Randomized clinical trial comparing lightweight composite mesh with polyester or polypropylene mesh for incisional hernia repair

Conze, Joachim; Kingsnorth, Andrew; Jb, Flament; Simmermacher, R. K. J.; Arlt, G.; Langer, Claus; Schippers, E.; Hartley, Mark; Schumpelick, Volker

doi:10.1002/bjs.5208

Cited by 149 publications

(103 citation statements)

References 20 publications

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“…Bei gleicher Stabilität induzieren diese Netze eine verminderte Fremdkör-perreaktion und sollen zu einer Verbesserung der Bauchwandbeweglichkeit im Vergleich zu den konventionellen schwergewichtigen Netzen führen [7,9,25,31].…”

Section: Netzschrumpfung In Der Hernienchirurgieunclassified

Mesh shrinkage in hernia surgery

Langer

Förster

Konietschke

et al. 2010

Chirurg

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In principle PP meshes following an uncomplicated ventral hernia repair do not shrink at all. A moderate shrinkage in isolated cases might occur following heavyweight mesh implantation. Under controlled conditions recurrence as well as complication rates are equal for heavyweight and lightweight PP meshes. Quality of life improves up to 2 years following mesh repair with a trend to a better outcome for lightweight meshes. Pain and mobility scores reached standard values 12 months postoperatively without significant differences between the lightweight and heavyweight meshes.

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Section: Netzschrumpfung In Der Hernienchirurgieunclassified

Mesh shrinkage in hernia surgery

Langer

Förster

Konietschke

et al. 2010

Chirurg

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“…The case for the use of light-weight mesh in incisional hernia has not been proven: in a randomised trial comparing light-weight composite mesh with polyester or polypropylene lightweight mesh, the recurrence rate was nearly three times higher for light-weight mesh compared with heavy-weight mesh without conferring any benefit on abdominal wall compliance or postoperative pain. 38 We employ selective use of the Ramirez components separation technique and the use of fibrin sealant. 39 In a 24-month period, 116 patients with major incisional hernias were treated and assessed at follow-up with a quality-of-life questionnaire.…”

Section: Incisional Herniamentioning

confidence: 99%

Hernia Surgery: From Guidelines to Clinical Practice

Kingsnorth

2009

annals

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INTRODUCTION Over the last 30 years, hernia surgery has developed into an evidence-based practice assisted by the development of guidelines. MATERIALS AND METHODS Prior to 1993, best practice in the UK was a nylon darn repair under general anaesthesia as an in-patient with prolonged recovery. The publication of The Royal College of Surgeons of England (RCSE) Guidelines on Groin Hernia Repair stimulated debate and coincided with the introduction of mesh hernioplasty and laparoscopic techniques. Further evolution of hernia management has occurred to enable the production of the European Hernia Society (EHS) guidelines in 2008. RESULTS The EHS guidelines cover all aspects of abdominal wall surgery including: indications for operation; investigations; organising surgical care; techniques; local anaesthesia; after-care, complications and outcome; and information for patients. CONCLUSIONS Surgeons have many choices when selecting an appropriate hernia operation for an individual patient. The EHS guidelines provide a basis for this decision-making.

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“…Sin embargo, por el rápido aumento de la variedad de mallas disponibles, seleccionar una puede ser un trabajo difícil (10), sin olvidar que las tasas de recurrencia después de este tipo de reparaciones pueden ser hasta de 32 % ( 11) y que están condicionadas, no sólo por las enfermedades concomitantes, sino por la tensión en el cierre, que debe ser evitada o liberada por los cirujanos ( 12). En un estudio publicado en la British Journal of Surgery, se compararon dos tipos de materiales protésicos para reparar los defectos herniarios, la malla estándar y la malla de baja densidad; se encontró menor recurrencia cuando se utilizaba la malla de baja densidad ( 13).…”

Section: Discussionunclassified

Hernias epigástricas recidivantes. ¿Manejo ideal o sugerido?

Zurita¹,

Arévalo²

2015

Rev. Sal. Bosq

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1 ResumenLa hernia incisional, es un defecto que aparece en una herida quirúrgica previa. Ha afectado a la salud, en cuanto al aumento de la limitación laboral y el incremento de los costos médico -quirúrgicos. Con la introducción de los nuevos materiales protésicos, se han revolucionado los conceptos del cierre de hernias de la pared abdominal, observando el advenimiento de diferentes tipos de reparaciones.El reporte de un caso corresponde a un paciente, de género masculino, con diagnóstico de hernias epigás-tricas recidivantes y antecedente de alergia al Látex, en quien se reparó el defecto con separación de componentes, disecando todo el espacio subfacial y preperitoneal, de manera roma, para lograr la colocación de una malla de baja densidad, con total cobertura del AbstractThe incisional hernia is a defect that appears in a previous surgical wound. It has affected health, in terms of increased employment limitation and medical and surgical costs. The introduction of the new prosthetic materials have revolutionized the closure management of the abdominal wall hernias observing the emergence of different types of repairs.The report of a case is a male patient diagnosed with recurrent epigastric hernias and history of latex allergy, in whom the defect was repaired with separation component technique, dissecting all the preperitoneal and subfascial space, blunting for placing a low density mesh, with full coverage of the space from the epigastrium to the umbilicus. The patient had no intraoperative or postoperative complications. In a

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Randomized clinical trial comparing lightweight composite mesh with polyester or polypropylene mesh for incisional hernia repair

Cited by 149 publications

References 20 publications

Mesh shrinkage in hernia surgery

Mesh shrinkage in hernia surgery

Hernia Surgery: From Guidelines to Clinical Practice

Hernias epigástricas recidivantes. ¿Manejo ideal o sugerido?

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