Laparoscopic herniorrhaphy with porcine small intestinal submucosa: a preliminary study.

Abstract

INTRODUCTION:

Using mesh or a synthetic prosthesis during the laparoscopic repair of inguinal hernias has been demonstrated to be safe and effective. A new material, porcine small intestinal submucosa (SIS mesh), has been successfully used in canine and rodent animal models with excellent results. This mesh is degradable and resorbable with a marked decrease in the possibility of becoming infected. However, the amount of fibroblast ingrowth is equal to that with polypropylene mesh.

METHODS:

A comparison was made between this new SIS mesh to repair 15 inguinal hernias in 12 patients and polypropylene mesh used in 12 similar patients. A preperitoneal approach with balloon dissection was used in all patients.

RESULTS:

Demographics were similar in both groups. The results were excellent and compared equally. Complications (seroma, discomfort) were minimal in both groups and were similar.

CONCLUSIONS:

Porcine small intestinal submucosa, SIS mesh, can be used for laparoscopic repair of inguinal hernias. Long-term follow-up will be necessary to confirm these preliminary results.

• Authors: David S Edelman
• Journal: JSLS : Journal of the Society of Laparoendoscopic Surgeons (JSLS) 2002 Jul-Sep Vol. 6 Issue 3 Pg. 203-5 ISSN: 1086-8089 [Print] United States
• PMID: 12166756 (Publication Type: Comparative Study, Journal Article)

Chemical References

• Polypropylenes

Topics

• Adult
• Aged
• Animals
• Female
• Hernia, Inguinal (surgery)
• Humans
• Intestinal Mucosa (transplantation)
• Intestine, Small
• Laparoscopy
• Male
• Middle Aged
• Polypropylenes
• Swine