Prospective repair of Ventral Hernia Working Group type 3 and 4 abdominal wall defects with condensed polytetrafluoroethylene (MotifMESH) mesh Presented as a poster presentation at the 16th Annual Hernia Repair Conference of the American Hernia Society, March 12-15, 2014, Las Vegas.

Jennifer E. Cheesborough, Jing Liu, Derek Hsu, Gregory A. Dumanian*

*Corresponding author for this work

Research output: Contribution to journalArticlepeer-review

7 Scopus citations

Abstract

Background Treatment of clean-contaminated and contaminated ventral hernia defects remains controversial. Newer prosthetic materials may play an important role in these patients. Methods Ten patients with Ventral Hernia Working Group types 3 and 4 were prospectively enrolled and subsequently treated with direct supported repairs with condensed fenestrated polytetrafluoroethylene mesh. The primary outcome was hernia occurrence at 1 year after surgery. Secondary outcomes included surgical site infection, surgical site occurrence, medical complications, pain, and other patient-reported outcomes. Results There were no immediate postoperative infections and one minor postoperative hematoma treated in the office. One patient required delayed mesh removal 9 months after placement. Importantly, the mesh removal procedure was straightforward because of the material properties of the mesh. Of the 9 patients still with mesh, there were no hernia recurrences at the repair site with one full year of follow-up. Conclusion Contaminated and clean-contaminated abdominal wall defects can be effectively and durably treated with condensed polytetrafluoroethylene mesh.

Original languageEnglish (US)
Pages (from-to)1-10
Number of pages10
JournalAmerican journal of surgery
Volume211
Issue number1
DOIs
StatePublished - Jan 1 2016

Keywords

  • Mesh
  • Surgical site infection
  • Surgical site occurrence
  • Ventral hernia

ASJC Scopus subject areas

  • Surgery

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