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Updated: Mar 1, 2026
Application of a New Mesh Fixation Method in Laparoscopic Incisional Hernia Repair
Published on: December 23, 2022
A multicenter prospective study of patients undergoing open ventral hernia repair with intraperitoneal positioning
Frederik Berrevoet1, Carl Doerhoff2, Filip Muysoms3
1Department of General and Hepatopancreaticobiliary Surgery, Ghent University Hospital, Ghent, Belgium.
Insights
Ventral hernia repair using the Parietex Composite Ventral Patch (PCO-VP) showed a low recurrence rate and improved patient comfort. Surgeons reported high satisfaction with mesh ease of use in this prospective study.
Area of Science:
- Surgical innovation in hernia repair.
- Biomaterials in medical devices.
- Clinical outcomes research.
Background:
- Ventral hernia repair is a common surgical procedure.
- Minimally invasive techniques and advanced mesh materials are evolving.
- Assessing the safety and efficacy of new prosthetics is crucial.
Purpose of the Study:
- To evaluate the recurrence rate of ventral hernias repaired with the Parietex Composite Ventral Patch (PCO-VP).
- To assess other safety and efficacy parameters, including postoperative pain and patient satisfaction.
- To provide a 1-year interim analysis of PCO-VP performance.
Main Methods:
- A prospective, single-arm, multicenter study involving 126 patients undergoing open ventral hernia repair.
- The PCO-VP was used in all cases for umbilical or epigastric defects.
- Patient outcomes were monitored through 24 months postoperatively.
Main Results:
- The cumulative hernia recurrence rate at 1 year was 2.8%.
- Significant improvements in postoperative pain scores (NRS and CCS) were observed and maintained.
- Surgeons reported 95% satisfaction with the mesh's ease of use, with one patient unsatisfied with the procedure.
Conclusions:
- The PCO-VP demonstrates promising results for primary umbilical and epigastric hernia repair regarding ease of use, pain reduction, and patient satisfaction.
- A low recurrence rate was observed in this 1-year interim analysis.
- Accurate surgical technique is essential for optimal outcomes, as indicated by potential needs for patch repositioning in some laparoscopic evaluations.
Purpose:
This study assessed the recurrence rate and other safety and efficacy parameters following ventral hernia repair with a polyester composite prosthesis (Parietex™ Composite Ventral Patch [PCO-VP]).
Patients And Methods:
A single-arm, multicenter prospective study of 126 patients undergoing open ventral hernia repair with the PCO-VP was performed. Patient outcomes were assessed at discharge and at 10 days, 1, 6, 12, and 24 months postoperative.
Results:
All patients had hernioplasty for umbilical (n = 110, 87.3%) or epigastric hernia (n = 16, 12.7%). Mean hernia diameter was 1.8 ± 0.8 cm. Mean operative time was 36.2 ±15.6 minutes, with a mean mesh positioning time of 8.1 ± 3.4 minutes. Surgeons reported satisfaction with mesh ease of use in 95% of surgeries. The cumulative hernia recurrence rate at 1 year was 2.8% (3/106). Numeric Rating Scale (NRS) pain scores showed improvement from 2.1 ± 2.0 at preoperative baseline to 0.5 ± 0.7 at 1 month postoperative (P < 0.001), and this low pain level was maintained at 12 months postsurgery (P < 0.001). The mean global Carolina's Comfort Scale® (CCS) score improved postoperatively from 3.8 ± 6.2 at 1 month to 1.6 ± 3.5 at 6 months (P < 0.001). One patient was unsatisfied with the procedure.
Conclusion:
This 1-year interim analysis using PCO-VP for primary umbilical and epigastric defects shows promising results in terms of mesh ease of use, postoperative pain, and patient satisfaction. Recurrence rate is low, but, as laparoscopic evaluation shows a need for patch repositioning in some cases, an accurate surgical technique remains of utmost importance.
