Retrospective analysis of umbilical, epigastric, and small incisional hernia repair using the Ventralexâ„¢ hernia patch

Tollens, T.; Hondt, M.; Devroe, K.; Terry, C.; Speybroeck, S.; Aelvoet, C.; Vanrykel, J.-P.
October 2011
Hernia;Oct2011, Vol. 15 Issue 5, p531
Academic Journal
Objective: The aim of this retrospective study was to determine the long-term recurrence and complication rates following small abdominal wall hernia repair with the Ventralex hernia patch. The study also aimed to identify risk factors for hernia recurrence in patients undergoing such repair and to examine the relationship between quality of life and hernia recurrence. Background: Hernia repair using prosthetic mesh materials has become the preferred method of repair, as the recurrence rates are much lower than with conventional repair techniques. The prevention of long-term complications and improvements in the quality of life should also be considered as important features of successful repair. The Ventralex patch is a bilayer prosthesis, designed for retromuscular or intraperitoneal placement. Currently, seven studies have evaluated the device for small ventral hernia repair, and all have shown low short- and long-term recurrence rates. Materials and methods: The medical records of 176 patients who underwent abdominal wall hernia repair using the Ventralex patch between May 2004 and February 2009 were reviewed. All patients were followed up after 1 month and later in 2010. The rate of recurrence, immediate postoperative and long-term complications, and quality of life were evaluated. Results: Long-term follow-up data were available for 135 patients. The mean follow-up was 49 months (range 13-70 months). There were 12 hernia recurrences (8.9%) during this time. Postoperative (1-month) complications included seroma (4%), superficial surgical site infections (3%), and an abscess (1.5%). At the mean long-term follow-up, complications included infection (1.5%) and subobstruction (1.5%). The only risk factor for hernia recurrence was female gender (unadjusted odds ratio 0.19, 95% confidence interval [CI] 0.05-0.72, P = 0.02). Patients with hernia recurrence reported significantly lower quality of life scores than patients without recurrence. Conclusions: The Ventralex hernia patch offers a simple and quick means of repairing small abdominal wall hernias. A relatively high recurrence rate was observed in this study. Reviewing the available literature, a critical appraisal is needed, attention should be paid to follow the correct implantation technique, proper deployment technology should be used, and a lightweight version would be welcome.


Related Articles

  • Comparison of prosthetic mesh repair and tissue repair in the emergency management of incarcerated para-umbilical hernia: a prospective randomized study. Abdel-Baki, N. A.; Bessa, S. S.; Abdel-Razek, A. H. // Hernia;Apr2007, Vol. 11 Issue 2, p163 

    Background: Although prosthetic repair has become the gold standard for elective management of para-umbilical hernia (PUH) its use in the setting of acute incarceration is still limited for fear of prosthetic-related complications, mainly infection. The objective of this study was...

  • Double-layer mesh hernioplasty for repairing umbilical hernias in 10 goats. VILAR, Jose M.; CORBERA, Juan A.; SPINELLA, Giuseppe // Turkish Journal of Veterinary & Animal Sciences;2011, Vol. 35 Issue 2, p131 

    Umbilical hernias in goats are uncommon and can vary in their etiology and management. Hernioplasty can be done by closing the abdominal wall with a horizontal mattress pattern using absorbable sutures. However, larger defects (hernial ring size >3 cm) generally require the use of prosthetic...

  • SURGICAL CORRECTION OF UMBILICAL HERNIA USING POLYPROPYLENE MESH IN A DOG. Thomas, P. Smitha; Narayanan, Ambily; Chandran, Sumi // Journal of Indian Veterinary Association;Dec2010, Vol. 8 Issue 2, p61 

    The article offers information on the report related to the surgical correction of umbilical hernia in a dog using polypropylene mesh. It offers information on canine umbilical hernias that occurs due to failure of the normal occlusion of the umbilical ring. It mentions that umbilical hernia can...

  • A Rare Complication of Composite Dual Mesh: Migration and Enterocutaneous Fistula Formation. Bostanci, Ozgur; Idiz, Ufuk Oguz; Yazar, Memet; Mihmanli, Mehmet // Case Reports in Surgery;10/13/2015, Vol. 2015, p1 

    Introduction. Mesh is commonly employed for abdominal hernia repair because it ensures a low recurrence rate. However, enterocutaneous fistula due to mesh migration can occur as a very rare, late complication, for which diagnosis is very difficult. Presentation of Case. Here we report the case...

  • Emergency treatment of a ruptured huge omphalocele by simple suture of its membrane.  // Annals of Surgical Innovation & Research;2012, Vol. 6 Issue 1, p2 

    The article presents a case study of a newborn male presented with abdominal defect with evisceration. Abdominal examination found an omphalocele type II of Aïtken. It reports that Grob's method is used in the treatment with buccal feeding. A correct abdominal wall repair is followed by...

  • Late enterocutaneous fistula as a complication after umbilical hernioplasty. Costa, David; Tom&aactue;s, Andrés; Lacueva, Javier; de Asís Pérez, Francisco; Oliver, Israel; Arroyo, Antonio; Sánchez, Ana; Andreu, Juan; Gallego, Juan Antonio; Calpena, Rafael; Tomás, Andrés; de Asís Pérez, Francisco; Sánchez, Ana // Hernia;Aug2004, Vol. 8 Issue 3, p271 

    Umbilical hernia is a high-prevalence problem in adults. Traditional herniorrhaphy is marked by high recurrence rates, but nowadays, the use of prosthetic materials has improved results and has even brought about lower morbidity rates, making the enterocutaneous fistula an exceptional...

  • Retrospective comparison of mesh and sutured repair for adult umbilical hernias. Sanjay, P.; Reid, T. D.; Davies, E. L.; Arumugam, P. J.; Woodward, A. // Hernia;Oct2005, Vol. 9 Issue 3, p248 

    Adult umbilical and paraumbilical hernia repair is associated with a high recurrence rate of 10-30%. Mesh repair has been reported to be associated with low recurrence rates. This study aims to compare sutured repair with prosthetic mesh repair to evaluate recurrence and infection rates. A...

  • Long-term follow-up after umbilical hernia repair: are there risk factors for recurrence after simple and mesh repair. Halm, J. A.; Heisterkamp, J.; Veen, H. F.; Weidema, W. F. // Hernia;Dec2005, Vol. 9 Issue 4, p334 

    Adult umbilical hernia is a common surgical condition mainly encountered in the fifth and sixth decade of life. Despite the high frequency of the umbilical hernia repair procedure, disappointingly high recurrence rates, up to 54% for simple suture repair, are reported. Since both mesh and suture...

  • Impact of the mesh fixation technique on operation time in laparoscopic repair of ventral hernias. Wassenaar, E.; Raymakers, J.; Rakic, S. // Hernia;Feb2008, Vol. 12 Issue 1, p23 

    Fixation of the prosthesis is one of the critical components of laparoscopic repair of ventral and incisional hernia (LRVIH). The impact of the fixation technique used on operative time has never been analyzed. We compared the duration of the operation according to the fixation technique used in...


Read the Article


Sorry, but this item is not currently available from your library.

Try another library?
Sign out of this library

Other Topics