Abstract | BACKGROUND: Few large studies of the use of expanded polytetrafluoroethylene (ePTFE) in incisional hernia repairs have been done. We performed such a study of ePTFE patches implanted extraperitoneally or intraperitoneally. METHODS: The records of all patients in whom an ePTFE patch was used to repair an incisional hernia in 1987 to 1994 were reviewed retrospectively. RESULTS: An ePTFE patch was implanted in 158 patients, extraperitoneally in 98 and intraperitoneally in 60. There were no perioperative deaths. Serious postoperative complications, including 3 cases of sepsis (intraperitoneally placed patch), occurred in 6 patients (4%). With a mean follow-up of 37 months (range 12 to 90), there were 2 cases of late sepsis (with an extraperitoneal patch) and 6 recurrences (4 with an intraperitoneal patch). CONCLUSIONS: The ePTFE prostheses used in incisional hernia repair are well tolerated in the intraperitoneal position. Their effectiveness in the extraperitoneal position may be comparable to that of mesh but with a lower rate of sepsis.
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Authors | J F Gillion, G F Bégin, C Marecos, G Fourtanier |
Journal | American journal of surgery
(Am J Surg)
Vol. 174
Issue 1
Pg. 16-9
(Jul 1997)
ISSN: 0002-9610 [Print] United States |
PMID | 9240945
(Publication Type: Journal Article)
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Chemical References |
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Topics |
- Adult
- Aged
- Aged, 80 and over
- Female
- Hernia, Ventral
(surgery)
- Humans
- Infections
(etiology)
- Male
- Middle Aged
- Polytetrafluoroethylene
(adverse effects)
- Postoperative Complications
- Prostheses and Implants
(adverse effects)
- Reoperation
- Retrospective Studies
- Treatment Outcome
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