Laparoscopic Intraperitoneal Onlay Repair of Abdominal Incisional and Ventral Hernias wth Polyvinylidene Fluoride-Coated Polypropylene Mesh; A Retrospective Study with Short to Medium Term Results

D. G. Roberts; S. Anwar.

doi:doi:10.11648/j.sjcm.20120101.13

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Laparoscopic Intraperitoneal Onlay Repair of Abdominal Incisional and Ventral Hernias wth Polyvinylidene Fluoride-Coated Polypropylene Mesh; A Retrospective Study with Short to Medium Term Results

D. G. Roberts, S. Anwar.

Published in Science Journal of Clinical Medicine (Volume 1, Issue 1)

Published: 30 December 2012

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Abstract

Laparoscopic repair of incisional and ventral hernias has increased in popularity due to reduced pain, shorter length of stay and earlier return to work. Dynamesh Intraperitoneal onlay mesh (IPOM), a composite of polyvinylidene fluoride (PVDF) coated polypropylene (PP) was designed to utilize the properties of both materials. This retrospective study reports a single surgeon experience with laparoscopic IPOM using Dynamesh , to ascertain any short to medium term complications. Forty consecutive patients underwent intraperitoneal onlay mesh repair with Dynamesh in a District General hospital (DGH) over a 33 month period. Data was collected retrospectively from medical notes, clinical assessment and telephone interviews. Short term complications include development of seromas post operatively in three patients which were successfully drained. One patient was readmitted with small bowel obstruction that was successfully managed conservatively. Medium term results showed two further seromas. Our recurrence rate is 13% after a mean follow up of 15 months. On submission of this manuscript, none of the patients have had to undergo surgical re-intervention for Dynamesh related complications. We have not noticed any significant short to medium term complications with Dynamesh in our experience. The debate about the best composite mesh continues; only a randomised control trial between the different meshes, with long term follow up can determine the true incidence of complications.

Published in	Science Journal of Clinical Medicine (Volume 1, Issue 1)
DOI	10.11648/j.sjcm.20120101.13
Page(s)	10-14
Creative Commons	This is an Open Access article, distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution and reproduction in any medium or format, provided the original work is properly cited.
Copyright	Copyright © The Author(s), 2012. Published by Science Publishing Group

Keywords

Laparoscopic, Dynamesh, Incisional Hernia, Ventral Hernia

References

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[2]	LeBlanc KA, Booth WV. Laparoscopic repair of incisional abdominal hernias using expanded polytetrafluroethylene: preliminary findings. Surg Laparoscopic Endosc 1993; 3: 39 – 41.
[3]	Den Hartog D, Dur AH, Tuinebreijer WE, Kreis RW. Open surgical repair for incisional hernia. Cochrane Data base Syst Rev 2008:CD006438.
[4]	Klinge U, Klosterhalfen B. PVDF as a new polymer for the construction of surgical meshes. Biomaterials 2002; V22: 16: 3487 – 3493.
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[6]	Fortelny R H, Petter-Puchner A H. Adverse effects of poly-vinylidene fluoride-coated polypropylene mesh used for la-paroscopic intraperitoneal onlay repair of incisional hernia. Br J Surg 2010; 97: 167 – 172.
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[8]	Topart P, Ferrand L, Vandenbroucke F, Lozac’h P. Laparos-copic ventral hernia repair with the goretax Dual mesh; long term results and review of the literature. Hernia 2005;9:348-352.
[9]	Bellon JM, Rodrigues M, Garcia-Honduvilla N, Gomez-Gil V, pascual G, Bujan J. Post implant behaviour of lightweight polypropylene meshes in an experimental model of abdominal hernia. J Invest Surg 2008;21:280-7.
[10]	Emans PJ, Schreinemacher MH, Gijbels MJ, Beets GL, Greve JW, Koole LH, Bouvy ND. Polypropylene meshes to prevent abdominal herniation, Can stable coating prevent adhesions in the longterm? Ann Biomed Eng 2009;37:410-418.
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[15]	BurgerJW, luijendijk RW, HopWC, Halm JA, Verdaasdonk EG, Jeekel J. Long term follow up of a randomised con-trolled trail of suture versus mesh repair of incisional hernia. AnnSurg 2004; 240:578-858.
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APA Style

D. G. Roberts, S. Anwar. (2012). Laparoscopic Intraperitoneal Onlay Repair of Abdominal Incisional and Ventral Hernias wth Polyvinylidene Fluoride-Coated Polypropylene Mesh; A Retrospective Study with Short to Medium Term Results. Science Journal of Clinical Medicine, 1(1), 10-14. https://doi.org/10.11648/j.sjcm.20120101.13

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ACS Style

D. G. Roberts; S. Anwar. Laparoscopic Intraperitoneal Onlay Repair of Abdominal Incisional and Ventral Hernias wth Polyvinylidene Fluoride-Coated Polypropylene Mesh; A Retrospective Study with Short to Medium Term Results. Sci. J. Clin. Med. 2012, 1(1), 10-14. doi: 10.11648/j.sjcm.20120101.13

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AMA Style

D. G. Roberts, S. Anwar. Laparoscopic Intraperitoneal Onlay Repair of Abdominal Incisional and Ventral Hernias wth Polyvinylidene Fluoride-Coated Polypropylene Mesh; A Retrospective Study with Short to Medium Term Results. Sci J Clin Med. 2012;1(1):10-14. doi: 10.11648/j.sjcm.20120101.13

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@article{10.11648/j.sjcm.20120101.13,
  author = {D. G. Roberts and S. Anwar.},
  title = {Laparoscopic Intraperitoneal Onlay Repair of Abdominal Incisional and Ventral Hernias wth Polyvinylidene Fluoride-Coated Polypropylene Mesh; A Retrospective Study with Short to Medium Term Results},
  journal = {Science Journal of Clinical Medicine},
  volume = {1},
  number = {1},
  pages = {10-14},
  doi = {10.11648/j.sjcm.20120101.13},
  url = {https://doi.org/10.11648/j.sjcm.20120101.13},
  eprint = {https://article.sciencepublishinggroup.com/pdf/10.11648.j.sjcm.20120101.13},
  abstract = {Laparoscopic repair of incisional and ventral hernias has increased in popularity due to reduced pain, shorter length of stay and earlier return to work. Dynamesh Intraperitoneal onlay mesh (IPOM), a composite of polyvinylidene fluoride (PVDF) coated polypropylene (PP) was designed to utilize the properties of both materials. This retrospective study reports a single surgeon experience with laparoscopic IPOM using Dynamesh , to ascertain any short to medium term complications. Forty consecutive patients underwent intraperitoneal onlay mesh repair with Dynamesh in a District General hospital (DGH) over a 33 month period. Data was collected retrospectively from medical notes, clinical assessment and telephone interviews. Short term complications include development of seromas post operatively in three patients which were successfully drained. One patient was readmitted with small bowel obstruction that was successfully managed conservatively. Medium term results showed two further seromas. Our recurrence rate is 13% after a mean follow up of 15 months. On submission of this manuscript, none of the patients have had to undergo surgical re-intervention for Dynamesh related complications. We have not noticed any significant short to medium term complications with Dynamesh in our experience. The debate about the best composite mesh continues; only a randomised control trial between the different meshes, with long term follow up can determine the true incidence of complications.},
 year = {2012}
}

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TY - JOUR
T1 - Laparoscopic Intraperitoneal Onlay Repair of Abdominal Incisional and Ventral Hernias wth Polyvinylidene Fluoride-Coated Polypropylene Mesh; A Retrospective Study with Short to Medium Term Results
AU - D. G. Roberts
AU - S. Anwar.
Y1 - 2012/12/30
PY - 2012
N1 - https://doi.org/10.11648/j.sjcm.20120101.13
DO - 10.11648/j.sjcm.20120101.13
T2 - Science Journal of Clinical Medicine
JF - Science Journal of Clinical Medicine
JO - Science Journal of Clinical Medicine
SP - 10
EP - 14
PB - Science Publishing Group
SN - 2327-2732
UR - https://doi.org/10.11648/j.sjcm.20120101.13
AB - Laparoscopic repair of incisional and ventral hernias has increased in popularity due to reduced pain, shorter length of stay and earlier return to work. Dynamesh Intraperitoneal onlay mesh (IPOM), a composite of polyvinylidene fluoride (PVDF) coated polypropylene (PP) was designed to utilize the properties of both materials. This retrospective study reports a single surgeon experience with laparoscopic IPOM using Dynamesh , to ascertain any short to medium term complications. Forty consecutive patients underwent intraperitoneal onlay mesh repair with Dynamesh in a District General hospital (DGH) over a 33 month period. Data was collected retrospectively from medical notes, clinical assessment and telephone interviews. Short term complications include development of seromas post operatively in three patients which were successfully drained. One patient was readmitted with small bowel obstruction that was successfully managed conservatively. Medium term results showed two further seromas. Our recurrence rate is 13% after a mean follow up of 15 months. On submission of this manuscript, none of the patients have had to undergo surgical re-intervention for Dynamesh related complications. We have not noticed any significant short to medium term complications with Dynamesh in our experience. The debate about the best composite mesh continues; only a randomised control trial between the different meshes, with long term follow up can determine the true incidence of complications.
VL - 1
IS - 1
ER -

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Author Information

D. G. Roberts

Department of Surgery. Calderdale and Huddersfield NHS Trust
S. Anwar.

Department of Surgery Huddersfield Royal infirmary, Lindley, Huddersfield, HD3 3EA

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APA Style

D. G. Roberts, S. Anwar. (2012). Laparoscopic Intraperitoneal Onlay Repair of Abdominal Incisional and Ventral Hernias wth Polyvinylidene Fluoride-Coated Polypropylene Mesh; A Retrospective Study with Short to Medium Term Results. Science Journal of Clinical Medicine, 1(1), 10-14. https://doi.org/10.11648/j.sjcm.20120101.13

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ACS Style

D. G. Roberts; S. Anwar. Laparoscopic Intraperitoneal Onlay Repair of Abdominal Incisional and Ventral Hernias wth Polyvinylidene Fluoride-Coated Polypropylene Mesh; A Retrospective Study with Short to Medium Term Results. Sci. J. Clin. Med. 2012, 1(1), 10-14. doi: 10.11648/j.sjcm.20120101.13

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AMA Style

D. G. Roberts, S. Anwar. Laparoscopic Intraperitoneal Onlay Repair of Abdominal Incisional and Ventral Hernias wth Polyvinylidene Fluoride-Coated Polypropylene Mesh; A Retrospective Study with Short to Medium Term Results. Sci J Clin Med. 2012;1(1):10-14. doi: 10.11648/j.sjcm.20120101.13

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@article{10.11648/j.sjcm.20120101.13,
  author = {D. G. Roberts and S. Anwar.},
  title = {Laparoscopic Intraperitoneal Onlay Repair of Abdominal Incisional and Ventral Hernias wth Polyvinylidene Fluoride-Coated Polypropylene Mesh; A Retrospective Study with Short to Medium Term Results},
  journal = {Science Journal of Clinical Medicine},
  volume = {1},
  number = {1},
  pages = {10-14},
  doi = {10.11648/j.sjcm.20120101.13},
  url = {https://doi.org/10.11648/j.sjcm.20120101.13},
  eprint = {https://article.sciencepublishinggroup.com/pdf/10.11648.j.sjcm.20120101.13},
  abstract = {Laparoscopic repair of incisional and ventral hernias has increased in popularity due to reduced pain, shorter length of stay and earlier return to work. Dynamesh Intraperitoneal onlay mesh (IPOM), a composite of polyvinylidene fluoride (PVDF) coated polypropylene (PP) was designed to utilize the properties of both materials. This retrospective study reports a single surgeon experience with laparoscopic IPOM using Dynamesh , to ascertain any short to medium term complications. Forty consecutive patients underwent intraperitoneal onlay mesh repair with Dynamesh in a District General hospital (DGH) over a 33 month period. Data was collected retrospectively from medical notes, clinical assessment and telephone interviews. Short term complications include development of seromas post operatively in three patients which were successfully drained. One patient was readmitted with small bowel obstruction that was successfully managed conservatively. Medium term results showed two further seromas. Our recurrence rate is 13% after a mean follow up of 15 months. On submission of this manuscript, none of the patients have had to undergo surgical re-intervention for Dynamesh related complications. We have not noticed any significant short to medium term complications with Dynamesh in our experience. The debate about the best composite mesh continues; only a randomised control trial between the different meshes, with long term follow up can determine the true incidence of complications.},
 year = {2012}
}

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