A comparative study between condensed polytetrafluoroethylene mesh versus other composite meshes in Endo-laparoscopic ventral herniorrhaphy
Introduction: Laparoscopic ventral hernia mesh repair (LVHR) is gaining popularity possibly due to reduced complications, reduced hospital stay, early return to work and better cosmesis. In intra-peritoneal onlay method (IPOM) a dual layer composite mesh with an absorbable barrier on the visceral su...
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| Language: | English |
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Elsevier
2025-02-01
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| Series: | Asian Journal of Surgery |
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| Online Access: | http://www.sciencedirect.com/science/article/pii/S1015958424025685 |
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| author | Meredeth Chin James Lee Wai Kit Sujith Wijerathne Avelyn Aw Daryl Chia Kai Ann Sean Lee Kien Fatt Tharun Ragupathi Harry Ng Ho Man Davide Lomanto |
| author_facet | Meredeth Chin James Lee Wai Kit Sujith Wijerathne Avelyn Aw Daryl Chia Kai Ann Sean Lee Kien Fatt Tharun Ragupathi Harry Ng Ho Man Davide Lomanto |
| author_sort | Meredeth Chin |
| collection | DOAJ |
| description | Introduction: Laparoscopic ventral hernia mesh repair (LVHR) is gaining popularity possibly due to reduced complications, reduced hospital stay, early return to work and better cosmesis. In intra-peritoneal onlay method (IPOM) a dual layer composite mesh with an absorbable barrier on the visceral surface is used for minimising bowel adhesions. Three most popular prosthetic mesh scaffolds are polypropylene (PP), polyester and expanded polytetrafluoroethylene (ePTFE). A new generation of monolayer condensed polytetrafluoroethylene (cPTFE) Omyra® mesh, which theoretically has better tissue integration with parietal tissue and possibly lesser adhesions with visceral organs is now available for use. Objective: The aim of our study is to assess the safety and efficacy of Omyra (cPTFE) mesh versus other mesh types in LVHR. Method: We retrospectively collected data from 62 patients who underwent LVHR using cPTFE, as well as other mesh types from January 1, 2011 to December 31, 2020. Patient demographics, Hernia Characteristics, perioperative events, postoperative results and complications were documented and analysed. Results: Among the 62 patients studied, there were 27 (43.55 %) in the Omyra group and 35 (56.45 %) in the other synthetic meshes group. The mean age of the Omyra group was 53.19 (31–85) and 55.03 (22–81) for the other synthetic meshes group. There were no differences in terms of patient demographics and major comorbidities. At presentation, the indication was more commonly for recurrence (p = 0.043), and patients were more symptomatic (p = 0.0034) in the Omyra group than the other synthetic meshes group. There were no differences in mean operating time, post-operative recovery and complications, as well as early (<30 days) and late (>30 days) complications during follow up. Conclusion: The use of cPTFE (Omyra™) mesh yielded comparable operative characteristic compared to other synthetic meshes for LVHR. The rate of perioperative complications and early recurrence was similar between Omyra and other synthetic meshes group. |
| format | Article |
| id | doaj-art-5a7a19d123d6428284fcbc09d4e83fb0 |
| institution | Kabale University |
| issn | 1015-9584 |
| language | English |
| publishDate | 2025-02-01 |
| publisher | Elsevier |
| record_format | Article |
| series | Asian Journal of Surgery |
| spelling | doaj-art-5a7a19d123d6428284fcbc09d4e83fb02025-01-30T05:13:45ZengElsevierAsian Journal of Surgery1015-95842025-02-0148210561060A comparative study between condensed polytetrafluoroethylene mesh versus other composite meshes in Endo-laparoscopic ventral herniorrhaphyMeredeth Chin0James Lee Wai Kit1Sujith Wijerathne2Avelyn Aw3Daryl Chia Kai Ann4Sean Lee Kien Fatt5Tharun Ragupathi6Harry Ng Ho Man7Davide Lomanto8Yong Loo Lin School of Medicine, National University of Singapore, Singapore; Corresponding author.Division of Minimally Invasive Surgery, Department of Surgery, National University Hospital, Singapore; Department of Surgery, Alexandra Hospital, SingaporeDivision of Minimally Invasive Surgery, Department of Surgery, National University Hospital, Singapore; Department of Surgery, Alexandra Hospital, SingaporeYong Loo Lin School of Medicine, National University of Singapore, SingaporeDivision of Minimally Invasive Surgery, Department of Surgery, National University Hospital, Singapore; Department of Surgery, National University of Singapore, SingaporeDivision of Minimally Invasive Surgery, Department of Surgery, National University Hospital, SingaporeDivision of Minimally Invasive Surgery, Department of Surgery, National University Hospital, SingaporeDivision of Minimally Invasive Surgery, Department of Surgery, National University Hospital, SingaporeDivision of Minimally Invasive Surgery, Department of Surgery, National University Hospital, Singapore; Department of Surgery, National University of Singapore, SingaporeIntroduction: Laparoscopic ventral hernia mesh repair (LVHR) is gaining popularity possibly due to reduced complications, reduced hospital stay, early return to work and better cosmesis. In intra-peritoneal onlay method (IPOM) a dual layer composite mesh with an absorbable barrier on the visceral surface is used for minimising bowel adhesions. Three most popular prosthetic mesh scaffolds are polypropylene (PP), polyester and expanded polytetrafluoroethylene (ePTFE). A new generation of monolayer condensed polytetrafluoroethylene (cPTFE) Omyra® mesh, which theoretically has better tissue integration with parietal tissue and possibly lesser adhesions with visceral organs is now available for use. Objective: The aim of our study is to assess the safety and efficacy of Omyra (cPTFE) mesh versus other mesh types in LVHR. Method: We retrospectively collected data from 62 patients who underwent LVHR using cPTFE, as well as other mesh types from January 1, 2011 to December 31, 2020. Patient demographics, Hernia Characteristics, perioperative events, postoperative results and complications were documented and analysed. Results: Among the 62 patients studied, there were 27 (43.55 %) in the Omyra group and 35 (56.45 %) in the other synthetic meshes group. The mean age of the Omyra group was 53.19 (31–85) and 55.03 (22–81) for the other synthetic meshes group. There were no differences in terms of patient demographics and major comorbidities. At presentation, the indication was more commonly for recurrence (p = 0.043), and patients were more symptomatic (p = 0.0034) in the Omyra group than the other synthetic meshes group. There were no differences in mean operating time, post-operative recovery and complications, as well as early (<30 days) and late (>30 days) complications during follow up. Conclusion: The use of cPTFE (Omyra™) mesh yielded comparable operative characteristic compared to other synthetic meshes for LVHR. The rate of perioperative complications and early recurrence was similar between Omyra and other synthetic meshes group.http://www.sciencedirect.com/science/article/pii/S1015958424025685Ventral herniaIncisional herniaPTFEIntraperitoneal mesh |
| spellingShingle | Meredeth Chin James Lee Wai Kit Sujith Wijerathne Avelyn Aw Daryl Chia Kai Ann Sean Lee Kien Fatt Tharun Ragupathi Harry Ng Ho Man Davide Lomanto A comparative study between condensed polytetrafluoroethylene mesh versus other composite meshes in Endo-laparoscopic ventral herniorrhaphy Asian Journal of Surgery Ventral hernia Incisional hernia PTFE Intraperitoneal mesh |
| title | A comparative study between condensed polytetrafluoroethylene mesh versus other composite meshes in Endo-laparoscopic ventral herniorrhaphy |
| title_full | A comparative study between condensed polytetrafluoroethylene mesh versus other composite meshes in Endo-laparoscopic ventral herniorrhaphy |
| title_fullStr | A comparative study between condensed polytetrafluoroethylene mesh versus other composite meshes in Endo-laparoscopic ventral herniorrhaphy |
| title_full_unstemmed | A comparative study between condensed polytetrafluoroethylene mesh versus other composite meshes in Endo-laparoscopic ventral herniorrhaphy |
| title_short | A comparative study between condensed polytetrafluoroethylene mesh versus other composite meshes in Endo-laparoscopic ventral herniorrhaphy |
| title_sort | comparative study between condensed polytetrafluoroethylene mesh versus other composite meshes in endo laparoscopic ventral herniorrhaphy |
| topic | Ventral hernia Incisional hernia PTFE Intraperitoneal mesh |
| url | http://www.sciencedirect.com/science/article/pii/S1015958424025685 |
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