Repair of ventral hernias with expanded polytetrafluoroethylene patch

Abstract

This clinical experience shows that ePTFE is a very reliable prosthetic material for the repair of abdominal wall hernias.

Comparison of laparoscopic and open repair of incisional and primary ventral hernia: results of a prospective randomized study

“…The wound-related complications include wound hematoma, infection, dehiscence, necrosis, chronic sinus, seroma, and longterm chronic pain. The incidence of wound-related complications from open mesh repair reportedly ranges from 3.5% to 18% (average, 8.1%) [2,4,7,8,14,19,24,25,28,[35][36][37]40], whereas for laparoscopic repair, its reported overall incidence is 2% [12,16,17,[30][31][32].…”

Open randomized clinical trial of laparoscopic versus open incisional hernia repair

“…The incidence of wound-related complications from open mesh repair ranges from 3.5% to 18%, whereas for laparoscopic repair the reported overall incidence is 2% [32][33][34][35][36][37]. The high complication rate associated with open anterior repair seems to be due to extensive lateral dissection and subcutaneous drainage placement, which increase infection rate.…”

Postoperative complications after laparoscopic incisional hernia repair

“…However, it is not clear where to place the mesh. Although there are some hints that the subfascial placement may be adequate [10,17], some studies deal with the onlay technique [2,3]; the IPOM technique is also used [7,20]. The main disadvantage of the conventional repair, irrespective of the localization of the mesh, is the necessity of creating large flaps of the abdominal wall layers, which imposes a tremendous trauma to the abdominal wall.…”