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Erschienen in: Hernia 4/2011

01.08.2011 | Case Report

Complications of mesh devices for intraperitoneal umbilical hernia repair: a word of caution

verfasst von: F. E. Muysoms, J. Bontinck, P. Pletinckx

Erschienen in: Hernia | Ausgabe 4/2011

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Abstract

Several mesh devices for the treatment of umbilical and other small ventral hernias have become available in recent years. These meshes have a dual layer consisting of a permanent or temporary barrier against adhesion formation between the viscera and the intraperitoneally exposed part of the mesh. We have seen several patients with serious late complications of these meshes placed intraperitoneally. Some of these patients needed small bowel resection and mesh removal. Others developed a recurrence because of improper deployment of the mesh in the intraperitoneal position. We think that, if preperitoneal deployment of such mesh devices is possible, this should be the preferred position, notwithstanding the fact that these meshes have a dual layer. There is a complete lack of convincing data on these mesh devices in the medical literature. No long-term data have been published, and, for three of the four mesh devices available, no publications on their use in humans were found. We think that surgeons adopting innovative mesh devices should register and follow their patients prospectively, at least until there are enough published studies with sufficiently large patient samples, acceptable follow up times, and favourable outcomes.
Literatur
1.
Zurück zum Zitat Arroyo A, Garcia P, Perez F, Andreu J, Candela F, Calpena R (2001) Randomized clinical trial comparing suture and mesh repair of umbilical hernia in adults. Br J Surg 88:1321–1323 PubMedCrossRef Arroyo A, Garcia P, Perez F, Andreu J, Candela F, Calpena R (2001) Randomized clinical trial comparing suture and mesh repair of umbilical hernia in adults. Br J Surg 88:1321–1323 PubMedCrossRef
2.
Zurück zum Zitat Malik AM, Jawaid A, Talpur AH, Laghari AA, Khan A (2008) Mesh versus non-mesh repair of ventral abdominal hernias. J Ayub Med Coll Abbottabad 20:54–56 PubMed Malik AM, Jawaid A, Talpur AH, Laghari AA, Khan A (2008) Mesh versus non-mesh repair of ventral abdominal hernias. J Ayub Med Coll Abbottabad 20:54–56 PubMed
3.
Zurück zum Zitat Stabillini C, Stella M, Frascio M, De Salvo L, Fornaro R, Larghero G, Mandolfino F, Lazzara F, Gianetta E (2009) Mesh versus direct suture for the repair of umbilical and epigastric hernias. Ten-year experience. Ann Ital Chir 80:183–187 Stabillini C, Stella M, Frascio M, De Salvo L, Fornaro R, Larghero G, Mandolfino F, Lazzara F, Gianetta E (2009) Mesh versus direct suture for the repair of umbilical and epigastric hernias. Ten-year experience. Ann Ital Chir 80:183–187
4.
Zurück zum Zitat Ammar SA (2010) Management of complicated umbilical hernias in cirrhotic patients using permanent mesh: randomized clinical trial. Hernia 14:35–38 PubMedCrossRef Ammar SA (2010) Management of complicated umbilical hernias in cirrhotic patients using permanent mesh: randomized clinical trial. Hernia 14:35–38 PubMedCrossRef
5.
Zurück zum Zitat Bowley DMG, Kingsnorth AN (2000) Umbilical hernia, Mayo or mesh? Hernia 4:195–196 CrossRef Bowley DMG, Kingsnorth AN (2000) Umbilical hernia, Mayo or mesh? Hernia 4:195–196 CrossRef
6.
Zurück zum Zitat Halm JA, Heisterkamp J, Veen HF, Weidema WF (2005) Long-term follow-up after umbilical hernia repair: are there risk factors for recurrence after simple and mesh repair. Hernia 9:334–337 PubMedCrossRef Halm JA, Heisterkamp J, Veen HF, Weidema WF (2005) Long-term follow-up after umbilical hernia repair: are there risk factors for recurrence after simple and mesh repair. Hernia 9:334–337 PubMedCrossRef
7.
Zurück zum Zitat Hadi HIA, Maw A, Sarmah S, Kumar P (2006) Intraperitoneal tension-free repair of small midline ventral abdominal wall hernias with a Ventralex hernia patch: initial experience in 51 patients. Hernia 10:409–413 PubMedCrossRef Hadi HIA, Maw A, Sarmah S, Kumar P (2006) Intraperitoneal tension-free repair of small midline ventral abdominal wall hernias with a Ventralex hernia patch: initial experience in 51 patients. Hernia 10:409–413 PubMedCrossRef
8.
Zurück zum Zitat Martin DF, Williams RF, Mulrooney T, Voeller GR (2007) Ventralex mesh in umbilical/epigastric hernia repairs: clinical outcomes and complications. Hernia 12:379–383 CrossRef Martin DF, Williams RF, Mulrooney T, Voeller GR (2007) Ventralex mesh in umbilical/epigastric hernia repairs: clinical outcomes and complications. Hernia 12:379–383 CrossRef
9.
Zurück zum Zitat Berrevoet F, de Hemptinne B (2009) Open intraperitoneal mesh repair for umbilical hernias. A technical note. Acta Chir Belg 109:555–558 PubMed Berrevoet F, de Hemptinne B (2009) Open intraperitoneal mesh repair for umbilical hernias. A technical note. Acta Chir Belg 109:555–558 PubMed
11.
Zurück zum Zitat Horzic M, Vergles D, Cupurdija K, Kopljar M, Zidak M, Lackovic Z (2010) Spontaneous mesh evacuation per rectum after incisional ventral hernia repair. Hernia. doi: 10.​1007/​s10029-010-0655-2 (Epub ahead of print) Horzic M, Vergles D, Cupurdija K, Kopljar M, Zidak M, Lackovic Z (2010) Spontaneous mesh evacuation per rectum after incisional ventral hernia repair. Hernia. doi: 10.​1007/​s10029-010-0655-2 (Epub ahead of print)
12.
Zurück zum Zitat Carpelan-Holmström, Kruma O, Salo J, Kylänpäa L, Scheinin T (2010) Late mesh migration through the stomach wall after laparoscopic refundoplication using a dual-sided PTFE/ePTFE mesh. Hernia. doi: 10.​1007/​s10029-010-0633-8 (Epub ahead of print) Carpelan-Holmström, Kruma O, Salo J, Kylänpäa L, Scheinin T (2010) Late mesh migration through the stomach wall after laparoscopic refundoplication using a dual-sided PTFE/ePTFE mesh. Hernia. doi: 10.​1007/​s10029-010-0633-8 (Epub ahead of print)
Metadaten
Titel
Complications of mesh devices for intraperitoneal umbilical hernia repair: a word of caution
verfasst von
F. E. Muysoms
J. Bontinck
P. Pletinckx
Publikationsdatum
01.08.2011
Verlag
Springer-Verlag
Erschienen in
Hernia / Ausgabe 4/2011
Print ISSN: 1265-4906
Elektronische ISSN: 1248-9204
DOI
https://doi.org/10.1007/s10029-010-0692-x