Repair of small and medium size ventral hernias with a Proceed Ventral Patch: a single center retrospective analysis

Ambe, Peter C.; Meyer, Alyssa J.; Köhler, L.

doi:10.1007/s00595-012-0245-2

Cited by 29 publications

(24 citation statements)

References 11 publications

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“…Although not directly comparable due to differences in follow-up time and experience of surgeons, the observed 2.8% recurrence rate is less than that reported previously with use of the Ventralex™ hernia patch (up to 14.8% in 25 months)5,9,16,22–25 or the Proceed ® Ventral Patch (up to 12% in 16 months)26–30 or by the regional cohort study from the Danish Hernia Database (up to 10% over 43 months);1 however, it is in line with the results from the meta-analysis by Nguyen et al31 showing a 2.7% recurrence rate after mesh repair of primary ventral hernias. These initial PANACEA study results are reported at 1 year, and a longer follow-up is necessary to assess whether this low recurrence rate with PCO-VP is maintained long term.…”

Section: Discussioncontrasting

confidence: 68%

A multicenter prospective study of patients undergoing open ventral hernia repair with intraperitoneal positioning using the<br />monofilament polyester composite ventral patch: interim results of the PANACEA study

Berrevoet¹,

Doerhoff²,

Muysoms³

et al. 2017

MDER

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PurposeThis study assessed the recurrence rate and other safety and efficacy parameters following ventral hernia repair with a polyester composite prosthesis (Parietex™ Composite Ventral Patch [PCO-VP]).Patients and methodsA single-arm, multicenter prospective study of 126 patients undergoing open ventral hernia repair with the PCO-VP was performed. Patient outcomes were assessed at discharge and at 10 days, 1, 6, 12, and 24 months postoperative.ResultsAll patients had hernioplasty for umbilical (n = 110, 87.3%) or epigastric hernia (n = 16, 12.7%). Mean hernia diameter was 1.8 ± 0.8 cm. Mean operative time was 36.2 ±15.6 minutes, with a mean mesh positioning time of 8.1 ± 3.4 minutes. Surgeons reported satisfaction with mesh ease of use in 95% of surgeries. The cumulative hernia recurrence rate at 1 year was 2.8% (3/106). Numeric Rating Scale (NRS) pain scores showed improvement from 2.1 ± 2.0 at preoperative baseline to 0.5 ± 0.7 at 1 month postoperative (P < 0.001), and this low pain level was maintained at 12 months postsurgery (P < 0.001). The mean global Carolina’s Comfort Scale® (CCS) score improved postoperatively from 3.8 ± 6.2 at 1 month to 1.6 ± 3.5 at 6 months (P < 0.001). One patient was unsatisfied with the procedure.ConclusionThis 1-year interim analysis using PCO-VP for primary umbilical and epigastric defects shows promising results in terms of mesh ease of use, postoperative pain, and patient satisfaction. Recurrence rate is low, but, as laparoscopic evaluation shows a need for patch repositioning in some cases, an accurate surgical technique remains of utmost importance.

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Section: Discussioncontrasting

confidence: 68%

A multicenter prospective study of patients undergoing open ventral hernia repair with intraperitoneal positioning using the<br />monofilament polyester composite ventral patch: interim results of the PANACEA study

Berrevoet¹,

Doerhoff²,

Muysoms³

et al. 2017

MDER

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“…However, increasing expertise in minimal invasive management of ventral hernias has led to a great decrease in the rate of complication following ventral hernia closure (Heniford et al 2003 ; Lee et al 2013 ). Over the last years, many studies on the use of prosthetic hernia patches for the management of small and medium size umbilical and ventral hernia have been published (Iversen et al 2010 ; Tollens et al 2010 ; Ambe et al 2013 ; Martin et al 2008 ). However, none of the available series focused on obese patients.…”

Section: Discussionmentioning

confidence: 99%

“…Over the last decade, prosthetic patches have been employed in the closure of UH (Berrevoet et al 2011 ; Iversen et al 2010 ; Tollens et al 2010 ). Current data supports hernia patches to be safe and effective in the management of small and medium size ventral hernias including UH (Iversen et al 2010 ; Ambe et al 2013 ; Martin et al 2008 ). However, no data exists on the use of hernia patches in obese patients.…”

Section: Introductionmentioning

confidence: 88%

“…The straps were then pulled to ensure its correct positioning against the abdominal wall. The straps were then sutured to the fascia with non-absorbable sutures, after which the overlaps were resected as previously described (Ambe et al 2013 ). In order to achieve a tension free repair, the edges of the fascial defect were not approximated.…”

Section: Methods and Proceduresmentioning

confidence: 99%

See 1 more Smart Citation

Closure of small and medium size umbilical hernias with the Proceed Ventral Patch in obese patients: a single center experience

et al. 2014

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Obesity is a risk factor for the development of umbilical hernia. Open hernia closure could be challenging in obese patients leading to high rates of recurrence. The aim of this study was to investigate the effectiveness and safety of hernia patches in the management of obese patients with umbilical hernias. All the patients included in this study were managed in the department of surgery of a primary care hospital in Germany. The data of patients undergoing umbilical hernia repair within a two-year period was retrospectively reviewed. Patients managed with the PVP were included for analysis. 24 obese patients were analyzed. Small and medium size patches were used in 15 and 9 patients respectively. The median duration of surgery was 40 min and the median length of hospital stay was 4d. The mean length of follow-up was 12 ± 9 months (range: 6–30 months). The rate of recurrence was 4.1% and the rate of complication was 8.3%. Obese patients presenting with small and medium size umbilical hernias could be safely and effectively managed with prosthetic patches like the Proceed Ventral Patch. However, the limited overlap zone following hernia closure with such a patch can be an issue.

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“…These hernias are most commonly seen in the umbilical region, according to localization (2). Although most do not have any symptoms, umbilical hernias are often symptomatic and require surgical repair due to the risk of incarceration (3,4). Different techniques have been described in surgical repair.…”

Section: Introductionmentioning

confidence: 99%

Intraperitoneal Ventralex™ ST Hernia Patch Application for Ventral Hernia Repair

Ağca¹,

İşcan²

2019

eamr

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Repair of small and medium size ventral hernias with a Proceed Ventral Patch: a single center retrospective analysis

Abstract: Ventral hernia closure with PVP™ is safe and effective. The rates of complication and recurrence are comparable to those of the Bard(®) Ventralex™ Hernia Patch.

Cited by 29 publications

References 11 publications

A multicenter prospective study of patients undergoing open ventral hernia repair with intraperitoneal positioning using the<br />monofilament polyester composite ventral patch: interim results of the PANACEA study

A multicenter prospective study of patients undergoing open ventral hernia repair with intraperitoneal positioning using the<br />monofilament polyester composite ventral patch: interim results of the PANACEA study

Closure of small and medium size umbilical hernias with the Proceed Ventral Patch in obese patients: a single center experience

Intraperitoneal Ventralex™ ST Hernia Patch Application for Ventral Hernia Repair

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