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Polyvinylidene fluoride: a suitable mesh material for laparoscopic incisional and parastomal hernia repair!

A prospective, observational study with 344 patients

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Abstract

Background

Today, the laparoscopic approach is a standard procedure for the repair of incisional hernias. However, the direct contact of visceral organs with mesh material is a major issue.

Patients and methods

This prospective observational study presents the data of 344 patients treated for incisional and parastomal hernias with a new mesh made of polyvinylidene fluoride (PVDF; Dynamesh IPOM®) between May 2004 and January 2008 with a minimum follow-up of 6 months. The median follow-up of 297 patients after incisional hernias totaled 24 months and 20 months for 47 patients with parastomal hernias. Incisional hernias were repaired using an IPOM technique. For parastomal hernias, a recently described sandwich technique was used with two meshes implanted in an intraperitoneal onlay position.

Results

The recurrence rate for incisional hernias was 2/297 = 0.6% and 1/47 = 2% for parastomal hernias. Three patients developed a secondary infection after surgical revision or puncture of a seroma. One patient had a bowel fistula through the mesh, with an abscess in the hernia sac. In all cases, the infection healed and the mesh could be preserved. No long-term mesh-related complications have been observed.

Conclusion

The laparoscopic repair of incisional and parastomal hernias with meshes made of PVDF (Dynamesh IPOM®) revealed low recurrence and, overall, low complication rates. Especially in cases of infection, the material proved to be resistant without clinical signs of persistent bacterial contamination. Mesh-related complications did not occur during the follow-up.

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Authors and Affiliations

  1. Department of Surgery, Stadtklinik, Balgerstrasse 50, 76532, Baden-Baden, Germany

    D. Berger & M. Bientzle

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  1. D. Berger
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  2. M. Bientzle
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Correspondence to D. Berger.

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Berger, D., Bientzle, M. Polyvinylidene fluoride: a suitable mesh material for laparoscopic incisional and parastomal hernia repair!. Hernia 13, 167–172 (2009). https://doi.org/10.1007/s10029-008-0435-4

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  • DOI: https://doi.org/10.1007/s10029-008-0435-4

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