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Proceed™ mesh for laparoscopic ventral hernia repair.

Parag Bhanot1, Brenton R Franklin2, Ketan M Patel2

  • 1Department of Surgery, Georgetown University Hospital, 3800 Reservoir Rd NW, Washington, DC 20007, USA. PXB129@gunet.georgetown.edu.

JSLS : Journal of the Society of Laparoendoscopic Surgeons
|January 9, 2014
PubMed
Summary

Laparoscopic ventral hernia repair using Proceed mesh showed no recurrences or mesh complications in a 50-month follow-up. This minimally invasive technique offers a safe and effective option for hernia repair.

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Area of Science:

  • Surgical Innovation
  • Hernia Repair Techniques
  • Biomaterials in Surgery

Background:

  • Laparoscopic ventral hernia repair offers advantages over open surgery, including faster recovery and reduced pain.
  • A variety of surgical meshes are available for laparoscopic ventral hernia repair.
  • Proceed mesh is one such option evaluated in this study.

Purpose of the Study:

  • To evaluate the outcomes of laparoscopic ventral hernia repair using Proceed mesh.
  • To assess complication rates, recurrence rates, and overall patient outcomes.
  • To determine the efficacy of Proceed mesh in a single academic institution.

Main Methods:

  • Retrospective review of 100 consecutive patients undergoing laparoscopic ventral hernia repair.
  • Standardized surgical technique with transabdominal suture fixation and tacks.
  • Data collected on patient demographics, hernia characteristics, operative details, and follow-up outcomes.

Main Results:

  • 100 patients (57% female, 43% male) with a mean age of 55 years and BMI of 33.3 kg/m².
  • Mean defect size 128 cm², mean mesh size 253 cm²; 27% recurrent hernias.
  • Mean follow-up of 50 months, 0% recurrence rate, no major abdominal or mesh-related complications, and 4 conversions.

Conclusions:

  • Laparoscopic ventral hernia repair with Proceed mesh demonstrates a low conversion rate and no major complications.
  • The study reports a 0% recurrence rate at a mean follow-up of 50 months.
  • Proceed mesh appears to be a safe and effective option for laparoscopic ventral hernia repair with no documented mesh-related issues.