Parietex™ Composite Ventral Patch for primary and incisional hernia repair

Abstract

AbstractBackgroundsVentral hernia repair with a preformed device is a frequent intervention, but few reports exist with Parietex™ Composite Ventral Patch. The aim was to evaluate the results of this mesh with the open intraperitoneal onlay mesh (open IPOM) technique.MethodsObservational retrospective single institution study of all consecutive patients intervened for ventral or incisional hernia with a diameter inferior to 4 cm, from January 2013 to June 2020. The surgical repair was performed according to the open IPOM technique with Parietex™ Composite Ventral Patch.ResultsA total of 146 patients were intervened: 61.6% with umbilical hernias, 8.2% with epigastric hernias, 26.7% with trocar incisional hernias, and 3.4% with other incisional hernias.The global recurrence rate was 7.5% (11/146). Specifically, it was 7.8% in umbilical hernias, 0% in epigastric hernias, 7.7% in trocar incisional hernias and 20% (1/5) in other incisional hernias. The median time for recurrence was 14 months (IQR: 4.4–18.7). The median indirect follow‐up was 36.9 months (IQR: 27.2–49.6), and the median presential follow‐up was 17.4 months (IQR: 6.5–27.3).ConclusionThe open IPOM technique with a preformed patch offered satisfactory results for the treatment of ventral and incisional hernias.