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01-04-2009 | Original Article

Polyvinylidene fluoride: a suitable mesh material for laparoscopic incisional and parastomal hernia repair!

A prospective, observational study with 344 patients

Authors: D. Berger, M. Bientzle

Published in: Hernia | Issue 2/2009

Abstract

Background

Today, the laparoscopic approach is a standard procedure for the repair of incisional hernias. However, the direct contact of visceral organs with mesh material is a major issue.

Patients and methods

This prospective observational study presents the data of 344 patients treated for incisional and parastomal hernias with a new mesh made of polyvinylidene fluoride (PVDF; Dynamesh IPOM^®) between May 2004 and January 2008 with a minimum follow-up of 6 months. The median follow-up of 297 patients after incisional hernias totaled 24 months and 20 months for 47 patients with parastomal hernias. Incisional hernias were repaired using an IPOM technique. For parastomal hernias, a recently described sandwich technique was used with two meshes implanted in an intraperitoneal onlay position.

Results

The recurrence rate for incisional hernias was 2/297 = 0.6% and 1/47 = 2% for parastomal hernias. Three patients developed a secondary infection after surgical revision or puncture of a seroma. One patient had a bowel fistula through the mesh, with an abscess in the hernia sac. In all cases, the infection healed and the mesh could be preserved. No long-term mesh-related complications have been observed.

Conclusion

The laparoscopic repair of incisional and parastomal hernias with meshes made of PVDF (Dynamesh IPOM^®) revealed low recurrence and, overall, low complication rates. Especially in cases of infection, the material proved to be resistant without clinical signs of persistent bacterial contamination. Mesh-related complications did not occur during the follow-up.

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Title: Polyvinylidene fluoride: a suitable mesh material for laparoscopic incisional and parastomal hernia repair!
A prospective, observational study with 344 patients
Authors: D. Berger
M. Bientzle
Publication date: 01-04-2009
Publisher: Springer-Verlag
Published in: Hernia / Issue 2/2009
Print ISSN: 1265-4906
Electronic ISSN: 1248-9204
DOI: https://doi.org/10.1007/s10029-008-0435-4

Keynote webinar | Spotlight on medication adherence

Springer Medicine

Polyvinylidene fluoride: a suitable mesh material for laparoscopic incisional and parastomal hernia repair!

A prospective, observational study with 344 patients

Abstract

Background

Patients and methods

Results

Conclusion

Keynote webinar | Spotlight on medication adherence

Springer Medicine

Abstract

Background

Patients and methods

Results

Conclusion

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