Intraperitoneal tension-free repair of small midline ventral abdominal wall hernias with a Ventralex hernia patch: initial experience in 51 patients

Abstract

Midline ventral hernias are common. Tension-free mesh repair of ventral hernias is becoming popular due to the high recurrence rate with conventional techniques. We have used an open intraperitoneal technique using the Bard Ventralex hernia patch in midline ventral hernias (<or=3 cm). Fifty-one patients were treated (34 males and 17 females) with a mean age of 52.4 years (range 18-82). Forty-three patients were day cases. Operative times, analgesic use, overnight hospital stay and postoperative complications were recorded prospectively. The mean operative time was 30 min (range 10-68). Thirty-six patients required mild/moderate postoperative analgesia. Two patients had minor wound infections and one had seroma. There was one recurrence. Our early experience suggests that Ventralex hernia patch repair of small midline ventral hernias can be performed as a day case with minimal postoperative complications.

Intraperitoneal Mesh Repair of Small Ventral Abdominal Wall Hernias with a Ventralex Hernia Patch

“…We had 2 hematomas without wound infection or seroma. These results compare favorably with the literature, with a mean infection rate of 2–4% [7,8]. We have found many advantages in using this technique, providing it is used with respect to specific indications.…”

“…The mean duration of surgery in our study was 33 min, including the five interventions with concomitant procedures. These results are comparable (the time reported by Hadi et al [7] was 30 min) if not better than other published series (time reported by Martin et al [8] was 45 min) even though most operations were performed by residents helped by senior surgeons. Hospital stay in our study was 2 days (range 0–15).…”

“…Bard, Inc., Warwick, R.I., USA). To our knowledge, few studies have been carried out to evaluate this prosthesis [7,8]. These studies have demonstrated that the use of the Ventralex mesh is safe, with a limited number of recurrences (0–1%).…”

Current options in umbilical hernia repair in adult patients

“…Two tails that are connected to the bilayer patch were sutured to fascial edges to avoid migration. Promising early results have been reported; however, these prostheses are expensive, and prospective randomized comparative studies have not yet been conducted (36)(37)(38). It has been reported that recurrence after this kind of bilayer prosthesis is higher in comparison with that after classical sublay mesh placements possibly because of the less controllable mesh deployment (39).…”

Prophylactic Closure of Trocar Orifices with an Intraperitoneal Mesh (Ventralex®) in Laparoscopic Bariatric Surgery

“…This mesh, the Ventralex \ Hernia Patch (CR Bard, Murray Hill, NJ, USA; Fig. 1), was initially designed for the treatment of small ventral, umbilical, and epigastric hernias [6,7]. We currently employ this device to close all 15-mm trocar wounds.…”