TY - JOUR
T1 - Abdominal wall hernia repair with a composite ePTFE/polypropylene mesh: clinical outcome and quality of life in 152 patients
AU - Iversen, E
AU - Lykke, Anna
AU - Hensler, M
AU - Jørgensen, Lars Nannestad
PY - 2010/12/1
Y1 - 2010/12/1
N2 - Purpose: No consensus has yet been reached regarding the optimal mesh for the repair of small ventral hernias. A composite polytetrafluoroethylene/ polypropylene mesh (Ventralex®) is designed for this purpose, and this paper reports its use in a larger series of patients. Methods: Open repair for a small ventral hernia was undertaken in 152 patients between April 2006 and June 2008. Data from medical files were gathered, and follow-up questionnaires were retrieved. Patients were asked about pain, intake of analgesics and various physical capabilities. Patients with postoperative complaints were offered a follow-up visit. Ultrasonography was performed if recurrence was suspected. Results: Median surgery time was 39 min (range 16-129 min). Junior surgeons performed 63% of the operations. Questionnaires were returned by 81.6% with a mean follow-up of 15.6 months. Eighteen patients (11.8%) had complications. Pain score was significantly lower and the physical capabilities of the patients were significantly enhanced after the operation. Recurrent hernia was reported in four patients (2.6%). Five patients (3.3%) had the mesh removed due to deep infection, chronic pain or early recurrence. The training level of the surgeon had no influence on the incidence of complications. A 93.8% majority of the patients would recommend this specific procedure to others. Conclusions: The intraperitoneal placement of this composite mesh is associated with a high level of patient satisfaction as well as low rates of both recurrence and infection.
AB - Purpose: No consensus has yet been reached regarding the optimal mesh for the repair of small ventral hernias. A composite polytetrafluoroethylene/ polypropylene mesh (Ventralex®) is designed for this purpose, and this paper reports its use in a larger series of patients. Methods: Open repair for a small ventral hernia was undertaken in 152 patients between April 2006 and June 2008. Data from medical files were gathered, and follow-up questionnaires were retrieved. Patients were asked about pain, intake of analgesics and various physical capabilities. Patients with postoperative complaints were offered a follow-up visit. Ultrasonography was performed if recurrence was suspected. Results: Median surgery time was 39 min (range 16-129 min). Junior surgeons performed 63% of the operations. Questionnaires were returned by 81.6% with a mean follow-up of 15.6 months. Eighteen patients (11.8%) had complications. Pain score was significantly lower and the physical capabilities of the patients were significantly enhanced after the operation. Recurrent hernia was reported in four patients (2.6%). Five patients (3.3%) had the mesh removed due to deep infection, chronic pain or early recurrence. The training level of the surgeon had no influence on the incidence of complications. A 93.8% majority of the patients would recommend this specific procedure to others. Conclusions: The intraperitoneal placement of this composite mesh is associated with a high level of patient satisfaction as well as low rates of both recurrence and infection.
U2 - 10.1007/s10029-010-0729-1
DO - 10.1007/s10029-010-0729-1
M3 - Journal article
SN - 1265-4906
VL - 14
SP - 555
EP - 560
JO - Hernia : the journal of hernias and abdominal wall surgery
JF - Hernia : the journal of hernias and abdominal wall surgery
IS - 6
ER -