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Hernia
Published in: Hernia 4/2019

Open Access 01-08-2019 | Incisional Hernia | Original Article

Two-year patient-related outcome measures (PROM) of primary ventral and incisional hernia repair using a novel three-dimensional composite polyester monofilament mesh: the SymCHro registry study

Authors: J. F. Gillion, M. Lepere, C. Barrat, O. Cas, A. Dabrowski, F. Jurczak, H. Khalil, C. Zaranis, The French Club Hernie Study Group

Published in: Hernia | Issue 4/2019

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Abstract

Purpose

This study examined patient-related outcome measures (PROMs) after repair of ventral primary or incisional hernias using Symbotex™ composite mesh (SCM), a novel three-dimensional collagen-coated monofilament polyester textile.

Methods

Pre-operative, peri-operative, and post-operative data were obtained from the French “Club Hernie” registry with 12- and 24-month follow-up.

Results

One-hundred consecutive patients (mean age 62.0 ± 13.7; 51% female) underwent repair of 105 hernias: primary (39/105, 37.1%, defect area 5.2 ± 5.6 cm2) and incisional (66/105, 62.9%, 31.9 ± 38.7.8 cm2). The mean BMI was 29.7 (± 5.6 kg/m2). American Society of Anesthesiologists classifications were I 39.4%, II 37.4% and III 23.2%. 75% had risk factors for healing and/or dissection. Of 38 primary repairs, 37 were completed laparoscopically (combined approach n = 1), and of 62 incisional hernia repairs, 40 were completed laparoscopically, and 20 by open repair (combined approach n = 2). Laparoscopic was quicker than open repair (36.2 ± 23.5 min vs. 67.4 ± 25.8, p < 0001). Before surgery, 86.3% of hernias were reported to cause discomfort/pain or dysesthesia. At 24 months (93 of 100 patients), 91 (97.8%) reported no lump and 81 (87.1%) no pain or discomfort. Of 91 patients, 86 (94.5%) rated their repair “good” or “excellent.” There were nine non-serious, surgeon-detected adverse events (ileus, n = 3; seroma, n = 6) and one hernia recurrence (6–12 months).

Conclusions

Compared to baseline, open and laparoscopic surgery improved PROMs 24 months after primary and incisional hernia repair. Minimal complications and recurrence support the long-term efficacy of SCM.
Literature
1.
Langbach O, Bukholm I, Benth JS, Rokke O (2016) Long-term quality of life and functionality after ventral hernia mesh repair. Surg Endosc 30(11):5023–5033CrossRefPubMed
2.
Gillion JF, Sanders D, Miserez M, Muysoms F (2016) The economic burden of incisional ventral hernia repair: a multicentric cost analysis. Hernia 20(6):819–830CrossRefPubMed
3.
Kroese LF, Kleinrensink GJ, Lange JF, Gillion JF, Hernia C (2018) External validation of the European Hernia Society Classification for postoperative complications after incisional hernia repair: a cohort study of 2191 patients. J Am Coll Surg 226(3):223–229 e1CrossRefPubMed
4.
Awaiz A, Rahman F, Hossain MB, Yunus RM, Khan S, Memon B et al (2015) Meta-analysis and systematic review of laparoscopic versus open mesh repair for elective incisional hernia. Hernia 19(3):449–463CrossRefPubMed
5.
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
6.
van Ramshorst GH, Eker HH, Hop WC, Jeekel J, Lange JF (2012) Impact of incisional hernia on health-related quality of life and body image: a prospective cohort study. Am J Surg 204(2):144–150CrossRefPubMed
7.
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
8.
Heniford BT, Park A, Ramshaw BJ, Voeller G (2003) Laparoscopic repair of ventral hernias: nine years’ experience with 850 consecutive hernias. Ann Surg 238(3):391–399 (discussion 9–400)PubMedPubMedCentral
9.
LeBlanc K (2016) Proper mesh overlap is a key determinant in hernia recurrence following laparoscopic ventral and incisional hernia repair. Hernia 20(1):85–99CrossRefPubMed
10.
Hauters P, Desmet J, Gherardi D, Dewaele S, Poilvache H, Malvaux P (2017) Assessment of predictive factors for recurrence in laparoscopic ventral hernia repair using a bridging technique. Surg Endosc 31(9):3656–3663CrossRefPubMed
11.
Nardi M Jr, Millo P, Brachet Contul R, Lorusso R, Usai A, Grivon M et al (2017) Laparoscopic ventral hernia repair with composite mesh: Analysis of risk factors for recurrence in 185 patients with 5 years follow-up. Int J Surg 40:38–44CrossRefPubMed
12.
Balique JG, Benchetrit S, Bouillot JL, Flament JB, Gouillat C, Jarsaillon P et al (2005) Intraperitoneal treatment of incisional and umbilical hernias using an innovative composite mesh: four-year results of a prospective multicenter clinical trial. Hernia 9(1):68–74CrossRefPubMed
13.
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):101–110CrossRefPubMed
14.
15.
Weldring T, Smith SM (2013) Patient-reported outcomes (PROs) and patient-reported outcome measures (PROMs). Health Serv Insights 6:61–68PubMedPubMedCentral
16.
Kroese LF, Gillion JF, Jeekel J, Kleinrensink GJ, Lange JF, Hernia-Club M (2018) Primary and incisional ventral hernias are different in terms of patient characteristics and postoperative complications—a prospective cohort study of 4565 patients. Int J Surg 51:114–119CrossRefPubMed
17.
Palanivelu C, Rangarajan M, Parthasarathi R, Madankumar MV, Senthilkumar K (2008) Laparoscopic repair of suprapubic incisional hernias: suturing and intraperitoneal composite mesh onlay. A retrospective study. Hernia 12(3):251–256CrossRefPubMed
18.
Ammaturo C, Bassi UA, Bassi G (2010) Outcomes of the open mesh repair of large incisional hernias using an intraperitoneal composite mesh: our experience with 100 cases. Updates Surg 62(1):55–61CrossRefPubMed
19.
20.
Muysoms FE, Miserez M, Berrevoet F, Campanelli G, Champault GG, Chelala E et al (2009) Classification of primary and incisional abdominal wall hernias. Hernia 13(4):407–414CrossRefPubMedPubMedCentral
21.
Gillion JF, Chollet JM (2013) Chronic pain and quality of life (QoL) after transinguinal preperitoneal (TIPP) inguinal hernia repair using a totally extraperitoneal, parietalized, Polysoft (R) memory ring patch: a series of 622 hernia repairs in 525 patients. Hernia 17(6):683–692CrossRefPubMed
22.
Clavien PA, Barkun J, de Oliveira ML, Vauthey JN, Dindo D, Schulick RD et al (2009) The Clavien–Dindo classification of surgical complications: five-year experience. Ann Surg 250(2):187–196CrossRefPubMed
23.
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):2233–2240CrossRefPubMed
24.
Rogmark P, Petersson U, Bringman S, Ezra E, Osterberg J, Montgomery A (2016) Quality of life and surgical outcome 1 year after open and laparoscopic incisional hernia repair: PROLOVE: a randomized controlled trial. Ann Surg 263(2):244–250CrossRefPubMed
25.
Liang MK, Clapp M, Li LT, Berger RL, Hicks SC, Awad S (2013) Patient satisfaction, chronic pain, and functional status following laparoscopic ventral hernia repair. World J Surg 37(3):530–537CrossRefPubMed
26.
Langbach O, Bukholm I, Benth JS, Rokke O (2015) Long term recurrence, pain and patient satisfaction after ventral hernia mesh repair. World J Gastrointest Surg 7(12):384–393CrossRefPubMedPubMedCentral
27.
Guerin G, Turquier F (2013) Impact of the defect size, the mesh overlap and the fixation depth on ventral hernia repairs: a combined experimental and numerical approach. Hernia 17(5):647–655CrossRefPubMed
28.
Baker JJ, Oberg S, Andresen K, Rosenberg J (2018) Decreased re-operation rate for recurrence after defect closure in laparoscopic ventral hernia repair with a permanent tack fixated mesh: a nationwide cohort study. Hernia 22(4):577–584CrossRefPubMed
29.
Groene SA, Prasad T, Lincourt AE, Augenstein VA, Sing R, Heniford BT (2016) Prospective, multi-institutional surgical and quality-of-life outcomes comparison of heavyweight, midweight, and lightweight mesh in open ventral hernia repair. Am J Surg 212(6):1054–1062CrossRefPubMed
30.
Elango S, Perumalsamy S, Ramachandran K, Vadodaria K (2017) Mesh materials and hernia repair. Biomedicine (Taipei) 7(3):16CrossRef
31.
Kyle-Leinhase I, Kockerling F, Jorgensen LN, Montgomery A, Gillion JF, Rodriguez JAP et al (2018) Comparison of hernia registries: the CORE project. Hernia 22:561–575CrossRefPubMedPubMedCentral
32.
Helgstrand F, Rosenberg J, Kehlet H, Strandfelt P, Bisgaard T (2012) Reoperation versus clinical recurrence rate after ventral hernia repair. Ann Surg 256(6):955–958CrossRefPubMed
33.
Baucom RB, Ousley J, Feurer ID, Beveridge GB, Pierce RA, Holzman MD et al (2016) Patient reported outcomes after incisional hernia repair-establishing the ventral hernia recurrence inventory. Am J Surg 212(1):81–88CrossRefPubMed
Metadata
Title
Two-year patient-related outcome measures (PROM) of primary ventral and incisional hernia repair using a novel three-dimensional composite polyester monofilament mesh: the SymCHro registry study
Authors
J. F. Gillion
M. Lepere
C. Barrat
O. Cas
A. Dabrowski
F. Jurczak
H. Khalil
C. Zaranis
The French Club Hernie Study Group
Publication date
01-08-2019
Publisher
Springer Paris
Published in
Hernia / Issue 4/2019
Print ISSN: 1265-4906
Electronic ISSN: 1248-9204
DOI
https://doi.org/10.1007/s10029-019-01924-w

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