Skip to main content
Key Specialties
Cardiology Diabetology Endocrinology Gastroenterology Geriatrics and Gerontology Gynecology and Obstetrics Hematology Infectious Disease Internal Medicine Nephrology Neurology Oncology Pediatrics Respiratory Medicine Rheumatology Surgery
Congress Coverage
2024 ACC Congress 2023 ESMO Congress 2023 EASD Congress 2023 ERS Congress 2023 ESC Congress
Clinical Collections
Advances in Alzheimer’s

Keynote webinar | Spotlight on medication adherence

LIVE: Thursday 27th June 2024, 18:00-19:30 (CEST)
Join our expert panel to discover why you need to understand the drivers of non-adherence in your patients, and how you can optimize medication adherence in your clinics to drastically improve patient outcomes.
ADVANCED SEARCH
Log in
Top
Surgical Endoscopy
Published in: Surgical Endoscopy 5/2006

01-05-2006

Laparoscopic ventral hernia repair using expanded polytetrafluoroethylene–polyester mesh compound

Author: M. Farrakha

Published in: Surgical Endoscopy | Issue 5/2006

Login to get access

Abstract

Background

Many biomaterials and composites have been used in clinical and experimental laparoscopic ventral hernia repair. The ideal prosthesis should allow firm binding to the abdominal wall without adhesion to the bowel.

Methods

A compound prosthesis was made by circumferentially suturing a Gore-Tex mesh as visceral interface to a smaller polyester mesh as parietal interface, and it was used in 46 laparoscopic ventral hernia repairs between January 2000 and December 2004.

Results

Average operative time was 65 min, with no intraoperative complications. Mean hospital stay was 2.2 days. Postoperative complications were five seromas, two hematomas, and one recurrence after a mean follow-up of 32.2 months.

Conclusion

The prosthesis used was made of two biomaterials that have been tested and tried over the years. The polyester layer is known to induce sufficient tissue ingrowth, whereas Gore-Tex minimizes adhesion formation. The memory of the compound was high enough to allow easy laparoscopic unrolling and handling.
Literature
1.
Alponat A, Lakshminarasappa SR, Yavuz N, Goh PM (1997) Prevention of adhesions by Seprafilm, an absorbable adhesion barrier: an incisional hernia model in rats. Am Surg 63: 818–819PubMed
2.
Amid PK, Shulman AG, Lichtenstein IL, Sostrin S, Young J, Hakakha M (1994) Experimental evaluation of a new composite mesh with the selective property of incorporation to the abdominal wall without adhering to the intestines. J Biomed Mater Res 28: 373–375CrossRefPubMed
3.
Aura T, Habib E, Mekkaoui M, Brassier D, Elhadad A (2000) Laparoscopic tension-free repair of anterior abdominal wall incisional and ventral hernias with an intraperitoneal Gore-Tex mesh: prospective study and review of the literature. J Laparoendosc Adv Surg Tech A 12: 263–267CrossRef
4.
Barie PS, Mack CA, Thompson WA (1995) A technique for laparoscopic repair of herniation of the anterior abdominal wall using a composite mesh prosthesis. Am J Surg 170: 62–63CrossRefPubMed
5.
Bellon JM, Bujan J, Contreras LA, Carrera-San Martin A, Jurado F (1996) Comparison of a new type of polytetrafluoroethylene patch (Mycro Mesh) and polypropylene prosthesis (Marlex) for repair of abdominal wall defects. J Am Coll Surg 183: 11–18PubMed
6.
Bellon JM, Contreras LA, Bujanm J, Carrera San Martin A (1997) The use of biomaterials in the repair of abdominal wall defects: a comparative study between polypropylene meshes (Marlex) and a new polytetra-fluoroethylene prosthesis (Dual Mesh). J Biomater Appl 12: 121–135PubMed
7.
Besim H, Yalcin Y, Hamamci O, Arslan K, Sonisik M, Korkmaz A, Erdogan S (2002) Prevention of intraabdominal adhesions produced by polypropylene mesh. Eur Surg Res 34: 239–243CrossRefPubMed
8.
Bujan J, Contreras LA, Carrera-San Martin A, Bellon JM (1997) The behavior of different types of polytetrafluoroethylene (PTFE) prostheses in the reparative scarring process of abdominal wall defects. Histol Histopathol 12: 683–690PubMed
9.
Butler CE, Navaro FA, Orgill DP (2001) Reduction of abdominal adhesion using composite collagen–GAG implants for ventral hernia repair. J Biomed Mater Res 58: 75–80 CrossRefPubMed
10.
Carbajo MA, Martin del Olmo JC, Blanco J (2000) What is the appropriate mesh for laparoscopic intraperitoneal repair of abdominal wall hernia? Surg Endosc 14: 408CrossRefPubMed
11.
Carbonell AM, Harold KL, Mahmutovic AJ, Hassan R, Matthews BD, Kercher KW, Sing RF, Heniford BT (2003) Local injection for the treatment of suture site pain after laparoscopic ventral hernia repair. Am Surg 69: 688–692PubMed
12.
Christoforoni PM, Kim YB, Preys Z, Lay RY, Montz FJ (1996) Adhesion formation after incisional hernia repair: a randomized porcine trial. Am Surg 62: 935–938PubMed
13.
DeMaria EJ, Moss JM, Sugerman HJ (2000) Laparoscopic intraperitoneal polytetrafluoroethylene (PTFE) prosthetic patch repair of ventral hernia. Prospective comparison to open prefascial polypropylene mesh repair. Surg Endosc 14: 326–329CrossRefPubMed
14.
Farrakha M (2000) Laparoscopic treatment of ventral hernia. A bilayer repair. Surg Endosc 14: 1156–1158CrossRefPubMed
15.
Farrakha M (2001) Laparoscopic treatment of ventral hernia. Bilayer repair (Reply to Comment). Surg Endosc 15: 1243CrossRef
16.
Franklin ME, Dorman JP, Glass JL, et al. (1998) Laparoscopic ventral and incisional hernia repair. Surg Laparosc Endosc 8: 294–299CrossRefPubMed
17.
Goodney PP, Birkmeyer CM, Birkmeyer JD (2002) Short-term outcomes of laparoscopic and open ventral hernia repair: a meta-analysis. Arch Surg 137: 1161–1165CrossRefPubMed
18.
Greenawalt KE, Butler TJ, Rowe EA, Finneral AC, Garlick DS, Burns JW (2000) Evaluation of sepramesh biosurgical composite in a rabbit hernia repair model. J Surg Res 94: 92–98CrossRefPubMed
19.
Heniford BT, Ramshaw BJ (2000) Laparoscopic ventral hernia repair: a report of 100 consecutive cases. Surg Endosc 14: 419–423CrossRefPubMed
20.
Holzman MD, Purut CM, Reintgen K, Eubanks S, Pappas TN (1997) Laparoscopic ventral and incisional hernioplasty. Surg Endosc 11: 32–35CrossRefPubMed
21.
Hooker GD, Taylor BM, Driman DK (1999) Prevention of adhesion formation with use of sodium hyaluronate-based bioresorbable membrane in a rat model of ventral hernia repair with polypropylene mesh—a randomized, controlled study. Surgery 125: 211–216PubMed
22.
Jenkins SD, Klamer TW, Parteka JJ, Condon RE (1983) A comparison of prosthetic materials used to repair abdominal wall defects. Surgery 94: 392–398PubMed
23.
Law NW (1990) A comparison of polypropylene mesh, expanded polytetrafluoroethylene patch and polyglycolic acid mesh for the repair of experimental abdominal wall defects. Acta Chir Scand 156: 759–762PubMed
24.
LeBlanc KA, Bellanger D, Rhynes KV 5th, Baker DG, Stout RW (2002) Tissue attachment strength of prosthetic meshes used in ventral and incisional hernia repair. A study in the New Zealand White rabbit adhesion model. Surg Endosc 16: 1542–1546CrossRefPubMed
25.
Le Blank KA, Booth WV (1992) Laparoscopic repair of incisional abdominal hernia using expanded polytetraflouroethylene: preliminary findings. Surg Laparosc Endosc 3: 39–41
26.
Matthews BD, Pratt BL, Backus CL, Kercher KW, Heniford BT (2002) Comparison of adhesion formation to intra-abdominal mesh after laparoscopic adhesiolysis in the New Zealand White rabbit. Am Surg 68: 936–940PubMed
27.
Park A, Gagner M, Pomp A (1996) Laparoscopic repair of large incisional hernia. Surg Laparosc Endosc 6: 123–128CrossRefPubMed
28.
Robbins SB, Pofahl WE, Gonzalez RP (2001) Laparoscopic ventral hernia repair reduces wound complications. Am Surg 67: 896–900PubMed
29.
Simmermacher RK, Schakenraad JM, Bleichrodt RP (1994) Reherniation after repair of the abdominal wall with expanded polytetrafluoroethylene. J Am Coll Surg 178: 613–616PubMed
30.
Solar N, Verhaeghe P, Essomba A, Sevestre H, Stoppa R (1993) Treatment of postoperative incisional hernias by composite prosthesis (polyester–polyglactin 910).Clinical and experimental study. Ann Chir 47: 589–608
31.
Stoppa R, Louis D, Verhaeghe P, Henry X, Plachot JP (1987) Current treatment of postoperative eviscerations. Int Surg 72: 42–44PubMed
32.
Thomas DS, Phillips EH (2002) Current status of laparoscopic ventral hernia repair. Surg Endosc 16: 939–942CrossRef
33.
van ‘t Riet M, de Vos van Steenwijk PJ, Bonthuis F, Marquet RL, Steyerberg EW, Jeekel J, Bonjer HJ (2003) Prevention of adhesion to prosthetic mesh: comparison of different barriers using an incisional hernia model. Ann Surg 237: 123–128CrossRefPubMed
34.
Vrijland WW, Bonthuis F, Steyerberg EW, Marquet RL, Jeekel J, Bonjer HJ (2000) Peritoneal adhesions to prosthetic materials: choice of mesh for incisional hernia repair. Surg Endosc 14: 960–963CrossRefPubMed
35.
Walker AP, Henderson J, Condon RE (1993) Double-layer prostheses for repair of abdominal wall defects in a rabbit model. Surg Res 55: 32–37CrossRef
Metadata
Title
Laparoscopic ventral hernia repair using expanded polytetrafluoroethylene–polyester mesh compound
Author
M. Farrakha
Publication date
01-05-2006
Publisher
Springer-Verlag
Published in
Surgical Endoscopy / Issue 5/2006
Print ISSN: 0930-2794
Electronic ISSN: 1432-2218
DOI
https://doi.org/10.1007/s00464-005-0369-1

Other articles of this Issue 5/2006

Surgical Endoscopy 5/2006 Go to the issue

OriginalPaper

Modified needlescopic video-assisted thoracic surgery for primary spontaneous pneumothorax

OriginalPaper

Bravo capsule induction of esophageal hypercontractility and chest pain

OriginalPaper

Laparoscopic hepatic resection

OriginalPaper

The MISTELS program to measure technical skill in laparoscopic surgery

OriginalPaper

Morbidity of laparoscopic surgery for complicated appendicitis: an international study

OriginalPaper

Zoom endoscopic monitoring of small bowel allograft rejection