Feasibility and outcome after laparoscopic ventral hernia repair using Proceed mesh.
BACKGROUND
There are many different meshes available for laparoscopic repair of ventral hernias. A relatively new product is the Proceed mesh with a bioresorbable layer against the bowels and a polypropylene layer against the abdominal wall. There are, however, no human data available. The aim of this study was to evaluate the feasibility and outcome after laparoscopic ventral hernia repair using the Proceed mesh in humans.


METHODS
Patients presenting for laparoscopic ventral hernia repair in our department from September 2004 to October 2006 were included in the study. All patients had a standard laparoscopic ventral hernia repair using the Proceed mesh secured with tackers with a double crown technique. Patients were discharged according to standard discharge criteria, and follow-up was performed with a search in the national patient database and with manual search in the patients' files.


RESULTS
Our study included 49 patients with a median age of 64 years (range 30-89) and body mass index of 27.8 (19.4-50.5). The dimensions of the mesh varied from 4 x 4 cm to 30 x 40 cm (median 15 x 15 cm). One patient developed an uncomplicated wound infection and none of the 49 patients developed mesh infections or postoperative seroma requiring surgical intervention. Thus, there were no mesh-related complications. During the follow-up period of 17 months (3-27), we have not seen any postoperative recurrences. The median length of stay was 1 day (range 0-63), and there was no mortality.


CONCLUSIONS
Laparoscopic ventral hernia repair in humans using the Proceed mesh is feasible and has a low complication rate even in obese patients or those with pulmonary disease.
Department of Surgical Gastroenterology D, Gentofte Hospital, University of Copenhagen, Copenhagen, Denmark. jaro@geh.regionh.dk
J
J
Rosenberg
J
J
Burcharth
D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D005240:Feasibility Studies; D005260:Female; D006555:Hernia, Ventral / Q000601:surgery*; D006801:Humans; D010535:Laparoscopy; D008297:Male; D008875:Middle Aged; D013526:Surgical Mesh; D016896:Treatment Outcome