Prospective repair of Ventral Hernia Working Group type 3 and 4 abdominal wall defects with condensed polytetrafluoroethylene (MotifMESH) mesh.

Abstract

BACKGROUND:

Treatment of clean-contaminated and contaminated ventral hernia defects remains controversial. Newer prosthetic materials may play an important role in these patients.

METHODS:

Ten patients with Ventral Hernia Working Group types 3 and 4 were prospectively enrolled and subsequently treated with direct supported repairs with condensed fenestrated polytetrafluoroethylene mesh. The primary outcome was hernia occurrence at 1 year after surgery. Secondary outcomes included surgical site infection, surgical site occurrence, medical complications, pain, and other patient-reported outcomes.

RESULTS:

There were no immediate postoperative infections and one minor postoperative hematoma treated in the office. One patient required delayed mesh removal 9 months after placement. Importantly, the mesh removal procedure was straightforward because of the material properties of the mesh. Of the 9 patients still with mesh, there were no hernia recurrences at the repair site with one full year of follow-up.

CONCLUSION:

Contaminated and clean-contaminated abdominal wall defects can be effectively and durably treated with condensed polytetrafluoroethylene mesh.

• Authors: Jennifer E Cheesborough, Jing Liu, Derek Hsu, Gregory A Dumanian
• Journal: American journal of surgery (Am J Surg) Vol. 211 Issue 1 Pg. 1-10 (Jan 2016) ISSN: 1879-1883 [Electronic] United States
• PMID: 26184351 (Publication Type: Case Reports, Clinical Trial, Journal Article, Research Support, Non-U.S. Gov't)
• Copyright: Copyright © 2016 The Authors. Published by Elsevier Inc. All rights reserved.

Chemical References

• Polytetrafluoroethylene

Topics

• Abdominal Wall (surgery)
• Adult
• Aged
• Female
• Follow-Up Studies
• Hernia, Ventral (surgery)
• Herniorrhaphy (instrumentation, methods)
• Humans
• Male
• Middle Aged
• Polytetrafluoroethylene
• Prospective Studies
• Recurrence
• Surgical Mesh
• Surgical Wound Infection
• Treatment Outcome