title: Use of a new type of PTFE mesh in laparoscopic incisional hernia repair: the continuing evolution of technique and surgical expertise.
abstract: We present the results of our first 44 laparoscopic incisional hernia repairs. This study examines the effectiveness of this technique in patients presenting with a first-time or recurrent incisional hernia. From October 2001 to November 2002, a total of 45 consecutive patients underwent laparoscopic incisional hernia repair with a new form of expanded polytetrafluoroethylene (ePTFE) mesh. Patient data, preoperative, intraoperative, and postoperative records, were recorded and analyzed. Mean defect size was 84 cm2, mean mesh size was 311 cm2, mean surgical time was 65 minutes, and mean hospital stay was 2.25 days. Postoperative complications occurred in four patients (9.1%). The laparoscopic approach is a safe, effective, and relatively complication-free option in the management of first-time and recurrent incisional hernias. The use of modified ePTFE mesh with a dual surface in incisional hernia repair enables early tissue attachment, reduces adhesions, and could reduce the incidence of recurrences.
authors.affiliation: Department of General Surgery, Policlinico A. Gemelli, Catholic University School of Medicine, Rome, Italy.
authors.forename: Alessandro
authors.initials: A
authors.lastname: Verbo
authors.forename: Luigi
authors.initials: L
authors.lastname: Petito
authors.forename: Giorgio
authors.initials: G
authors.lastname: Pedretti
authors.forename: Massimo
authors.initials: M
authors.lastname: Lurati
authors.forename: Pierfrancesco
authors.initials: P
authors.lastname: D'Alba
authors.forename: Claudio
authors.initials: C
authors.lastname: Coco
mesh_terms: D000328:Adult; D000368:Aged; D002983:Clinical Competence; D013505:Digestive System Surgical Procedures; D005260:Female; D006555:Hernia, Ventral / Q000601:surgery*; D006801:Humans; D010535:Laparoscopy; D007902:Length of Stay; D008297:Male; D008875:Middle Aged; D011138:Polytetrafluoroethylene / Q000627:therapeutic use; D012008:Recurrence; D013526:Surgical Mesh
chemical_list: D011138:Polytetrafluoroethylene