Ergebnisse der Laparoskopischen Versorgung von Bauchwandhernien mit einem PTFE-Polypropylen-Komposite-Netz

Translated title of the contribution: Results of Laparoscopic Repair of Abdominal Wall Hernias Using an ePTFE-Polypropylene Composite Mesh

I. Gál, A. Balint, L. Szabo

Research output: Contribution to journalArticle

9 Citations (Scopus)

Abstract

Background: The standard technique for laparoscopic ventral hernioplasty (peritoneal onlay) reduces the recurrence rate and the rate of other complications, in particular the risk of infections. However, the procedure requires a special mesh to mitigate the risk of visceral adhesions. For this purpose an ePTFE mesh is generally used. There are limited reported clinical data regarding the long-term results and benefits of other biomaterials. Study design: Bard Composix mesh was used for laparoscopic ventral hernia repair. This biomaterial combines two different clinically proven materials - polypropylene with a thin layer of ePTFE - to maximize ingrowth of surrounding tissue, while mitigating the risk of visceral adhesions. Demographic, operative and postoperative data were collected and analyzed. Follow-up clinical evaluations were conducted 6-10 days, 4 weeks, and every 6th month after surgery in all patients. Results: Fifteen patients were involved in the study. The mean operating time was 101.2 min (64-190 min). There were no intraoperative complications or conversion to open procedure. Postoperative complications were 1 seroma, 4 cases of prolonged ileus, one tacks-site pain requiring second-look laparoscopy. Hospital discharge occurred on average 6 days (3-10 days) after surgery. The mean follow-up was 12.4 months (range 5-29 months). No late complications or hernia recurrence were observed. Conclusions: Laparoscopic prosthetic ventral hernioplasty using the composite polypropylen/ePTFE mesh offers short hospital stay and acceptable complications for primary and recurrent ventral hernias. Disadvantage of the composite mesh is the difficulty to roll this product into a sufficiently small size to permit its easy introduction into the abdominal cavity.

Original languageGerman
Pages (from-to)92-95
Number of pages4
JournalZentralblatt fur Chirurgie
Volume129
Issue number2
DOIs
Publication statusPublished - Apr 2004

Fingerprint

Abdominal Hernia
Polypropylenes
Herniorrhaphy
Abdominal Wall
Ventral Hernia
Biocompatible Materials
Conversion to Open Surgery
Seroma
Recurrence
Inlays
Abdominal Cavity
Ileus
Intraoperative Complications
Hernia
Ambulatory Surgical Procedures
Laparoscopy
Length of Stay
Demography
Pain
Infection

Keywords

  • Abdominal wall hernia
  • Composite-mesh
  • Laparoscopy
  • Results

ASJC Scopus subject areas

  • Surgery

Cite this

Ergebnisse der Laparoskopischen Versorgung von Bauchwandhernien mit einem PTFE-Polypropylen-Komposite-Netz. / Gál, I.; Balint, A.; Szabo, L.

In: Zentralblatt fur Chirurgie, Vol. 129, No. 2, 04.2004, p. 92-95.

Research output: Contribution to journalArticle

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