ISSN:
1248-9204
Keywords:
Inguinal hernia
;
Mesh
;
Prosthesis
Source:
Springer Online Journal Archives 1860-2000
Topics:
Medicine
Notes:
Summary Aims Tension-free mesh reinforcement is the mainstay of laparoscopic hernia repair. Problems with current prostheses include shrinkage, migration, patient discomfort and neuralgias. We prospectively analyzed the short-term utility of a soft, non-woven mesh (Biomesh W/NK®, Cousin Biotech) in the TAPP repair. Methods During surgery, ease of insertion, unrolling, positioning and fixation of the mesh were evaluated. Postoperatively, all patients were followed up at 8 and 30 days. Results Forty-five hernias were repaired in 32 patients. Hernias were classified as Nyhus I-2; II-5; Nyhus III-33; Nyhus IV-5. Mean mesh size for unilateral hernias was 14,4 × 12.8 × 9 cm. All meshes were inserted without difficulty, and unrolled into the correct space with minimal trouble. Once in position, moving the mesh was more difficult than with a conventional woven mesh. Fixing was relatively straightforward. The mesh was noted to mould to tissues, assisting with hemostasis. At follow-up, there were no complications noted, specifically no neuralgias or seromas. Discussion Woven or knitted polypropylene mesh is commonly used for laparoscopic hernia repair, due to its ease of manipulation. However, the stiffness of such mesh probably contributes to its well-recognized complications. The Biomesh is much softer, lighter and more pliable, and can potentially reduce complications related to mesh stiffness. We have demonstrated the ease of insertion and fixation of the mesh, and the absence of short-term complications related to its use. In light of our experience, we believe that, in selected cases, the Biomesh offers an attractive alternative to traditional mesh.
Type of Medium:
Electronic Resource
URL:
http://dx.doi.org/10.1007/BF01201072
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