Intraperitoneal polypropylene mesh support of incisional herniorraphy

Area of Science:

• Surgical Innovation
• Abdominal Wall Reconstruction
• Biomaterials in Surgery

Background:

• Polypropylene mesh (Marlex) is a biocompatible material widely used in peritoneal applications.
• Incisional hernias present a significant challenge in abdominal surgery, often requiring robust repair methods.

Purpose of the Study:

• To evaluate the efficacy of Marlex mesh in repairing incisional hernias.
• To describe a novel surgical technique utilizing Marlex mesh anchored intraperitoneally.

Main Methods:

• The described technique involves excising the hernia sac and attenuated fascia.
• Marlex mesh is secured intraperitoneally using U sutures through the intact abdominal wall.
• The primary defect is subsequently closed with additional sutures.

Main Results:

• The Marlex mesh forms an impenetrable barrier beneath the abdominal wall defect.
• A low recurrence rate of 8% (2 out of 25 patients) was observed.
• All recurrences occurred at the periphery of the mesh, indicating the central mesh integrity.

Conclusions:

• This intraperitoneal Marlex mesh repair technique is a viable and recommended option for incisional hernias.
• The study highlights the effectiveness of Marlex mesh in preventing hernia recurrence when properly applied.
• Further investigation into optimizing mesh fixation to prevent peripheral failures is warranted.