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Parietex™ Composite Ventral Patch for primary and incisional hernia repair
Alberto G Barranquero1, Rafael Villalobos Mori1, Yolanda Maestre González1
1Abdominal Wall Surgery Division, General and Digestive Surgery Department, Hospital Universitari, Arnau de Vilanova, Lleida, Spain.
Backgrounds:
Ventral hernia repair with a preformed device is a frequent intervention, but few reports exist with Parietex™ Composite Ventral Patch. The aim was to evaluate the results of this mesh with the open intraperitoneal onlay mesh (open IPOM) technique.
Methods:
Observational retrospective single institution study of all consecutive patients intervened for ventral or incisional hernia with a diameter inferior to 4 cm, from January 2013 to June 2020. The surgical repair was performed according to the open IPOM technique with Parietex™ Composite Ventral Patch.
Results:
A total of 146 patients were intervened: 61.6% with umbilical hernias, 8.2% with epigastric hernias, 26.7% with trocar incisional hernias, and 3.4% with other incisional hernias. The global recurrence rate was 7.5% (11/146). Specifically, it was 7.8% in umbilical hernias, 0% in epigastric hernias, 7.7% in trocar incisional hernias and 20% (1/5) in other incisional hernias. The median time for recurrence was 14 months (IQR: 4.4-18.7). The median indirect follow-up was 36.9 months (IQR: 27.2-49.6), and the median presential follow-up was 17.4 months (IQR: 6.5-27.3).
Conclusion:
The open IPOM technique with a preformed patch offered satisfactory results for the treatment of ventral and incisional hernias.
