Two-year patient-related outcome measures (PROM) of primary ventral and incisional hernia repair using a novel three-dimensional composite polyester monofilament mesh: the SymCHro registry study

Abstract

Purpose This study examined patient-related outcome measures (PROMs) after repair of ventral primary or incisional hernias using Symbotex™ composite mesh (SCM), a novel three-dimensional collagen-coated monofilament polyester textile. Methods Pre-operative, peri-operative, and post-operative data were obtained from the French “Club Hernie” registry with 12- and 24-month follow-up. Results One-hundred consecutive patients (mean age 62.0 ± 13.7; 51% female) underwent repair of 105 hernias: primary (39/105, 37.1%, defect area 5.2 ± 5.6 cm 2 ) and incisional (66/105, 62.9%, 31.9 ± 38.7.8 cm 2 ). The mean BMI was 29.7 (± 5.6 kg/m 2 ). American Society of Anesthesiologists classifications were I 39.4%, II 37.4% and III 23.2%. 75% had risk factors for healing and/or dissection. Of 38 primary repairs, 37 were completed laparoscopically (combined approach n = 1), and of 62 incisional hernia repairs, 40 were completed laparoscopically, and 20 by open repair (combined approach n = 2). Laparoscopic was quicker than open repair (36.2 ± 23.5 min vs. 67.4 ± 25.8, p < 0001). Before surgery, 86.3% of hernias were reported to cause discomfort/pain or dysesthesia. At 24 months (93 of 100 patients), 91 (97.8%) reported no lump and 81 (87.1%) no pain or discomfort. Of 91 patients, 86 (94.5%) rated their repair “good” or “excellent.” There were nine non-serious, surgeon-detected adverse events (ileus, n = 3; seroma, n = 6) and one hernia recurrence (6–12 months). Conclusions Compared to baseline, open and laparoscopic surgery improved PROMs 24 months after primary and incisional hernia repair. Minimal complications and recurrence support the long-term efficacy of SCM.

A Prospective, Single Arm, Multi-Center Study Evaluating the Clinical Outcomes of Ventral Hernias Treated with OviTex® 1S Permanent Reinforced Tissue Matrix: The BRAVO Study 12-Month Analysis

“…In conclusion, the 12-month results of this prospective multi-center study reveal good clinical results and patient outcomes obtained with OviTex 1S Permanent RTM, comparable to and in some cases better than those reported for other mesh materials. Specifically, the recurrence rate appears to be in line or lower than reported in studies with similar populations in the literature [30][31][32][33]. In our experience, the addition of the polymer to the biologic mesh does not appear to increase the risk of mesh infection.…”

Reducing operative morbidity among female patients combining laparoscopic hysterectomy and laparoscopic ventral hernia mesh repair procedures: a single centre 14 years experiences

“…LVHR required average time of 40 minutes and hospital stay of 2 days which is comparable to Gillion et al who had average time of 43.4 minutes and 2.5day hospital stay. 8 Despite 2 surgeries our patients had only mild pain by 7th post-operative day Lipere et al also reported significant pain reduction by 8th postoperative day. 9 We had mild seroma formation in 50 % cases which resolved with compression dressing only.…”

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“…Elective hernia surgery shows to have a low rate of mortality being reported by many studies. [13,14] Comorbidity, type of surgery (elective or emergency), clinical type of hernia (simple or complicated), and outcome of surgery in the elderly subjects show a strong association among them. Early elective surgery is recommended in elderly patients to avoid morbidity and mortality.…”

“…[9][10][11][12] Complications at some stage because of reluctance for operation and it has been pointed out in many studies that the mortality and morbidity increase many folds if such hernias are operated in an emergency in elderly patients. [13][14][15][16][17] Comorbidities with the presence of…”