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Are mesh anchoring sutures necessary in ventral hernioplasty? Multicenter study
P Witkowski1, F Abbonante, I Fedorov
1Department of Surgery, Columbia University, New York, NY, USA. pw2004@columbia.edu
Summary
Sutureless ventral hernioplasty using a polypropylene mesh is a safe and effective technique for ventral abdominal hernias. This method simplifies surgery and reduces complications, offering a good option for small to medium defects.
Area of Science:
- Abdominal surgery
- Hernia repair
- Surgical innovation
Background:
- Ventral hernioplasty traditionally involves mesh fixation, increasing operative time and risk of suture-related issues.
- Mesh fixation avoidance in ventral hernioplasty can simplify the procedure and reduce complications.
Purpose of the Study:
- To evaluate the safety and effectiveness of sutureless ventral hernioplasty.
- To assess the clinical outcomes of a sutureless sublay technique for ventral abdominal hernias.
Main Methods:
- Prospective clinical evaluation of sutureless ventral hernioplasty in 111 patients across four hospitals.
- Surgical technique involved placing a polypropylene mesh in the retromuscular or preperitoneal space without suture anchoring.
Main Results:
- Low local complication rate (12.6%) and minimal postoperative pain (mean VAS 4).
- A recurrence rate of 3% was observed.
- Mild, non-limiting scar discomfort was reported in a minority of patients at follow-up.
Conclusions:
- The sutureless sublay technique is a safe and effective method for treating ventral abdominal hernias.
- This technique is particularly suitable for small and medium-sized hernia defects.