Top

Published in:

01-02-2021 | Laparoscopy | Original Article

Postoperative ileus after laparoscopic primary and incisional abdominal hernia repair with intraperitoneal mesh (DynaMesh®-IPOM versus Parietex™ Composite): a single institution experience

Authors: Andreas Domen, Cedric Stabel, Rami Jawad, Nicolas Duchateau, Erik Fransen, Patrick Vanclooster, Charles de Gheldere

Published in: Langenbeck's Archives of Surgery | Issue 1/2021

Abstract

Purpose

Laparoscopic primary or incisional abdominal hernia repair with intraperitoneal mesh placement is a well-accepted and safe technique. Evidence for complications however remains inconclusive, and little is known about the occurrence of postoperative ileus secondary to postoperative intra-abdominal adhesions with different types of IPOM meshes used. Therefore, we retrospectively compared the occurrence of postoperative ileus between two of the different meshes used in our center.

Methods

Three hundred seventy-five patients who underwent ventral hernia repair with intraperitoneal mesh placement, either with a DynaMesh®-IPOM (FEG Textiltechnik mbH, Aachen, Nordrhein-Westfalen, Germany) or a Parietex™ Composite mesh (Medtronic, Minneapolis, MN, USA), at the Heilig-Hart Hospital in Lier (Antwerp, Belgium) between 2012 and 2017 were retrospectively compared with regard to the occurrence of postoperative ileus until 6 weeks postoperatively. Baseline demographics and clinical data up to 6 weeks postoperatively of the patients in the two mesh groups are provided.

Results

The DynaMesh®-IPOM mesh group was associated with a significantly higher incidence of postoperative ileus compared with the Parietex™ Composite mesh group with a cutoff limit at postoperative day 1 (n = 17, 6.8% vs. n = 0, 0.0%; P = 0.003) and postoperative day 4 (n = 13, 5.2% vs. n = 0, 0.0%, P = 0.006), even with a mesh surface area of ≤ 300 cm² and when both meshes were fixated with the same method of fixation (Securestrap™) with a cutoff limit for postoperative ileus at postoperative day 1 (n = 4, 7.7% vs. n = 0, 0.0%; P = 0.013) and postoperative day 4 (n = 3, 5.8% vs. n = 0, 0.0%, P = 0.040). Of the 17 patients with a postoperative ileus, 9 (52.9%) had a suspicion of adhesive small bowel obstruction on CT scan (P = 0.033) with definitive confirmation of small bowel adhesions with the DynaMesh®-IPOM mesh at laparoscopy in 2 patients.

Conclusion

Our results confirm current literature available regarding postoperative ileus secondary to postoperative intra-abdominal adhesions with the DynaMesh®-IPOM mesh. However, further research with well-designed, multicenter randomized controlled studies to evaluate the use and related complications of these meshes is needed.

Holihan JL, Hannon C, Goodenough C, Flores-Gonzalez JR, Itani KM, Olavarria O, Mo J, Ko TC, Kao LS, Liang MK (2017) Ventral hernia repair: a meta-analysis of randomized controlled trials. Surg Infect 18(6):647–658. https://doi.org/10.1089/sur.2017.029CrossRef

De Marchi J, Sferle FR, Hehir D (2019) Laparoscopic ventral hernia repair with intraperitoneal onlay mesh-results from a general surgical unit. Ir J Med Sci 188:1357–1362. https://doi.org/10.1007/s11845-019-02012-9CrossRefPubMed

Mercoli H, Tzedakis S, D’Urso A, Nedelcu M, Memeo R, Meyer N, Vix M, Perretta S, Mutter D (2017) Postoperative complications as an independent risk factor for recurrence after laparoscopic ventral hernia repair: a prospective study of 417 patients with long-term follow-up. Surg Endosc 31(3):1469–1477. https://doi.org/10.1007/s00464-016-5140-2CrossRefPubMed

Lee DY, Rehmani SS, Guend H, Park K, Ross RE, Alkhalifa M, McGinty JJ, Teixeira JA (2013) The incidence of trocar-site hernia in minimally invasive bariatric surgery: a comparison of multi versus single-port laparoscopy. Surg Endosc 27(4):1287–1291. https://doi.org/10.1007/s00464-012-2597-5CrossRefPubMed

Franz MG (2006) The biology of hernias and the abdominal wall. Hernia 10(6):462–471. https://doi.org/10.1007/s10029-006-0144-9CrossRefPubMed

Tandon A, Pathak S, Lyons NJ, Nunes QM, Daniels IR, Smart NJ (2016) Meta-analysis of closure of the fascial defect during laparoscopic incisional and ventral hernia repair. Br J Surg 103(12):1598–1607. https://doi.org/10.1002/bjs.10268CrossRefPubMed

Al Chalabi H, Larkin J, Mehigan B, McCormick P (2015) A systematic review of laparoscopic versus open abdominal incisional hernia repair, with meta-analysis of randomized controlled trials. Int J Surg 20:65–74. https://doi.org/10.1016/j.ijsu.2015.05.050CrossRefPubMed

Zhang Y, Zhou H, Chai Y, Cao C, Jin K, Hu Z (2014) Laparoscopic versus open incisional and ventral hernia repair: a systematic review and meta-analysis. World J Surg 38(9):2233–2240. https://doi.org/10.1007/s00268-014-2578-zCrossRefPubMed

Sauerland S, Walgenbach M, Habermalz B, Seiler CM, Miserez M (2011) Laparoscopic versus open surgical techniques for ventral or incisional hernia repair. Cochrane Database Syst Rev (3):Cd007781. https://doi.org/10.1002/14651858.CD007781.pub2

10.

Baker JJ, Oberg S, Andresen K, Helgstrand F, Rosenberg J (2018) Adding sutures to tack fixation of mesh does not lower the re-operation rate after laparoscopic ventral hernia repair: a nationwide cohort study. Langenbeck's Arch Surg 403(4):521–527. https://doi.org/10.1007/s00423-018-1681-2CrossRef

11.

Lopez-Cano M, Martin-Dominguez LA, Pereira JA, Armengol-Carrasco M, Garcia-Alamino JM (2018) Balancing mesh-related complications and benefits in primary ventral and incisional hernia surgery. A meta-analysis and trial sequential analysis. PLoS One 13(6):e0197813. https://doi.org/10.1371/journal.pone.0197813CrossRefPubMedPubMedCentral

12.

Bouliaris K, Asprodini E, Liakos P, Diamantis A, Koukoulis G, Befani C, Tzika S, Tepetes K (2019) Adhesion prevention to polypropylene meshes using combined icodextrin four percent and dimetindene maleate. J Surg Res 234:325–333. https://doi.org/10.1016/j.jss.2018.10.003CrossRefPubMed

13.

Gomez-Gil V, Rodriguez M, Garcia-Moreno Nisa F, Perez-Kohler B, Pascual G (2019) Evaluation of synthetic reticular hybrid meshes designed for intraperitoneal abdominal wall repair: preclinical and in vitro behavior. PLoS One 14(2):e0213005. https://doi.org/10.1371/journal.pone.0213005CrossRefPubMedPubMedCentral

14.

D'Amore L, Ceci F, Mattia S, Fabbi M, Negro P, Gossetti F (2017) Adhesion prevention in ventral hernia repair: an experimental study comparing three lightweight porous meshes recommended for intraperitoneal use. Hernia 21(1):115–123. https://doi.org/10.1007/s10029-016-1541-3CrossRefPubMed

15.

Sommer T, Friis-Andersen H (2013) DynaMesh(R) in the repair of laparoscopic ventral hernia: a prospective trial. Hernia 17(5):613–618. https://doi.org/10.1007/s10029-013-1090-yCrossRefPubMed

16.

Koscielny A, Widenmayer S, May T, Kalff J, Lingohr P (2018) Comparison of biological and alloplastic meshes in ventral incisional hernia repair. Langenbeck's Arch Surg 403(2):255–263. https://doi.org/10.1007/s00423-017-1639-9CrossRef

17.

Ten Broek RPG, Krielen P, Di Saverio S, Coccolini F, Biffl WL, Ansaloni L, Velmahos GC, Sartelli M, Fraga GP, Kelly MD, Moore FA, Peitzman AB, Leppaniemi A, Moore EE, Jeekel J, Kluger Y, Sugrue M, Balogh ZJ, Bendinelli C, Civil I, Coimbra R, De Moya M, Ferrada P, Inaba K, Ivatury R, Latifi R, Kashuk JL, Kirkpatrick AW, Maier R, Rizoli S, Sakakushev B, Scalea T, Soreide K, Weber D, Wani I, Abu-Zidan FM, De'Angelis N, Piscioneri F, Galante JM, Catena F, van Goor H (2018) Bologna guidelines for diagnosis and management of adhesive small bowel obstruction (ASBO): 2017 update of the evidence-based guidelines from the world society of emergency surgery ASBO working group. World J Emerg Surg WJES 13:24. https://doi.org/10.1186/s13017-018-0185-2CrossRefPubMed

18.

Fortelny RH, Petter-Puchner AH, Glaser KS, Offner F, Benesch T, Rohr M (2010) Adverse effects of polyvinylidene fluoride-coated polypropylene mesh used for laparoscopic intraperitoneal onlay repair of incisional hernia. Br J Surg 97(7):1140–1145. https://doi.org/10.1002/bjs.7082CrossRefPubMed

19.

Tandon A, Shahzad K, Pathak S, Oommen CM, Nunes QM, Smart N (2016) Parietex composite mesh versus DynaMesh((R))-IPOM for laparoscopic incisional and ventral hernia repair: a retrospective cohort study. Ann R Coll Surg Engl 98(8):568–573. https://doi.org/10.1308/rcsann.2016.0292CrossRefPubMedPubMedCentral

20.

Biondo-Simoes ML, Carvalho LB, Conceicao LT, Santos KB, Schiel WA, Arantes M, Silveira TD, Magri JC, Gomes FF (2017) Comparative study of polypropylene versus Parietex composite(R), Vicryl(R) and Ultrapro(R) meshes, regarding the formation of intraperitoneal adhesions. Acta Cir Bras 32(2):98–107. https://doi.org/10.1590/s0102-865020170202CrossRefPubMed

21.

Deeken CRFK, Matthews BD (2012 Feb) A review of the composition, characteristics, and effectiveness of barrier mesh prostheses utilized for laparoscopic ventral hernia repair. Surg Endosc 26:566–575. https://doi.org/10.1007/s00464-011-1899-3CrossRefPubMed

22.

Jamry A, Jalynski M, Piskorz L, Brocki M (2013) Assessment of adhesion formation after laparoscopic intraperitoneal implantation of Dynamesh IPOM mesh. Arch Med Sci 9(3):487–492. https://doi.org/10.5114/aoms.2013.35345CrossRefPubMedPubMedCentral

23.

Conze J, Rosch R, Klinge U, Weiss C, Anurov M, Titkowa S, Oettinger A, Schumpelick V (2004) Polypropylene in the intra-abdominal position: influence of pore size and surface area. Hernia 8(4):365–372. https://doi.org/10.1007/s10029-004-0268-8CrossRefPubMed

24.

Venara A, Slim K, Regimbeau JM, Ortega-Deballon P, Vielle B, Lermite E, Meurette G, Hamy A (2017) Proposal of a new classification of postoperative ileus based on its clinical impact-results of a global survey and preliminary evaluation in colorectal surgery. Int J Color Dis 32(6):797–803. https://doi.org/10.1007/s00384-017-2788-6CrossRef

25.

Venara A, Neunlist M, Slim K, Barbieux J, Colas PA, Hamy A, Meurette G (2016) Postoperative ileus: pathophysiology, incidence, and prevention. J Visc Surg 153(6):439–446. https://doi.org/10.1016/j.jviscsurg.2016.08.010CrossRefPubMed

26.

Vather R, Trivedi S, Bissett I (2013) Defining postoperative ileus: results of a systematic review and global survey. J Gastrointest Surg 17(5):962–972. https://doi.org/10.1007/s11605-013-2148-yCrossRefPubMed

27.

Muysoms FE, Miserez M, Berrevoet F, Campanelli G, Champault GG, Chelala E, Dietz UA, Eker HH, El Nakadi I, Hauters P, Hidalgo Pascual M, Hoeferlin A, Klinge U, Montgomery A, Simmermacher RK, Simons MP, Smietanski M, Sommeling C, Tollens T, Vierendeels T, Kingsnorth A (2009) Classification of primary and incisional abdominal wall hernias. Hernia 13(4):407–414. https://doi.org/10.1007/s10029-009-0518-xCrossRefPubMedPubMedCentral

28.

Dindo D, Demartines N, Clavien PA (2004) Classification of surgical complications: a new proposal with evaluation in a cohort of 6336 patients and results of a survey. Ann Surg 240(2):205–213. https://doi.org/10.1097/01.sla.0000133083.54934.aeCrossRefPubMedPubMedCentral

29.

Skandalakis PN, Zoras O, Skandalakis JE, Mirilas P (2006) Richter hernia: surgical anatomy and technique of repair. Am Surg 72(2):180–184CrossRef

30.

Zuhlke HV, Lorenz EM, Straub EM, Savvas V (1990) Pathophysiology and classification of adhesions. Langenbecks Arch Chir Suppl II Verh Dtsch Ges Chir:1009–1016

31.

Bellon JM, Jurado F, Garcia-Honduvilla N, Lopez R, Carrera-San Martin A, Bujan J (2002) The structure of a biomaterial rather than its chemical composition modulates the repair process at the peritoneal level. Am J Surg 184(2):154–159. https://doi.org/10.1016/s0002-9610(02)00907-8CrossRefPubMed

32.

Bellon JM, Garcia-Honduvilla N, Serrano N, Rodriguez M, Pascual G, Bujan J (2005) Composite prostheses for the repair of abdominal wall defects: effect of the structure of the adhesion barrier component. Hernia 9(4):338–343. https://doi.org/10.1007/s10029-005-0012-zCrossRefPubMed

33.

Chelala E, Barake H, Estievenart J, Dessily M, Charara F, Alle JL (2016) Long-term outcomes of 1326 laparoscopic incisional and ventral hernia repair with the routine suturing concept: a single institution experience. Hernia 20(1):101–110. https://doi.org/10.1007/s10029-015-1397-yCrossRefPubMed

34.

Chelala E, Debardemaeker Y, Elias B, Charara F, Dessily M, Alle JL (2010) Eighty-five redo surgeries after 733 laparoscopic treatments for ventral and incisional hernia: adhesion and recurrence analysis. Hernia 14(2):123–129. https://doi.org/10.1007/s10029-010-0637-4CrossRefPubMed

35.

Baylon K, Rodriguez-Camarillo P, Elias-Zuniga A, Diaz-Elizondo JA, Gilkerson R, Lozano K (2017) Past, present and future of surgical meshes: a review. Membranes 7(3). https://doi.org/10.3390/membranes7030047

36.

Gaertner WB, Bonsack ME, Delaney JP (2010) Visceral adhesions to hernia prostheses. Hernia 14(4):375–381. https://doi.org/10.1007/s10029-010-0659-yCrossRefPubMed

37.

Langbach O, Holmedal SH, Grandal OJ, Rokke O (2016) Adhesions to mesh after ventral hernia mesh repair are detected by MRI but are not a cause of long term chronic abdominal pain. Gastroenterol Res Pract 2016:2631598–2631597. https://doi.org/10.1155/2016/2631598CrossRefPubMed

38.

Harnsberger CR, Maykel JA, Alavi K (2019) Postoperative ileus. Clin Colon Rect Surg 32(3):166–170. https://doi.org/10.1055/s-0038-1677003CrossRef

39.

Liakakos T, Thomakos N, Fine PM, Dervenis C, Young RL (2001) Peritoneal adhesions: etiology, pathophysiology, and clinical significance. Recent advances in prevention and management. Dig Surg 18(4):260–273. https://doi.org/10.1159/000050149CrossRefPubMed

40.

Hernia Repair Sequelae. 1 edn. https://doi.org/10.1007/978-3-642-11541-7

41.

Liu H, van Steensel S, Gielen M, Vercoulen T, Melenhorst J, Winkens B, Bouvy ND (2019) Comparison of coated meshes for intraperitoneal placement in animal studies: a systematic review and meta-analysis. Hernia. https://doi.org/10.1007/s10029-019-02071-y

Title: Postoperative ileus after laparoscopic primary and incisional abdominal hernia repair with intraperitoneal mesh (DynaMesh®-IPOM versus Parietex™ Composite): a single institution experience
Authors: Andreas Domen
Cedric Stabel
Rami Jawad
Nicolas Duchateau
Erik Fransen
Patrick Vanclooster
Charles de Gheldere
Publication date: 01-02-2021
Publisher: Springer Berlin Heidelberg
Keywords: Laparoscopy
Ileus
Incisional Hernia
Published in: Langenbeck's Archives of Surgery / Issue 1/2021
Print ISSN: 1435-2443
Electronic ISSN: 1435-2451
DOI: https://doi.org/10.1007/s00423-020-01898-9

At a glance: The STEP trials

Springer Medicine

Postoperative ileus after laparoscopic primary and incisional abdominal hernia repair with intraperitoneal mesh (DynaMesh®-IPOM versus Parietex™ Composite): a single institution experience

Abstract

Purpose

Methods

Results

Conclusion

At a glance: The STEP trials

Springer Medicine

Abstract

Purpose

Methods

Results

Conclusion

Please log in to get access to this content

Other articles of this Issue 1/2021

The value of CT imaging and CRP quotient for detection of postbariatric complications

Up-to-down open and laparoscopic liver hanging maneuver: an overview

Temporary portal decompression during liver transplantation: a video review of the different techniques

Post-hepatectomy liver failure after hepatic resection for hepatocellular carcinoma: a single center experience

Model for end-stage liver disease score predicts complications after liver transplantation

The long-term risk of cardiovascular events in patients following bariatric surgery compared to a non-surgical population with obesity and the general population: a comprehensive national cohort study