Top

Hernia

Published in:

01-10-2018 | Original Article

Infection and recurrence rates of the C-QUR V-Patch^™ in ventral hernia repairs

Authors: D. Cheng, L. Bonato, C. Leinkram

Published in: Hernia | Issue 5/2018

Abstract

Purpose

Ventral hernias are a common surgical issue and a myriad of surgical mesh designs has been developed for their treatment. Many of these new mesh designs have not been extensively tested and their complications rates are largely unknown. The C-QUR V-Patch Mesh^™ combines a unique knit construction polypropylene mesh with an omega-3 fatty acid coating. There has only previously been one reported study investigating this mesh.

Methods

A multicentre cohort study, with a single surgeon, of 168 consecutive patients with ventral hernias underwent repair using a standardized open pre-peritoneal approach with the novel C-QUR V-Patch Mesh^™ between January 2013 and June 2015. A median follow-up of 37 months was completed to assess the patients for hernia infection and recurrence rates. Mesh infections were further classified into early and late infections for further subgroup analysis.

Results

Infection and recurrence rates of the C-QUR V-Patch^® were compared with similar published results of alternate mesh designs. Surgical site infection rates were 7.7% and recurrence rates were 2.4%. The infection rate rose dramatically to 19.0% when the mesh was placed intra-peritoneally. The rate of mesh explantation was 2.4% and usually occurred between 4 and 12 months post-operatively. Smoking was the only factor that appeared to be associated with recurrence.

Conclusion

This series finds that recurrence rates associated with the novel C-QUR V-Patch Mesh^™ is acceptably low; however, infection rates appear to be higher when compared to comparable products for use in ventral hernia repairs.

Dabbas N, Adams K, Pearson K, Royle GT (2011) Frequency of abdominal wall hernias: is classical teaching out of date? JRSM Short Rep 2(1):5. https://doi.org/10.1258/shorts.2010.010071 CrossRefPubMedPubMedCentral

Poulouse BK, Shelton J, Phillips S, Moore D, Nealon W, Penson D, Beck W, Holzman MD (2012) Epidemiology and cost of ventral hernia repair: making the case for hernia research. Hernia 16(2):179–183. https://doi.org/10.1007/s10029-011-0879-9 CrossRef

Read RC (2005) The contributions of Usher and others to the elimination of tension from groin herniorrhapy. Hernia 9(3):208–211CrossRefPubMed

Arroyo A, Garcia P, Perez F, Andreu J, Candela F, Calpena R (2001) Randomised clinical trial comparing suture and mesh repair of umbilical hernia in adults. Br J Surg 88(10):1321–1323CrossRefPubMed

Keating JJ, Kennedy GT, Datta J, Schuricht A (2016) Outcomes of 157 V-Patch^™ implants in the repair of umbilical, epigastric, and incisional hernias. Am Surg 82(1):6–10PubMed

Polat C, Dervisoglu A, Senyurek G, Bilgin M, Erzurumlu K, Ozkan K (2005) Umbilical hernia repair with the prolene hernia system. Am J Surg 190(1):61–64CrossRefPubMed

Wassenberg D, Zarmpis N, Seip N, Ambe PC (2014) Closure of small and medium size umbilical hernias with the Proceed Ventral Patch in obese patients: a single center experience. Springerplus 3:686CrossRefPubMedPubMedCentral

Zarmpis N, Wassenberg D, Ambe PC (2015) Repair of small and medium size umbilical hernias with the “Proceed Ventral Patch” in the preperitoneal position. Am Surg 81(11):1144–1148PubMed

Ambe P, Meyer A, Kohler L (2013) Repair of small and medium size ventral hernias with a Proceed Ventral Patch: a single center retrospective analysis. Surg Today 43(4):381–385. https://doi.org/10.1007/s00595-012-0245-2 CrossRefPubMed

10.

Bontinck J, Kyle-Leinhase I, Pletinckx P, Vergucht V, Beckers R, Muysoms F (2014) Single centre observational study to evaluate the safety and efficacy of the Proceed^™ Ventral Patch to repair small ventral hernias. Hernia 18(5):671–680. https://doi.org/10.1007/s10029-013-1140-5 CrossRefPubMed

11.

Tollens T, Den Hondt M, Devroe K, Terry C, Speybroeck S, Aelvoet C, Vanrykel JP (2011) Retrospective analysis of umbilical, epigastric, and small incisional hernia repair using the VentralexTM hernia patch. Hernia 15(5):531–540. https://doi.org/10.1007/s10029-011-0816-y CrossRefPubMed

12.

Iversen E, Lykke A, Hensler M, Jorgensen LN (2010) Abdominal wall hernia repair with a composite ePTFE/polypropylene mesh: clinical outcome and quality of life in 152 patients. Hernia 14(6):555–560. https://doi.org/10.1007/s10029-010-0729-1 CrossRefPubMed

13.

Vychnevskaia K, Mucci-Hennekinne S, Casa C, Brachet D, Meunier K, Briennon X, Hamy A, Arnaud JP (2010) Intraperitoneal mesh repair of small ventral abdominal wall hernias with a Ventralex hernia patch. Dig Surg 27(5):433–435. https://doi.org/10.1159/000318783 CrossRefPubMed

14.

Martin DF, Williams RF, Mulrooney T, Voeller GR (2008) Ventralex mesh in umbilical/epigastric hernia repairs: clinical outcomes and complications. Hernia 12(4):379–383. https://doi.org/10.1007/s10029-008-0351-7 CrossRefPubMed

15.

Hadi HI, Maw A, Sarmah S, Kumar P (2006) Intraperitoneal tension-free repair of small midline ventral abdominal wall hernias with a Ventralex hernia patch: initial experience in 51 patients. Hernia 10(5):409–413CrossRefPubMed

16.

Kaufmann R, Halm JA, Eker HH, Klitsie PJ, Nieuwenhuizen J, Van Geldere D et al (2018) Mesh versus suture repair of umbilical hernia in adults: a randomised, double-blind, controlled, multicentre trial. Lancet 391(10123):860–869CrossRefPubMed

17.

Muysoms FE, Bontinck J, Pletinckx P (2011) Complications of mesh devices for intraperitoneal umbilical hernia repair: a word of caution. Hernia 15(4):463–468CrossRefPubMed

18.

Cobb W, Carbonell AM, Kalbaugh CL, Jones Y, Lokey JS (2009) Infection risk of open placement of intraperitoneal composite mesh. Am Surg 75(9):762–767PubMed

19.

Halm JA, De Wall LL, Steyerberg EW, Jeekel J, Lange FL (2007) Intraperitoneal polypropylene mesh hernia repair complicates subsequent abdominal surgery. World J Surg 31(2):423–429CrossRefPubMed

Title: Infection and recurrence rates of the C-QUR V-Patch™ in ventral hernia repairs
Authors: D. Cheng
L. Bonato
C. Leinkram
Publication date: 01-10-2018
Publisher: Springer Paris
Published in: Hernia / Issue 5/2018
Print ISSN: 1265-4906
Electronic ISSN: 1248-9204
DOI: https://doi.org/10.1007/s10029-018-1791-3

At a glance: The ONWARDS insulin icodec trials

Springer Medicine

Infection and recurrence rates of the C-QUR V-Patch^™ in ventral hernia repairs

Abstract

Purpose

Methods

Results

Conclusion

At a glance: The ONWARDS insulin icodec trials

Springer Medicine

Abstract

Purpose

Methods

Results

Conclusion

Please log in to get access to this content

Other articles of this Issue 5/2018

Dealing with the round ligament of uterus in laparoscopic groin hernia repair: a nationwide survey among experienced surgeons

Electric cauterization of the hernia sac in laparoscopic ventral hernia repair reduces the incidence of postoperative seroma: a propensity score-matched analysis

Prophylactic mesh used in ileal conduit formation following radical cystectomy: a retrospective cohort

Correction to: Factors predicting chronic pain after open inguinal hernia repair: a regression analysis of randomized trial comparing three different meshes with three fixation methods (FinnMesh Study)

A call for standardization of wound events reporting following ventral hernia repair

Patient’s satisfaction at 2 years after groin hernia repair: any difference according to the technique?