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Laparoscopic evaluation shows deficiencies in memory ring deployment during small ventral hernia repair

Frederik Berrevoet UGent, BERT VAN DEN BOSSCHE UGent, Luc De Baerdemaeker UGent and Bernard de Hemptinne UGent (2010) WORLD JOURNAL OF SURGERY. 34(7). p.1710-1715
abstract
Abstract: Background With the introduction of a self-expanding, memory-containing, circular hernia patch, surgeons have been enthusiastic about its use to repair ventral hernias smaller than 3 cm in diameter. The aim of this study was to evaluate the efficiency, reliability, and safety of the device laparoscopically with respect to adequate deployment of the patch. Methods During 1 year all patients with small ventral hernias were treated with this memory-containing patch and were inspected by laparoscopy. Just prior to insertion of the patch, remaining adhesions on top of the peritoneum were analyzed, as was the interference of the umbilical ligament. The final position of the patch was monitored, identifying the cupping phenomenon, exposure of the polypropylene to the viscera, and the amount of tension on the straps. All patients were followed for 2 years and postoperative complications and recurrence rate were monitored. Results Twenty-eight patients were operated on for repair of a small ventral hernia with laparoscopic control. Adhesions, not digitally palpable, that interfered with adequate patch deployment were observed in more than 80% of the cases. After a median follow-up of 25 months a 14.8% recurrence rate was observed. Conclusions The patch, consisting of both polypropylene and ePTFE, leads to unacceptable morbidity and a high rate of recurrences. By laparoscopic evaluation, these recurrences are probably based on a combination of material characteristics and unavoidable technical errors.
Please use this url to cite or link to this publication:
author
organization
year
type
journalArticle (original)
publication status
published
subject
keyword
RANDOMIZED CONTROLLED-TRIAL, INCISIONAL HERNIA, TERM-FOLLOW-UP, MESH REPAIR, UMBILICAL HERNIA, SUTURE
journal title
WORLD JOURNAL OF SURGERY
World J.Surg.
volume
34
issue
7
pages
1710 - 1715
Web of Science type
Article
Web of Science id
000279103400045
JCR category
SURGERY
JCR impact factor
2.693 (2010)
JCR rank
35/186 (2010)
JCR quartile
1 (2010)
ISSN
0364-2313
DOI
10.1007/s00268-010-0600-7
language
English
UGent publication?
yes
classification
A1
copyright statement
I have transferred the copyright for this publication to the publisher
id
1057135
handle
http://hdl.handle.net/1854/LU-1057135
date created
2010-10-11 10:58:25
date last changed
2010-10-11 15:57:25
@article{1057135,
  abstract     = {Abstract: Background With the introduction of a self-expanding, memory-containing, circular hernia patch, surgeons have been enthusiastic about its use to repair ventral hernias smaller than 3 cm in diameter. The aim of this study was to evaluate the efficiency, reliability, and safety of the device laparoscopically with respect to adequate deployment of the patch.
Methods During 1 year all patients with small ventral hernias were treated with this memory-containing patch and were inspected by laparoscopy. Just prior to insertion of the patch, remaining adhesions on top of the peritoneum were analyzed, as was the interference of the umbilical ligament. The final position of the patch was monitored, identifying the cupping phenomenon, exposure of the polypropylene to the viscera, and the amount of tension on the straps. All patients were followed for 2 years and postoperative complications and recurrence rate were monitored.
Results Twenty-eight patients were operated on for repair of a small ventral hernia with laparoscopic control. Adhesions, not digitally palpable, that interfered with adequate patch deployment were observed in more than 80\% of the cases. After a median follow-up of 25 months a 14.8\% recurrence rate was observed.
Conclusions The patch, consisting of both polypropylene and ePTFE, leads to unacceptable morbidity and a high rate of recurrences. By laparoscopic evaluation, these recurrences are probably based on a combination of material characteristics and unavoidable technical errors.},
  author       = {Berrevoet, Frederik and VAN DEN BOSSCHE, BERT and De Baerdemaeker, Luc and de Hemptinne, Bernard},
  issn         = {0364-2313},
  journal      = {WORLD JOURNAL OF SURGERY},
  keyword      = {RANDOMIZED CONTROLLED-TRIAL,INCISIONAL HERNIA,TERM-FOLLOW-UP,MESH REPAIR,UMBILICAL HERNIA,SUTURE},
  language     = {eng},
  number       = {7},
  pages        = {1710--1715},
  title        = {Laparoscopic evaluation shows deficiencies in memory ring deployment during small ventral hernia repair},
  url          = {http://dx.doi.org/10.1007/s00268-010-0600-7},
  volume       = {34},
  year         = {2010},
}

Chicago
Berrevoet, Frederik, BERT VAN DEN BOSSCHE, Luc De Baerdemaeker, and Bernard de Hemptinne. 2010. “Laparoscopic Evaluation Shows Deficiencies in Memory Ring Deployment During Small Ventral Hernia Repair.” World Journal of Surgery 34 (7): 1710–1715.
APA
Berrevoet, F., VAN DEN BOSSCHE, B., De Baerdemaeker, L., & de Hemptinne, B. (2010). Laparoscopic evaluation shows deficiencies in memory ring deployment during small ventral hernia repair. WORLD JOURNAL OF SURGERY, 34(7), 1710–1715.
Vancouver
1.
Berrevoet F, VAN DEN BOSSCHE B, De Baerdemaeker L, de Hemptinne B. Laparoscopic evaluation shows deficiencies in memory ring deployment during small ventral hernia repair. WORLD JOURNAL OF SURGERY. 2010;34(7):1710–5.
MLA
Berrevoet, Frederik, BERT VAN DEN BOSSCHE, Luc De Baerdemaeker, et al. “Laparoscopic Evaluation Shows Deficiencies in Memory Ring Deployment During Small Ventral Hernia Repair.” WORLD JOURNAL OF SURGERY 34.7 (2010): 1710–1715. Print.