title: Open incisional hernia repair with a self-gripping retromuscular Parietex mesh: a retrospective cohort study.
abstract: BACKGROUND
  The Rives-Stoppa and component separation technique are considered to be favourable techniques in the treatment of complex incisional hernias. However, mesh-related complications like chronic pain are still a common problem after mesh repair. As a result, a new self-gripping mesh to omit suture fixation has been developed. This study aimed to evaluate the safety and feasibility of the Parietex™ Progrip self-gripping mesh in retromuscular position for the treatment of incisional hernias.
  
  
  METHODS
  Patients with incisional hernia who underwent repair between June 2012 and June 2014, using a self-gripping mesh in retromuscular position, were included in the study. All patients visited the outpatient clinic to identify postoperative complications and early recurrence.
  
  
  RESULTS
  A total of 28 consecutive patients with a median age of 48 years were included in the study. Twenty-two patients (79%) were diagnosed with an incisional hernia, of whom nine (32%) had a recurrence. Six patients (21%) had an incisional hernia combined with another abdominal wall hernia. The median follow-up was 12 weeks (IQR: 8-20 weeks). Twenty-three patients (82%) did not report any pain at their final outpatient clinic visit; two patients (7%) reported mild abdominal pain, and three patients (11%) had moderate abdominal pain. None of the 28 patients developed a recurrence during follow-up.
  
  
  CONCLUSIONS
  This is the first study concerning the use of a Parietex™ Progrip mesh placed in retromuscular position. The study shows that it is a safe and feasible prosthesis in incisional hernias repair, as short-term recurrence did not occur and adverse events were limited.
authors.affiliation: Erasmus University Medical Center Rotterdam, Department of Surgery, The Netherlands. Electronic address: j.verhelst@erasmusmc.nl.
authors.forename: J
authors.initials: J
authors.lastname: Verhelst
authors.affiliation: Erasmus University Medical Center Rotterdam, Department of Surgery, The Netherlands.
authors.forename: B
authors.initials: B
authors.lastname: de Goede
authors.affiliation: Erasmus University Medical Center Rotterdam, Department of Neuroscience, The Netherlands.
authors.forename: G J
authors.initials: GJ
authors.lastname: Kleinrensink
authors.affiliation: Erasmus University Medical Center Rotterdam, Department of Neuroscience, The Netherlands.
authors.forename: J
authors.initials: J
authors.lastname: Jeekel
authors.affiliation: Erasmus University Medical Center Rotterdam, Department of Surgery, The Netherlands; Havenziekenhuis Rotterdam, Department of Surgery, The Netherlands.
authors.forename: J F
authors.initials: JF
authors.lastname: Lange
authors.affiliation: Havenziekenhuis Rotterdam, Department of Surgery, The Netherlands.
authors.forename: K H A
authors.initials: KHA
authors.lastname: van Eeghem
mesh_terms: D000328:Adult; D000368:Aged; D003094:Collagen / Q000009:adverse effects*; D005240:Feasibility Studies; D005260:Female; D006555:Hernia, Ventral / Q000601:surgery*; D059685:Herniorrhaphy / Q000295:instrumentation*; D006801:Humans; D008297:Male; D008875:Middle Aged; D011091:Polyesters / Q000009:adverse effects*; D012008:Recurrence; D012189:Retrospective Studies; D013526:Surgical Mesh / Q000009:adverse effects*
chemical_list: D011091:Polyesters; C588279:parietex; D003094:Collagen
keywords: Closure technique; Complications; Incisional hernia; Mesh repair