Abdominal incisional hernia repair. Intraperitoneal prosthetic technique using Bard Kugel Composix Mesh

The treatment of choice for incisional hernia is prosthetic repair Extensively debated issues are the materials used and the implantation site of the mesh. The authors report their personal experience with 17 cases operated on by placement of an intraperitoneal Bard Kugel Composix Mesh. From May 2003 to August 2005, 10 female and 7 male patients with incisional hernia, aged from 43 to 76 years (mean age: 65 years), were submitted to intraperitoneal prosthetic mesh implantation and monitored over a follow up period ranging from 2 to 28 months (median: 15 months). The technical aspects and the rationale for this approach are described. The advantages of this procedure are its simplicity and rapidity of execution, a reduced incidence of complications, and good tolerance in terms of patient pain and comfort. The mesh was removed in one case owing to infection of the prosthesis. Follow-up to date has revealed no instances of recurrence.