Open ventral hernia repair with a composite ventral patch - final results of a multicenter prospective study

Berrevoet, Frederik; Doerhoff, Carl; Muysoms, Filip; Hopson, Steven B.; Muzi, M Gallinella; Nienhuijs, Simon W.; Kullman, Eric; Tollens, Tim; Schwartz, Mark R.; LeBlanc, Karl A.; Velanovich, Vic; Jørgensen, Lars Nannestad

doi:10.1186/s12893-019-0555-z

Cited by 12 publications

(24 citation statements)

References 26 publications

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“…The open IPOM technique with Parietex™ Composite Ventral Patch in our study achieved an acceptable recurrence rate of 7.5% (11/146), within the range between 1.7% 12 and 15.7% 13 described in the literature. The PANACEA study published by Berrevoet et al 9,32 . represents the only direct comparison of our study.…”

Section: Discussionmentioning

confidence: 93%

“…The treatment currently recommended by the guidelines of the European Hernia Society (EHS) is the placement of a preperitoneal flat mesh in the preperitoneal space 8 . Another highly described technique is the placement of a preformed composite mesh in the intraabdominal or preperitoneal space 9–11 . These prostheses are self‐expandable, which facilitates its placement through the hernia defect 9 .…”

Section: Introductionmentioning

confidence: 99%

“…Ventralex™ Hernia Patch (BD, Franklin Lakes, NJ, USA) has many articles on its favour, 11,13,16–22 closely followed by Proceed® Ventral Patch (Ethicon, Johnson & Johnson, New Brunswick, NJ, USA) 10,12,23–25 . In opposition, the use of C‐QUR V‐Patch™ (Maquet Gentige Group, Germany) has only been described in two observational articles 26,27 and Parietex™ Composite Ventral Patch (Medtronic, Minneapolis, MN, USA) has only been evaluated in one prospective single‐arm trial 9 …”

Section: Introductionmentioning

confidence: 99%

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Parietex™ Composite Ventral Patch for primary and incisional hernia repair

Barranquero

Villalobos

González

et al. 2023

ANZ Journal of Surgery

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Backgrounds Ventral hernia repair with a preformed device is a frequent intervention, but few reports exist with Parietex™ Composite Ventral Patch. The aim was to evaluate the results of this mesh with the open intraperitoneal onlay mesh (open IPOM) technique. Methods Observational retrospective single institution study of all consecutive patients intervened for ventral or incisional hernia with a diameter inferior to 4 cm, from January 2013 to June 2020. The surgical repair was performed according to the open IPOM technique with Parietex™ Composite Ventral Patch. Results A total of 146 patients were intervened: 61.6% with umbilical hernias, 8.2% with epigastric hernias, 26.7% with trocar incisional hernias, and 3.4% with other incisional hernias. The global recurrence rate was 7.5% (11/146). Specifically, it was 7.8% in umbilical hernias, 0% in epigastric hernias, 7.7% in trocar incisional hernias and 20% (1/5) in other incisional hernias. The median time for recurrence was 14 months (IQR: 4.4–18.7). The median indirect follow‐up was 36.9 months (IQR: 27.2–49.6), and the median presential follow‐up was 17.4 months (IQR: 6.5–27.3). Conclusion The open IPOM technique with a preformed patch offered satisfactory results for the treatment of ventral and incisional hernias.

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Section: Discussionmentioning

confidence: 93%

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

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Parietex™ Composite Ventral Patch for primary and incisional hernia repair

Barranquero

Villalobos

González

et al. 2023

ANZ Journal of Surgery

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“…Therefore, we are faced with another question: what was the actual size of the hernia—the primary size or that following widening? In particular, shape memory mesh requires a larger orifice through which it is introduced [ 20 ]. An attempt to place coated mesh through a narrow orifice may lead to damage to the nonadhesive layer, the inability to fit the mesh rings through the tight hole, and the lack of complete control over the margins and alignment of the mesh, which can promote adhesions and bending of the mesh in half, similar to a ‘clamshell’ or ‘potato chip’ mechanism, and thus favoring recurrence [ 21 ].…”

Section: Discussionmentioning

confidence: 99%

Is mesh always necessary in every small umbilical hernia repair? Comparison of standardized primary sutured versus patch repair: retrospective cohort study

Mitura

Skolimowska-Rzewuska

Rzewuska

et al. 2020

Hernia

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Purpose A retrospective analysis was carried out to compare the results of patch repair using ready-made, synthetic mesh (PR) and sutured repair (SR) based on standard protocols. The accumulated recurrence rate was accepted as the primary outcome. Pain at rest and during exercise, cosmetic effect and treatment satisfaction were chosen as the secondary endpoints. Methods Adult patients after elective, open surgical repair of a single, primary umbilical hernia < 2 cm in diameter were included. Patients with incarceration or strangulation, after previous umbilical hernia repair or other abdominal surgical interventions were excluded. In the SR group, single-layer sutures were placed using the short-stitch technique. In PR group, a 6.3-mm ready-made Parietene Ventral Patch (Medtronic) was used. Results 161 patients (104 in PR and 57 in SR groups) were included in the study (22 months follow-up). Nine recurrences were observed [six in PR (5.8%) and three in SR group (5.2%)]. In PR group, three patients (2.9%) reported complaints at rest and none in SR group, while 18 patients (17.3%) in PR group reported pain during exercises and 7 (12.3%) in SR group. Conclusion For the smallest umbilical hernias, the use of dense fascia suturing (short-stitch technique) may be an effective alternative to patch repair techniques in patients with no additional risk factors for recurrence. The mesh patch repair method is associated with a significantly higher risk of postsurgical pain. Diastasis recti is a factor favoring umbilical hernia recurrence after both pure tissue repair and patch repair.

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“…The German surgeon Ferdinand Kockerling in 2020 published a large comparative study of the open IPOM technique versus the sublay technique where it does not prove significant differences in terms of SSO, while the chronic pain is greater in the IPOM technique [12]. In another multicenter study, open IPOM technique in treatment of primary ventral hernia shows excellent results in terms of recurrence, pain, quality of life [13]. However, the same technique in laparoscopic hernioplasty has proven to be superior to open [14].…”

Section: Discussionmentioning

confidence: 99%

Comparative Analysis between Laparoscopic and Open IPOM Ventral Hernioplasty

Kadri¹,

Panikj²,

Mladenovic³

et al. 2020

JHMN

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Introduction: In everyday surgical practice, ventral hernia repair is one of the most commonly performed surgeries worldwide. Ventral hernioplasty can be performed either with open or laparoscopic approach and in this study both approaches use the IPOM technique of mesh placement. From the clinical experience so far, the laparoscopic approach is characterized by a lower rate of early postoperative complications, shorter hospital stay and a period of convalescence. The aim of the study was to compare early postoperative complications, duration of surgery, hospital stay, recurrence in the first year and convalescence period between patients undergoing open and laparoscopic access with IPOM ventral hernioplasty. Material and methods: The study was designed as a randomized, prospective, comparative study of 63 patients who met the inclusion criteria, operated by IPOM technique and divided into two groups: open access to 32 patients and laparoscopic access to 31 patients. Early postoperative complications, duration of surgery, hospital stay, recurrence in the first year, and convalescence were compared in both groups. Statistical processing and data analysis was performed in the statistical programme SPSS version 23.0. Values of p <0.05 were taken as statistically significant. Results: Regarding the early postoperative complications, it was found that the occurrence of seroma is more common in the laparoscopic group (p = 0.013), while in open hernioplasty the number of surgical site infections is significantly higher (p = 0.03). The hospital stay expressed in days is longer in open hernioplasty (p = 000001). Regarding the duration of the operation (p = 0.8) and the period of convalescence (p = 0.28), there is no statistically significant difference between the two groups. Discussion: The results shown by our experience shows that laparoscopic ventral IPOM hernia repair is characterized by lower rates of SSI, a shorter hospital stay, but without statistical significant benefit in terms of a period of convalescence, duration of surgery and recidive rate in the first year. Тhe choice of treatment and access should be based according to individual patient characteristics. A laparoscopic approach, due to its minimal invasiveness, should be more common in ventral hernioplasty.

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Open ventral hernia repair with a composite ventral patch - final results of a multicenter prospective study

Cited by 12 publications

References 26 publications

Parietex™ Composite Ventral Patch for primary and incisional hernia repair

Parietex™ Composite Ventral Patch for primary and incisional hernia repair

Is mesh always necessary in every small umbilical hernia repair? Comparison of standardized primary sutured versus patch repair: retrospective cohort study

Comparative Analysis between Laparoscopic and Open IPOM Ventral Hernioplasty

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