Ultrasound detection of visceral adhesion after intraperitoneal ventral hernia treatment: A comparative study of protected versus unprotected meshes

Arnaud, J P; Hennekinne-Mucci, S.; Pessaux, Patrick; Tuech, J.‐J.; Aubé, C.

doi:10.1007/s10029-003-0149-6

Cited by 13 publications

(15 citation statements)

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“…The pliability of the multifilament polyester coupled with its large porosity contributes to good tolerance of the mesh without extensive fibrosis. The hydrophilic reabsorbable film on the abdominal side of the peritoneum, which covers the mesh and the sutures without any damage by staplers or tackers, has been shown to minimize visceral adhesions while maintaining tissue ingrowth on the parietal mesh side, avoiding long-term complications [4,5]. Our series, based on a follow-up evaluation of 400 patients, confirms these previous reports.…”

Section: Discussionsupporting

confidence: 79%

“…This innovative mesh was chosen because of its hydrophilic absorbable film that protects the viscera from direct contact with the mesh during the process of integration, thereby minimizing adhesions and visceral erosion on the intraabdominal side [4]. Its sturdy structure makes it suitable for laparoscopic implantation, and its macroporous texture allows the admission of fibroblasts, blood vessels, and collagen fibers into the pores.…”

Section: Methodsmentioning

confidence: 99%

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The suturing concept for laparoscopic mesh fixation in ventral and incisional hernia repair: Mid-term analysis of 400 cases

et al. 2006

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Section: Discussionsupporting

confidence: 79%

Section: Methodsmentioning

confidence: 99%

The suturing concept for laparoscopic mesh fixation in ventral and incisional hernia repair: Mid-term analysis of 400 cases

et al. 2006

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“…The advantage of a hydrophilic protection was previously demonstrated with the reduction of visceral adhesions to the mesh after intraperitoneal ventral hernia repair [25]. Most of vaginal erosion occurred during the first 3 months but, in our experience, it could happen until 1 year after mesh implantation.…”

Section: Discussionmentioning

confidence: 73%

Prolapse repair by vaginal route using a new protected low-weight polypropylene mesh: 1-year functional and anatomical outcome in a prospective multicentre study

Tayrac

Devoldère²,

Renaudie³

et al. 2006

Int Urogynecol J

158

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The aim of this study was to evaluate the anatomical and functional results of a low-weight polypropylene mesh coated with an absorbable film in prolapse surgery by vaginal route. We have conducted a prospective multicentre study in 13 gynaecological and urological units. There were 230 patients requiring repair for anterior or posterior vaginal prolapse included. The present report is based on the analysis of the first 143 patients evaluated after at least 10 months follow-up. All patients were operated by the vaginal route using a specially designed mesh (Ugytex, Sofradim, France). Prolapse severity were evaluated using the Pelvic Organ Prolapse staging system. Symptoms and quality of life were evaluated preoperatively and during follow-up using the validated Pelvic Floor Distress Inventory (PFDI) and Pelvic Floor Impact Questionnaire (PFIQ) self-questionnaires. Mean age was 63 years (37-91). Anterior, posterior and anterior-posterior repair with the mesh were performed in 67 (46.9%), 11 (7.7%) and 65 (45.4%) patients, respectively. With a mean follow-up of 13 months (10-19), 132 patients were considered anatomically cured (92.3%) with a recurrence rate of 9 of 132 for cystocele (6.8%) and 2 of 76 for rectocele (2.6%). Nine vaginal erosions occurred (6.3%), six of them necessitated another procedure by simple excision. The rate of de novo dyspareunia was 12.8%. At follow-up, improvement of PFDI and PFIQ scores were highly significant (p<0.0001). The use of low-weight polypropylene mesh coated with a hydrophilic absorbable film for vaginal repair of genital prolapse seems to decrease local morbidity while maintaining low recurrence rates.

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“…However, an undesirable side effect of macroporosity is the adherence of macroporous meshes to the bowel when they are in direct contact with the intestinal tract. 16 Nowadays, composite meshes, made of two layers sewn together, usually a smooth microporous substrate in contact with the viscera and a well designed structure to promote tissue integration, 17 have the important advantage to be used in intraperitoneal space minimizing the risk of adhesion formation, promoting a better tissue integration and decreasing the patient discomfort and pain. 13 Nowadays different kind of polymers have been studied and used, absorbable and not absorbable and natural material such as collagen; however, since its introduction in 1959 by Usher and Gannon 8 and Usher et al, 9 the polypropylene (PP) has been the most popular material used in hernia repair.…”

Section: Introductionmentioning

confidence: 99%

The influence of mesh topology in the abdominal wall repair process

Maria

Burchielli

Salvadori³

et al. 2015

J Biomed Mater Res

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The tissue integration and the formation of adhesions in the repair of abdominal wall defects are principally led to the topology and the mechanical properties of implanted prosthesis. In this study we analyzed the influence of the topology of the meshes for abdominal wall repair, made of polypropylene (PP), evaluating its ability to prevent and to minimize the formation of adhesions, and to promote tissue ingrowth. Two series of in vivo studies were performed. In the first, two types of PP meshes, a lightweight macroporous mesh (LWM) and a heavyweight microporous mesh (HWM) were compared with determine the optimal porosity for tissue integration. In the second, a composite mesh, Clear Mesh Composite (CMC), made of a LWM sewn on a PP planar smooth film, was compared with a PP planar film, to demonstrate how two different topologies of same material are able to induce different tissue integration with the abdominal wall and different adhesion with internal organs. In both studies, the prostheses were implanted in Wistar rats and histological analysis and mechanical characterization of tissue coupled with the implants were performed. LWM showed better host tissue ingrowth in comparison to HWM. CMC prosthesis showed no adhesions to the viscera and no strong foreign body reaction, moreover its elasticity and anisotropy index were more similar to that of natural tissue. These results demonstrated that the surface morphology of PP surgical meshes allowed to modulate their repair ability. © 2015 Wiley Periodicals, Inc. J Biomed Mater Res Part B: Appl Biomater, 104B: 1220-1228, 2016.

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Ultrasound detection of visceral adhesion after intraperitoneal ventral hernia treatment: A comparative study of protected versus unprotected meshes

Cited by 13 publications

References 0 publications

The suturing concept for laparoscopic mesh fixation in ventral and incisional hernia repair: Mid-term analysis of 400 cases

The suturing concept for laparoscopic mesh fixation in ventral and incisional hernia repair: Mid-term analysis of 400 cases

Prolapse repair by vaginal route using a new protected low-weight polypropylene mesh: 1-year functional and anatomical outcome in a prospective multicentre study

The influence of mesh topology in the abdominal wall repair process

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