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Hernia
Published in: Hernia 5/2013

01-10-2013 | Original Article

DynaMesh® in the repair of laparoscopic ventral hernia: a prospective trial

Authors: T. Sommer, H. Friis-Andersen

Published in: Hernia | Issue 5/2013

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Abstract

Purpose

To investigate mesh-related complications in patients undergoing laparoscopic ventral hernia repair using DynaMesh®.

Methods

In the period 1 January 2005 through 31 December 2010, 181 consecutive patients undergoing laparoscopic ventral hernia repair in our day surgery unit using DynaMesh® were entered prospectively in the National Danish Hernia Database. Data concerning abdominal reoperations after hernia repair were later collected on all 181 patients from the National Danish Health Registry. Postoperative telephone interviews were conducted estimating postoperative pain and patient satisfaction.

Results

Six % (11 patients) were reoperated because of mesh-related complications. Three had small bowel obstruction and one had a colonic fistula with mesh infection, all causing bowel resection and mesh removal. Mesh-related cutaneous fistula was seen in one patient. Six patients had a symptomatic recurrence requiring reoperation. Abdominal wall hematomas were seen in two cases, while two other patients had symptomatic large seromas, of which one was drained surgically. After a median follow-up of 34 months (range 12–63) in 140 patients, 66 % were pain free (0 on the Numeric Rating Scale (NRS)). Of 26 patients with moderate to severe pain (NRS > 3) at follow-up, only 4 regretted the operation. Sixteen patients thought they had a recurrence, of these only 3 regretted the operation.

Conclusion

The use of DynaMesh® in laparoscopic ventral hernia repair was associated with a 6 % risk of mesh-related reoperation in a high volume setting. Despite chronic pain in 19 %, after 34 months follow-up patient satisfaction was high.
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Metadata
Title
DynaMesh® in the repair of laparoscopic ventral hernia: a prospective trial
Authors
T. Sommer
H. Friis-Andersen
Publication date
01-10-2013
Publisher
Springer Paris
Published in
Hernia / Issue 5/2013
Print ISSN: 1265-4906
Electronic ISSN: 1248-9204
DOI
https://doi.org/10.1007/s10029-013-1090-y

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