Biologic versus synthetic mesh in open ventral hernia repair: A systematic review and meta-analysis of randomized controlled trials

Figueiredo, Sergio Mazzola Poli de; Tastaldi, Luciano; Mao, Rui-Min D.; Lima, Diego Laurentino; Huang, Li‐Ching; Lu, Richard

doi:10.1016/j.surg.2022.12.002

Cited by 7 publications

(1 citation statement)

References 26 publications

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“…Earlier systematic reviews and a recent meta-analysis have shown that reconstruction with biological mesh gives higher hernia recurrence rates and surgical site infection rates compared to synthetic mesh [6,11,16,17]. Still, it must also be noted that traditionally biological mesh is opted in larger and/or contaminated abdominal wall repairs, which likely influenced its complication rate in non-randomized studies [9,11,17]. In our described case, synthetic permanent mesh was used as no alternatives were at hand nor indicated in accordance with our assessment.…”

Section: Accepted Manuscriptmentioning

confidence: 99%

Abdominal Wall Reconstruction in Abdominal Wall Endometriosis: A Case Report and Literature Review

van Varsseveld,

Koeijers,

Rodriguez Vitoria

et al. 2024

Arch Plast Surg

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Abdominal wall endometriosis (AWE) is a rare condition representing 1% of patients operated for endometriosis. We describe a case of a 26-year-old woman, with a history of cesarean delivery, who presented with cyclical pain and a subcutaneous mass in the lower abdomen. Where most AWE lesions may be surgically managed by a single surgeon, imaging revealed an unusually large lesion (13x4x10cm) involving the rectus abdominis muscle. Plastic, gynecologic and general surgeons combined their expertise to conduct AWE excision combined with mini-abdominoplasty in a single procedure. After resection, a retrorectus mesh (Rives-Stoppa technique) reinforced the primarily closed posterior rectus sheath and an inlay mesh bridged the defect left in the anterior rectus sheath. The patient was discharged three days postoperatively, had minimal pain complaints and was satisfied with cosmetic results at one-month follow up. One year postoperatively, she gave uncomplicated vaginal birth. We conclude that, in select cases, management of a large, symptomatic AWE may benefit from a multidisciplinary approach, where symptom relief and an aesthetically pleasing result for the patient can be achieved in a single procedure. We distinctively describe double mesh repair as a viable consideration for reconstruction in AWE and review current considerations in mesh repair of the abdominal wall. Further studies into this topic are warranted.

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