C Ammaturo1, G Bassi. 1. Hospital S.M. Di Loreto Nuovo, Naples, Italy. carmineammaturo@inwind.it
Abstract
BACKGROUND: The authors analyse the results of a prospective study on the use of a new type of composite mesh, Parietex Composite (PC) (Sofradim, France), positioned intraperitoneally in incisional hernias. METHODS: Twenty-six patients (9 men, 17 women), aged 51 on average (range 33-79), were treated with this mesh. Twenty-four patients underwent open surgery. Indications were: ventral hernias that were big, on the border, multirecurrent, or larger than 10 cm with important associated pathologies. Only two patients with small hernias were treated laparoscopically. RESULTS: The average follow-up of our survey was 15 months (range 6-24). All patients underwent ultrasound scans of the abdomen before surgery and 6 months after the operation, according to the Sigel technique, in order to detect the presence of visceral adhesions to the mesh. In 23 patients (88%), the bowel's motions, both spontaneous and induced, were in a normal range. We had neither intestinal occlusions nor fistulae. No deaths occurred. Postoperative complications were minor: two seromas (8%), one hematoma (4%), two parietal suppurations (8%). No mesh was removed. Only one recurrence occurred (4%). CONCLUSIONS: Our preliminary experience with PC is so positive that this mesh is currently the one of choice in our department when an intraperitoneal implant is required.
BACKGROUND: The authors analyse the results of a prospective study on the use of a new type of composite mesh, Parietex Composite (PC) (Sofradim, France), positioned intraperitoneally in incisional hernias. METHODS: Twenty-six patients (9 men, 17 women), aged 51 on average (range 33-79), were treated with this mesh. Twenty-four patients underwent open surgery. Indications were: ventral hernias that were big, on the border, multirecurrent, or larger than 10 cm with important associated pathologies. Only two patients with small hernias were treated laparoscopically. RESULTS: The average follow-up of our survey was 15 months (range 6-24). All patients underwent ultrasound scans of the abdomen before surgery and 6 months after the operation, according to the Sigel technique, in order to detect the presence of visceral adhesions to the mesh. In 23 patients (88%), the bowel's motions, both spontaneous and induced, were in a normal range. We had neither intestinal occlusions nor fistulae. No deaths occurred. Postoperative complications were minor: two seromas (8%), one hematoma (4%), two parietal suppurations (8%). No mesh was removed. Only one recurrence occurred (4%). CONCLUSIONS: Our preliminary experience with PC is so positive that this mesh is currently the one of choice in our department when an intraperitoneal implant is required.
Authors: M Korenkov; A Paul; S Sauerland; E Neugebauer; M Arndt; J P Chevrel; F Corcione; A Fingerhut; J B Flament; M Kux; A Matzinger; H E Myrvold; A M Rath; R K Simmermacher Journal: Langenbecks Arch Surg Date: 2001-02 Impact factor: 3.445
Authors: Juan M Bellón; Francisca Jurado; Francisca García-Moreno; Celia Corrales; Antonio Carrera-San Martín; Julia Buján Journal: J Biomed Mater Res Date: 2002
Authors: B Sadowski; J Rodriguez; R Symmonds; J Roberts; J Song; M Hasan Rajab; C Cummings; B Hodges Journal: Hernia Date: 2011-07-14 Impact factor: 4.739
Authors: B Lasses Martínez; M J Peña Soria; J J Cabeza Gómez; D Jiménez Valladolid; M Flores Gamarra; C Fernández Pérez; A Torres García; I Delgado Lillo Journal: Hernia Date: 2016-12-22 Impact factor: 4.739
Authors: Alfredo Moreno-Egea; José Antonio Castillo Bustos; Enrique Girela; José Luis Aguayo-Albasini Journal: Surg Endosc Date: 2009-06-17 Impact factor: 4.584
Authors: G C Ferrari; A Miranda; F Sansonna; C Magistro; S Di Lernia; D Maggioni; M Franzetti; R Pugliese Journal: Hernia Date: 2008-08-08 Impact factor: 4.739