Progrip self-gripping mesh in Rives-Stoppa repair: Are there any differences in outcomes versus a retromuscular polypropylene mesh fixed with sutures? A “case series” study

Abstract

HighlightsThe Rives-Stoppa technique is an excellent repair in midline incisional hernia.Prospective comparative analysis between retromuscular Self-gripping mesh and PPL fixed with sutures.Self-gripping mesh is related to less postoperative pain the first 48 h after repair.There were more postoperative hematomas in Non-Progrip group.There were no differences in hernia recurrence in both groups.

What Is the Current Knowledge About Sublay/Retro-Rectus Repair of Incisional Hernias?

“…In a prospective comparative study with 50 patients comparing self-adhering, with suture fixed, meshes in sublay/retro-rectus incisional hernia repair, postoperative pain in the first 48 h was less in the self-adhering mesh group ( 74 ).…”

Is the sublay self-gripping mesh effective for incisional ventral hernia repair? Our experience and a systematic review of the literature

“…The extension of the dissection was not clearly reported, with the only exception being Bueno-Lledò et al [13], who proposed a distance of 5-10 cm from the edges of the defect. The anterior and posterior sheaths were closed with continuous slowly absorbable sutures [12][13][14][15]. Microgrips were in contact with the posterior rectus sheath and not with the muscle [12][13][14][15][16], and drains were usually placed in the retrorectus space or were placed subcutaneously.…”

“…Four of the selected articles described the adopted surgical technique [12][13][14][15]. The extension of the dissection was not clearly reported, with the only exception being Bueno-Lledò et al [13], who proposed a distance of 5-10 cm from the edges of the defect. The anterior and posterior sheaths were closed with continuous slowly absorbable sutures [12][13][14][15].…”

“…The anterior and posterior sheaths were closed with continuous slowly absorbable sutures [12][13][14][15]. Microgrips were in contact with the posterior rectus sheath and not with the muscle [12][13][14][15][16], and drains were usually placed in the retrorectus space or were placed subcutaneously. Khansa et al [12] compared the outcomes of IH repair with sutureless and self-gripping mesh to those of transfascial fixation sutures with synthetic or biological mesh.…”

“…Verhelst et al [14] reported the absence of pain in 82% of patients and only moderate and mild pain in 11% and 7% of patients, respectively, with no reports of severe pain. Additionally, Bueno-Lledò et al [13] demonstrated that self-adhering mesh allowed better outcomes than polypropylene mesh fixed with sutures. In fact, in this study, both postoperative pain and the rate of postoperative complications (haematoma) were significantly lower in patients treated with selfgripping mesh than in those treated with other types of prostheses.…”