Feasibility and outcome after laparoscopic ventral hernia repair using Proceed mesh

Area of Science:

• Surgical Innovation
• Minimally Invasive Surgery
• Biomaterials in Surgery

Background:

• Ventral hernia repair commonly utilizes various surgical meshes.
• The Proceed mesh, featuring a bioresorbable layer and a polypropylene layer, is a newer option.
• Limited human data exists for the Proceed mesh in laparoscopic ventral hernia repair.

Purpose of the Study:

• To assess the feasibility of laparoscopic ventral hernia repair using the Proceed mesh in human patients.
• To evaluate the clinical outcomes and complication rates associated with this novel mesh.

Main Methods:

• A cohort of patients undergoing laparoscopic ventral hernia repair between September 2004 and October 2006 were included.
• The Proceed mesh was used in all cases, secured with tackers using a double crown technique.
• Follow-up involved national patient database searches and manual review of patient files.

Main Results:

• Forty-nine patients were analyzed, with a median age of 64 years and a median BMI of 27.8.
• The study reported no mesh-related complications, such as mesh infections or seroma requiring intervention.
• No postoperative recurrences were observed during a median follow-up of 17 months, with a median hospital stay of 1 day.

Conclusions:

• Laparoscopic ventral hernia repair with the Proceed mesh is a feasible procedure in humans.
• The mesh demonstrates a low complication rate, even in challenging patient populations like the obese or those with pulmonary disease.