Late Complications of Incisional Hernias Following Prosthetic Mesh Repair

Başoğlu, Mahmut; Yıldırgan, M. İlhan; Yılmaz, İsmayil; Balık, Ahmet A.; Çelebi, Fehmi; Atamanalp, S. S.; Polat, K.Y.; Ören, Durkaya

doi:10.1080/00015458.2004.11679586

Cited by 75 publications

(38 citation statements)

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“…Although there have been sporadic reports in the literature by authors who claim that intraperitoneal polypropylene mesh implantation is not associated with enterocutaneous fistulae [21], there have been numerous reports of this type of complication both in open surgery [2][3][4][5][6][7][8][9][10] and laparoscopy [11]. This is due to the fact that meshes to be implanted in contact with the viscera must contemporaneously have two properties: they must stimulate an adequate fibroblastic reaction on the parietal side of the mesh, so as to ensure optimal incorporation, but this same reaction must not involve the visceral side of the mesh.…”

Section: Discussionmentioning

confidence: 99%

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Outcomes of the open mesh repair of large incisional hernias using an intraperitoneal composite mesh: our experience with 100 cases

Ammaturo

Bassi

2010

Updates Surg

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Incisional hernia repair sometimes requires intraperitoneal implantation of a mesh. This becomes necessary when the hernia opening is large, in particular, in patients with a low abdominal wall surface/wall defect surface (AWS/WDS) ratio, in large boundary incisional hernias where the proximity to bone structures or cartilage often complicates retromuscular mesh implantation and in multi-recurrent incisional hernias that are sometimes characterised by an actual loss of abdominal wall tissue. The authors report on the results of a series of 100 incisional hernias treated between 1999 and 2006 using the open technique to implant an intraperitoneal mesh (Parietex Composite). Mean follow-up time was 42 months (range 12-96 months). The mean wall defect surface was 95 cm(2) (range 60-210 cm(2)). Twelve percent of patients suffered minor complications: 5 seromas (5%), 3 haematomas (3%) and 4 parietal suppurations (4%). No mesh had to be removed. The recurrence rate was 6%. At 6 months after surgery, no patient lamented pain or discomfort due to foreign body sensation. None of these patients presented intestinal occlusion or enterocutaneous fistulae. In conclusion, it is our opinion that the mesh should be implanted in direct contact with the viscera only where absolutely necessary, i.e., when it cannot be implanted in the retromuscular area without creating excessive parietal tension. Our experience with PC mesh, over the short-to-medium term, was positive. Naturally, further studies are required to evaluate long-term biocompatibility.

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Section: Discussionmentioning

confidence: 99%

“…A longer follow-up period is required and on larger patient populations, as cases of intestinal occlusion or enterocutaneous fistulae have been reported even years after mesh implantation [2][3][4][5][6][7][8][9][10][11].…”

Section: Introductionmentioning

confidence: 99%

Outcomes of the open mesh repair of large incisional hernias using an intraperitoneal composite mesh: our experience with 100 cases

Ammaturo

Bassi

2010

Updates Surg

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“…5 Hernia recurrence rates with synthetic mesh have been quoted between 1 and 27%. 3,[6][7][8] In general, the use of prosthetic materials has reduced these rates to 10% or less. 9 Obviously, the reported variations depend on operative technique.…”

Section: Introductionmentioning

confidence: 99%

Experimental Evaluation of Four Biologic Prostheses for Ventral Hernia Repair

Gaertner

Bonsack

Delaney

2007

Journal of Gastrointestinal Surgery

141

103

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“…Complications associated with synthetic non-absorbable materials such as wound infection, bowel fistulae, adhesion formation, seroma formation, and mesh extrusion have been reported [2,6,[15][16][17][18][19]. Available absorbable synthetic materials include polylactide, polyglactin 910, and polyglycolic acid [6,20].…”

Section: Introductionmentioning

confidence: 99%