Bioactive prosthetic material for treatment of hernias.
OBJECTIVE
Laparoscopic herniorrhaphy using Surgisis (Cook Surgical, Bloomington, IN, USA) mesh is an effective long-term treatment for repair of inguinal hernia.


METHODS
Between August 1999 and April 2005, 67 patients underwent laparoscopic inguinal hernia repair by the total extraperitoneal (TEP) mesh placement technique using Surgisis mesh. A total of 82 primary direct, indirect, pantaloon, and femoral hernias were repaired using this technique.


METHODS
Postoperative complications and recurrence as evaluated at two weeks, six weeks, three months, six months, one year, and yearly thereafter for up to five years.


RESULTS
The operations were performed successfully on all the patients. One revision was done to an open procedure. Postoperative complications were typical of inguinal hernia surgery. Average follow up was 38 (range: 4-72, median: 35 months. Four non-technical recurrences following repair of direct hernias were reported, which indicates a 4.9% recurrence rate. No recurrences of indirect hernias were noted.


CONCLUSIONS
Laparoscopic inguinal herniorrhaphy using Surgisis mesh is effective in treatment of primary inguinal hernias in adults with minimal complications and recurrence up to five years of follow up.
Edelman
David S
DS
Laparoscopic Surgery, Baptist Health Systems, Miami, FL, USA.
Hodde
Jason P
JP
D000293:Adolescent; D000328:Adult; D000368:Aged; D000818:Animals; D001705:Bioprosthesis; D004867:Equipment Design; D019544:Equipment Failure Analysis; D006552:Hernia, Inguinal / Q000175:diagnosis / Q000601:surgery*; D006801:Humans; D007413:Intestinal Mucosa / Q000637:transplantation*; D010535:Laparoscopy / Q000379:methods*; D008297:Male; D008875:Middle Aged; D013526:Surgical Mesh; D013552:Swine; D016896:Treatment Outcome