Parietex™ Composite Ventral Patch for primary and incisional hernia repair

Abstract

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.

Incisional hernias post cytoreductive surgery/peritonectomy and hyperthermic intraperitoneal chemotherapy: a systematic review and meta-analysis

“…In the case of IH repair post peritonectomy, open surgery may be the most effective option due to the fact it may no longer be possible to place a pre-peritoneal mesh. Additionally a retro-rectus approach may not be feasible if the posterior rectus sheath is resected, leaving the option of an onlay repair, which has its own complications [ 55 , 56 ]. If open repair is undertaken this will further increase repair economic cost.…”