Effect of prosthetic material on adhesion formation after laparoscopic ventral hernia repair in a porcine model

被引：39

作者：

Borrazzo E.C. ^{[1
]}

Belmont M.F. ^{[1
]}

Boffa D. ^{[1
]}

Fowler D.L. ^{[1
]}

机构：

[1] Minimal Access Surgery Center, Department of Surgery, New York Presbyterian Hospital, New York, NY 10021

来源：

Hernia | 2004年 / 8卷 / 2期

关键词：

Adhesions; ePTFE; Laparoscopy; Sepramesh; Ventral hernia repair;

D O I：

10.1007/s10029-003-0181-6

中图分类号：

学科分类号：

摘要：

Intraperitoneal placement of prosthetic mesh causes adhesion formation after laparoscopic incisional hernia repair. A prosthesis that prevents or reduces adhesion formation is desirable. In this study, 21 pigs were randomized to receive laparoscopic placement of plain polypropylene mesh (PPM), expanded polytetrafluoroethylene (ePTFE), or polypropylene coated on one side with a bioresorbable adhesion barrier (PPM/HA/ CMC). The animals were sacrificed after 28 days and evaluated for adhesion formation. Mean area of adhesion formation was 14% (SD ± 15) in the PPM/HA/ CMC group, 40% (SD ± 17) in the PPM group, and 41% (SD ± 39) in the ePTFE group. The difference between PPM/HA/CMC and PPM was significant (P=0.013). A new visceral layer of mesothelium was present in seven out of seven PPM/HA/CMC cases, six out of seven PPM cases, and two out of seven ePTFE cases. Thus, laparoscopic placement of PPM/HA/CMC reduces adhesion formation compared to other mesh types used for laparoscopic ventral hernia repairs. © Springer-Verlag 2003.

引用

页码：108 / 112

页数：4

共 30 条

[1]

Knol J.A., Eckhauser F.E., Inguinal anatomy and abdominal wall hernias, Surgery: Scientific Principles and Practice, (1997)

[2]

Gecim I.E., Kocak S., Ersoz S., Bumin C., Aribal D., Recurrence after incisional hernia repair: Results and risk factors, Surg. Today, 26, pp. 607-609, (1996)

[3]

George C.D., Ellis H., The results of incisional hernia repair: A twelve-year review, Ann. R. Coll. Surg. Engl., 68, pp. 185-187, (1986)

[4]

Langer S., Christiansen J., Long-term results after incisional hernia repair, Acta Chir. Scand., 151, pp. 217-219, (1985)

[5]

van der Linden F.T., van Vroonhoven T.J., Long-term results after surgical correction of incisional hernia, Neth. J. Surg., 40, pp. 127-129, (1988)

[6]

Clark J.L., Ventral incisional hernia recurrence, J. Surg. Res., 99, pp. 33-39, (2001)

[7]

Koller R., Miholic J., Jakl R.J., Repair of incisional hernias with expanded polytetrafluoroethylene, Eur. J. Surg., 163, pp. 261-266, (1997)

[8]

Liakakos T., Karanikas I., Panagiotidis H., Dendrinos S., Use of Marlex mesh in the repair of recurrent incisional hernia, Br. J. Surg., 81, pp. 248-249, (1994)

[9]

Schumpelick V., Conze J., Klinge U., Preperitoneal mesh-plasty in incisional hernia repair. A comparative retrospective study of 272 operated incisional hernias, Chirurg., 67, pp. 1028-1035, (1996)

[10]

Luijendijk R.W., Hop W.C., van den Tol M.P., de Lange D.C., Braaksma M.M., IJzermans J.N., Boelhouwer R.U., de Vries B.C., Salu M.K., Wereldsma J.C., Bruijninckx C.M., Jeekel J., A comparison of suture repair with mesh repair for incisional hernia, N. Engl. J. Med., 343, pp. 392-398, (2000)

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