Jonas J (2009) The problem of mesh shrinkage in laparoscopic incisional hernia repair. Zentralbl Chir 134:209–213

    Article  PubMed  CAS  Google Scholar 

  13. Zinther NB, Wara P, Friis-Andersen H (2010) Shrinkage of intraperitoneal onlay mesh in sheep: coated polyester mesh versus covered polypropylene mesh. Hernia 14:611–615

    Article  PubMed  CAS  Google Scholar 

  14. Junge K, Binnebösel M, Rosch R, Jansen M, Kämmer D, Otto J, Schumpelick V, Klinge U (2009) Adhesion formation of a polyvinylidenfluoride/polypropylene mesh for intra-abdominal placement in a rodent animal model. Surg Endosc 23:327–333

    Article  PubMed  Google Scholar 

  15. Beldi G, Wagner M, Bruegger LE, Kurmann A, Candinas D (2011) Mesh shrinkage and pain in laparoscopic ventral hernia repair: a randomized clinical trial comparing suture versus tack mesh fixation. Surg Endosc 25:749–755

    Article  PubMed  Google Scholar 

  16. Brill JB, Turner PL (2011) Long-term outcomes with transfascial sutures versus tacks in laparoscopic ventral hernia repair: a review. Am Surg 77:458–465

    PubMed  Google Scholar 

  17. Bansal VK, Misra MC, Kumar S, Rao YK, Singhal P, Goswami A, Guleria S, Arora MK, Chabra A (2011) A prospective randomized study comparing suture mesh fixation versus tacker mesh fixation for laparoscopic repair of incisional and ventral hernias. Surg Endosc 25:1431–1438

    Article  PubMed  Google Scholar 

  18. Nguyen SQ, Divino CM, Buch KE, Schnur J, Weber KJ, Katz LB, Reiner MA, Aldoroty RA, Herron DM (2008) Postoperative pain after laparoscopic ventral hernia repair: a prospective comparison of sutures versus tacks. JSLS 12:113–116

    PubMed  Google Scholar 

  19. Chelala E, Debardemaeker Y, Elias B, Charara F, Dessily M, Allé J (2010) Eighty-five redo surgeries after 733 laparoscopic treatments for ventral and incisional hernia: adhesion and recurrence analysis. Hernia 14:123–129

    Article  PubMed  CAS  Google Scholar 

  20. Koehler RH, Begos D, Berger D, Carey S, LeBlanc K, Park A, Ramshaw B, Smoot R, Voeller G (2003) Minimal adhesions to ePTFE mesh after laparoscopic ventral incisional hernia repair: reoperative findings in 65 cases. JSLS 7:335–340

    PubMed  Google Scholar 

  21. Jenkins ED, Yom V, Melman L, Brunt LM, Eagon JC, Frisella MM, Matthews BD (2010) Prospective evaluation of adhesion characteristics to intraperitoneal mesh and adhesiolysis-related complications during laparoscopic re-exploration after prior ventral hernia repair. Surg Endosc 24:3002–3007

    Article  PubMed  Google Scholar 

  22. Helgstrand F, Rosenberg J, Kehlet H, Strandfelt P, Bisgaard T (2012) Reoperation vs. clinical recurrence rate after ventral hernia repair. Ann Surg [Epub ahead of print]

  23. Moreno-Egea A, Torralba JA, Girela E, Corral M, Bento M, Cartagena J, Vicente JP, Aguayo JL, Canteras M (2004) Immediate, early, and late morbidity with laparoscopic ventral hernia repair and tolerance to composite mesh. Surg Laparosc Endosc Percutan Tech 14:130–135

    Article  PubMed  Google Scholar 

  24. LeBlanc KA, Elieson MJ, Corder JM (2007) Enterotomy and mortality rates of laparoscopic incisional and ventral hernia repair: a review of the literature. JSLS 11:408–414

    PubMed  Google Scholar 

  25. Bencini L, Sánchez LJ (2004) Learning curve for laparoscopic ventral hernia repair. Am J Surg 187:378–382

    Article  PubMed  Google Scholar 

  26. Morales-Conde S (2012) A new classification for seroma after laparoscopic ventral hernia repair. Hernia 16:261–267

    Article  PubMed  CAS  Google Scholar 

  27. Cuccurullo D, Piccoli M, Agresta F, Magnone S, Corcione F, Stancanelli V, Melotti G (2013) Laparoscopic ventral incisional hernia repair: evidence-based guidelines of the first Italian Consensus Conference. Hernia [Epub ahead of print]

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Conflict of interest

The authors do not have any disclosures or conflicts of interest regarding this study.

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Authors and Affiliations

  1. Department of Surgery, Randers Regional Hospital, Skovlyvej 1, 8900, Randers, Denmark

    T. Sommer

  2. Department of Surgery, Horsens Regional Hospital, Sundvej 30, 8700, Horsens, Denmark

    H. Friis-Andersen

  3. Egernvej 14, Hojbjerg, 8270, Aarhus, Denmark

    T. Sommer

Authors
  1. T. Sommer
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  2. H. Friis-Andersen
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Correspondence to T. Sommer.

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Sommer, T., Friis-Andersen, H. DynaMesh® in the repair of laparoscopic ventral hernia: a prospective trial. Hernia 17, 613–618 (2013). https://doi.org/10.1007/s10029-013-1090-y

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  • DOI: https://doi.org/10.1007/s10029-013-1090-y

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