Parietex™ Composite Ventral Patch for primary and incisional hernia repair

• Published in: ANZ journal of surgery Vol. 93; no. 7-8; pp. 1799 - 1805
• Main Authors: Barranquero, Alberto G., Villalobos Mori, Rafael, Maestre González, Yolanda, Protti, Gian Pier, López Soler, Guillermo, Villarreal León, Fernando, González Alfaro, Irvin Jair, Olsina Kissler, Jorge Juan
• Format: Journal Article
• Language: English
• Published: Melbourne John Wiley & Sons Australia, Ltd 01-07-2023; Blackwell Publishing Ltd
• Subjects: Hernia; hernia, ventral; Hernias; incisional hernia; postoperative complications; recurrence; surgical mesh; recurrence; postoperative complications; hernia, ventral; incisional hernia; surgical mesh
• ISSN: 1445-1433; 1445-2197
• DOI: 10.1111/ans.18524

Backgrounds
Ventral hernia repair with a preformed device is a frequent intervention, but few reports exist with Parietex™ Composite Ventral Patch. The aim was to evaluate the results of this mesh with the open intraperitoneal onlay mesh (open IPOM) technique.
Methods
Observational retrospective single institution study of all consecutive patients intervened for ventral or incisional hernia with a diameter inferior to 4 cm, from January 2013 to June 2020. The surgical repair was performed according to the open IPOM technique with Parietex™ Composite Ventral Patch.
Results
A total of 146 patients were intervened: 61.6% with umbilical hernias, 8.2% with epigastric hernias, 26.7% with trocar incisional hernias, and 3.4% with other incisional hernias.
The global recurrence rate was 7.5% (11/146). Specifically, it was 7.8% in umbilical hernias, 0% in epigastric hernias, 7.7% in trocar incisional hernias and 20% (1/5) in other incisional hernias. The median time for recurrence was 14 months (IQR: 4.4–18.7). The median indirect follow‐up was 36.9 months (IQR: 27.2–49.6), and the median presential follow‐up was 17.4 months (IQR: 6.5–27.3).
Conclusion
The open IPOM technique with a preformed patch offered satisfactory results for the treatment of ventral and incisional hernias.
This observational retrospective single institution study analysed the results of the open intraperitoneal onlay mesh technique with Parietex™ Composite Ventral Patch for the treatment of ventral or incisional hernia, finding a 7.5% recurrence rate. Thus, we concluded that this technique offered satisfactory results for the treatment of these hernias.