J Rosenberg1, J Burcharth. 1. Department of Surgical Gastroenterology D, Gentofte Hospital, University of Copenhagen, Copenhagen, Denmark. jaro@geh.regionh.dk
Abstract
BACKGROUND: There are many different meshes available for laparoscopic repair of ventral hernias. A relatively new product is the Proceed mesh with a bioresorbable layer against the bowels and a polypropylene layer against the abdominal wall. There are, however, no human data available. The aim of this study was to evaluate the feasibility and outcome after laparoscopic ventral hernia repair using the Proceed mesh in humans. METHODS: Patients presenting for laparoscopic ventral hernia repair in our department from September 2004 to October 2006 were included in the study. All patients had a standard laparoscopic ventral hernia repair using the Proceed mesh secured with tackers with a double crown technique. Patients were discharged according to standard discharge criteria, and follow-up was performed with a search in the national patient database and with manual search in the patients' files. RESULTS: Our study included 49 patients with a median age of 64 years (range 30-89) and body mass index of 27.8 (19.4-50.5). The dimensions of the mesh varied from 4 x 4 cm to 30 x 40 cm (median 15 x 15 cm). One patient developed an uncomplicated wound infection and none of the 49 patients developed mesh infections or postoperative seroma requiring surgical intervention. Thus, there were no mesh-related complications. During the follow-up period of 17 months (3-27), we have not seen any postoperative recurrences. The median length of stay was 1 day (range 0-63), and there was no mortality. CONCLUSION: Laparoscopic ventral hernia repair in humans using the Proceed mesh is feasible and has a low complication rate even in obese patients or those with pulmonary disease.
BACKGROUND: There are many different meshes available for laparoscopic repair of ventral hernias. A relatively new product is the Proceed mesh with a bioresorbable layer against the bowels and a polypropylene layer against the abdominal wall. There are, however, no human data available. The aim of this study was to evaluate the feasibility and outcome after laparoscopic ventral hernia repair using the Proceed mesh in humans. METHODS:Patients presenting for laparoscopic ventral hernia repair in our department from September 2004 to October 2006 were included in the study. All patients had a standard laparoscopic ventral hernia repair using the Proceed mesh secured with tackers with a double crown technique. Patients were discharged according to standard discharge criteria, and follow-up was performed with a search in the national patient database and with manual search in the patients' files. RESULTS: Our study included 49 patients with a median age of 64 years (range 30-89) and body mass index of 27.8 (19.4-50.5). The dimensions of the mesh varied from 4 x 4 cm to 30 x 40 cm (median 15 x 15 cm). One patient developed an uncomplicated wound infection and none of the 49 patients developed mesh infections or postoperative seroma requiring surgical intervention. Thus, there were no mesh-related complications. During the follow-up period of 17 months (3-27), we have not seen any postoperative recurrences. The median length of stay was 1 day (range 0-63), and there was no mortality. CONCLUSION: Laparoscopic ventral hernia repair in humans using the Proceed mesh is feasible and has a low complication rate even in obesepatients or those with pulmonary disease.
Authors: B J Ramshaw; P Esartia; J Schwab; E M Mason; R A Wilson; T D Duncan; J Miller; G W Lucas; J Promes Journal: Am Surg Date: 1999-09 Impact factor: 0.688
Authors: Yuri W Novitsky; Andrew G Harrell; Joseph A Cristiano; B Lauren Paton; H James Norton; Richard D Peindl; Kent W Kercher; B Todd Heniford Journal: J Surg Res Date: 2007-06-01 Impact factor: 2.192
Authors: Andrew G Harrell; Yuri W Novitsky; Joseph A Cristiano; Keith S Gersin; H James Norton; Kent W Kercher; B Todd Heniford Journal: Surg Endosc Date: 2007-02-07 Impact factor: 3.453