Ann Surg Treat Res.  2017 Dec;93(6):316-321. 10.4174/astr.2017.93.6.316.

Efficacy and safety of a novel partially absorbable mesh in totally extraperitoneal hernia repair

• Yang HW
• Kang SH
• Jung SY
• Min BW
• Lee SI

• KMID: 2396873
• DOI: http://doi.org/10.4174/astr.2017.93.6.316

Abstract

PURPOSE
Partially absorbable mesh has been introduced and used for inguinal hernia repair for the purpose of minimizing pain and improving abdominal wall compliance. In this study, we evaluate the efficacy and safety of ProFlex mesh, a partially absorbed mesh with new structural architecture.
METHODS
We retrospectively reviewed 64 cases of totally extraperitoneal herniorrhapy (TEP) from January 2013 to December 2014 for their clinical features, including operation time, pain, postoperative complications, and recurrence.
RESULTS
There were no significant differences in operation time, hospital stay, postoperative pain, or complications between the 28 patients who received the ProFlex mesh and the 36 who received nonabsorbable lightweight mesh, although one patient who received the nonabsorbable had a recurrence during follow-up. There were differences in operation time, complications, and hospital stay according to the surgeon's previous operation volume.
CONCLUSION
This study showed that there were significant differences in the fixation strength of different polypropylene meshes in combination with various fibrin glues. ProFlex, a partially absorbable mesh with new architecture, was feasible and safe in TEP.

Keyword

Surgical mesh; Hernia

MeSH Terms

Abdominal Wall
Adhesives
Compliance
Fibrin
Follow-Up Studies
Hernia*
Hernia, Inguinal
Herniorrhaphy*
Humans
Length of Stay
Pain, Postoperative
Polypropylenes
Recurrence
Retrospective Studies
Surgical Mesh
Adhesives
Fibrin
Polypropylenes

Figure

• 

  Fig. 1 Composition of and changes in ProFlex (Samyang Bio farm, Seoul, Korea) partially absorbable mesh. PP, polypropylene, PGA-PCL, poly (glycolide-co-caprolactone).

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