title: Introducing the Proceed Ventral Patch as a new device in surgical management of umbilical and small ventral hernias: preliminary results.
abstract: Surgical treatment of umbilical and small ventral hernias ranges from a simple suture repair to the placement of large intra-abdominal or retromuscular meshes. Several articles report a lower incidence of recurrence after mesh repair, whether this is positioned onlay, retromuscular, or intraperitoneally. Often, a simple suture repair fails in the longterm, whereas a laparoscopic or retromomuscular approach seems too extensive for these rather small hernias. In between those two treatment options exists a go-between repair that carries the idea of posterior repair without being so aggressive in its approach. In this study, the authors examined a new device called the Proceed Ventral Patch (PVP) (Ethicon, Inc., Sommerville, NJ, USA). It is a self-expanding, partially absorbable, flexible laminate mesh device that allows an easy, quick and minimal invasive, tension-free, and standardized approach to umbilical hernia treatment. No data nor publication exist on this new device. Reported herein is our early and first experience with this novel technique.
authors.affiliation: Imelda Hospital Bonheiden, Belgium.
authors.forename: Tim
authors.initials: T
authors.lastname: Tollens
authors.forename: David
authors.initials: D
authors.lastname: Struyve
authors.forename: Chris
authors.initials: C
authors.lastname: Aelvoet
authors.forename: Jean Pierre
authors.initials: JP
authors.lastname: Vanrijkel
mesh_terms: D020341:Absorbable Implants; D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D005260:Female; D006554:Hernia, Umbilical / Q000601:surgery; D006555:Hernia, Ventral / Q000601:surgery*; D006801:Humans; D010535:Laparoscopy / Q000379:methods; D008297:Male; D008875:Middle Aged; D013526:Surgical Mesh; D055815:Young Adult