Prospective, single center, single surgeon's experience with an atraumatic self-adhering mesh in 100 consecutive patients.
The purpose of this study was to show the short- and long-term results of a lightweight self-adhering mesh, Adhesix®. Between February 2011 and April 2013, we prospectively collected data of 100 consecutive patients who underwent incisional or inguinal hernia repair. Mean follow-up time was 23 months (range 7-33 months). Mean length of hospital stay was 1.7 days (range 0.5-16 days). No recurrences occurred. Pain was significantly reduced after 1 month (4.1 vs 1.6; 95% confidence interval [CI] 1.9-3.1; P < 0.0001) as well as at the last follow-up visit (1.6 vs 0.48; 95% CI 0.6-1.7; P < 0.0001). SF 36 scaled scores, as an indicator of quality of life, were good with 86, 84, 86, 84, 83, 88, 92, 87. Only 2 patients developed clinically significant seromas. No clinically significant hematomas were observed. Neither mesh nor wound infections occurred. Four patients developed urinary retention immediately postoperative, while 2 were hospitalized 2 weeks after discharge because of pneumonia. Two patients died because of unrelated causes. Based on these results, use of the Adhesix mesh seems to be safe, feasible, and efficient in hernia repair.
Department of General and Abdominal Surgery Imelda Hospital Bonheiden, Belgium.
Tim
T
Tollens
Department of General and Abdominal Surgery Imelda Hospital Bonheiden, Belgium.
Jelle
J
Kennes
Department of General and Abdominal Surgery Imelda Hospital Bonheiden, Belgium.
Koen
K
Vermeiren
Department of General and Abdominal Surgery Imelda Hospital Bonheiden, Belgium.
Chris
C
Aelvoet
D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D005260:Female; D059685:Herniorrhaphy / Q000379:methods*; D006801:Humans; D007902:Length of Stay; D008297:Male; D008875:Middle Aged; D011183:Postoperative Complications; D011446:Prospective Studies; D066231:Surgeons; D013526:Surgical Mesh / Q000009:adverse effects* / Q000706:statistics & numerical data*; D016896:Treatment Outcome; D055815:Young Adult