Is Repair of Incisional Hernias by Polypropylene Mesh a Safe Procedure?

Abstract

Objective: The aim of our study was to evaluate the safety of the intraperitoneal mesh repair procedure and to assess the complications that develop after the procedure. Subjects and Methods: We reviewed the records of 25 patients who underwent intraperitoneal mesh repair procedures. Data on age, sex, size and cause of the hernia, postoperative mortality, and morbidity with special attention to complications were obtained from the medical records. Results: Of the 25 patients (7 males, 18 females), the original operation was cholecystectomy in 15 cases (60%), gynaecological surgery in 2, gastric surgery in 2, and umbilical hernia in 2. Incisions were midline in 20 cases (80%), transverse in 2 and laparoscopic port sites in 3 patients. The average size of the hernia was 150 cm². Local complications occurred in 4 (16%) patients. Postoperative complications included wound infection in 3 patients and haematoma in 1 patient. Postoperative hospital stay ranged from 3 to 25 days with a mean of 6 days. No recurrence developed during 28-month follow-up. Conclusion: The tension-free repair of incisional hernia with polypropylene mesh in intraperitoneal position is a safe and easy procedure with acceptable morbidity and no recurrence.

“Outcomes of Laparoscopic ventral hernia repair as compared to Open repair, in a tertiary care government hospital in North India.”

“…of working days lost, cost of antibiotics and drugs etc. [3] Among the mesh used in laparoscopic repair, similar to others [4,5], we found no difference in outcomes, complications and recurrence with either simple polypropylene or composite PROCEED mesh. Hence, to bring down the cost in our setup, polypropylene mesh can be used in laparoscopic ventral hernia repair.…”

Comparative analysis of autodermal graft and polypropylene mesh use in large incisional hernia defects reconstruction

“…The available literature data reported the incidence of infection and bleeding of 10% 23 . Our study results correlate well with other studies, where the percentage of early minor complications (seroma, hematoma, infection) ranged from 16% to 18%, and severe complications from 6% to 27% (intestinal obstruction, intraperitoneal infection and enterocutaneous fistula), accordingly 6,20 . Kingsnorth et al 19 in their study reported the early complications rate of 34%.…”

“…Enterocutaneous fistula is rarely formed with synthetic mesh placed extraperitoneally 27 , although some authors reported increased incidence of complications with intraperitoneally placed mesh 6,25,28,29 . In this study, enterocutaneous fistula was observed in one patient with synthetic mesh.…”

“…Implants can be classified into two major, basic, different groups -biological (auto-, allo-or xeno-) 5 and nonbiological (synthetic mesh) implants 6,7 . In the absence of an "ideal implant", which would be able to restore any defects, a wide range of implants with different nature and properties is now available.…”