Slowly resorbable biosynthetic mesh: 2-year results in VHWG grade 3 hernia repair
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Slowly resorbable biosynthetic mesh : 2-year results in VHWG grade 3 hernia repair. / Van Rooijen, M. M.J.; Tollens, T.; Jørgensen, L. N.; de Vries Reilingh, T. S.; Piessen, G.; Köckerling, F.; Miserez, M.; Windsor, A. C.J.; Berrevoet, F.; Fortelny, R. H.; Dousset, B.; Woeste, G.; van Westreenen, H. L.; Gossetti, F.; Lange, J. F.; Tetteroo, G. W.M.; Koch, A.; Jeekel, J.
In: Hernia, Vol. 26, 2022, p. 131–138.Research output: Contribution to journal › Journal article › Research › peer-review
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TY - JOUR
T1 - Slowly resorbable biosynthetic mesh
T2 - 2-year results in VHWG grade 3 hernia repair
AU - Van Rooijen, M. M.J.
AU - Tollens, T.
AU - Jørgensen, L. N.
AU - de Vries Reilingh, T. S.
AU - Piessen, G.
AU - Köckerling, F.
AU - Miserez, M.
AU - Windsor, A. C.J.
AU - Berrevoet, F.
AU - Fortelny, R. H.
AU - Dousset, B.
AU - Woeste, G.
AU - van Westreenen, H. L.
AU - Gossetti, F.
AU - Lange, J. F.
AU - Tetteroo, G. W.M.
AU - Koch, A.
AU - Jeekel, J.
N1 - Publisher Copyright: © 2021, The Author(s).
PY - 2022
Y1 - 2022
N2 - Introduction: Information on the long-term performance of biosynthetic meshes is scarce. This study analyses the performance of biosynthetic mesh (Phasix™) over 24 months. Methods: A prospective, international European multi-center trial is described. Adult patients with a Ventral Hernia Working Group (VHWG) grade 3 incisional hernia larger than 10 cm2, scheduled for elective repair, were included. Biosynthetic mesh was placed in sublay position. Short-term outcomes included 3-month surgical site occurrences (SSO), and long-term outcomes comprised hernia recurrence, reoperation, and quality of life assessments until 24 months. Results: Eighty-four patients were treated with biosynthetic mesh. Twenty-two patients (26.2%) developed 34 SSOs, of which 32 occurred within 3 months (primary endpoint). Eight patients (11.0%) developed a hernia recurrence. In 13 patients (15.5%), 14 reoperations took place, of which 6 were performed for hernia recurrence (42.9%), 3 for mesh infection (21.4%), and in 7 of which the mesh was explanted (50%). Compared to baseline, quality of life outcomes showed no significant difference after 24 months. Despite theoretical resorption, 10.7% of patients reported presence of mesh sensation in daily life 24 months after surgery. Conclusion: After 2 years of follow-up, hernia repair with biosynthetic mesh shows manageable SSO rates and favorable recurrence rates in VHWG grade 3 patients. No statistically significant improvement in quality of life or reduction of pain was observed. Few patients report lasting presence of mesh sensation. Results of biosynthetic mesh after longer periods of follow-up on recurrences and remodeling will provide further valuable information to make clear recommendations. Trial registration: Registered on clinicaltrials.gov (NCT02720042), March 25, 2016.
AB - Introduction: Information on the long-term performance of biosynthetic meshes is scarce. This study analyses the performance of biosynthetic mesh (Phasix™) over 24 months. Methods: A prospective, international European multi-center trial is described. Adult patients with a Ventral Hernia Working Group (VHWG) grade 3 incisional hernia larger than 10 cm2, scheduled for elective repair, were included. Biosynthetic mesh was placed in sublay position. Short-term outcomes included 3-month surgical site occurrences (SSO), and long-term outcomes comprised hernia recurrence, reoperation, and quality of life assessments until 24 months. Results: Eighty-four patients were treated with biosynthetic mesh. Twenty-two patients (26.2%) developed 34 SSOs, of which 32 occurred within 3 months (primary endpoint). Eight patients (11.0%) developed a hernia recurrence. In 13 patients (15.5%), 14 reoperations took place, of which 6 were performed for hernia recurrence (42.9%), 3 for mesh infection (21.4%), and in 7 of which the mesh was explanted (50%). Compared to baseline, quality of life outcomes showed no significant difference after 24 months. Despite theoretical resorption, 10.7% of patients reported presence of mesh sensation in daily life 24 months after surgery. Conclusion: After 2 years of follow-up, hernia repair with biosynthetic mesh shows manageable SSO rates and favorable recurrence rates in VHWG grade 3 patients. No statistically significant improvement in quality of life or reduction of pain was observed. Few patients report lasting presence of mesh sensation. Results of biosynthetic mesh after longer periods of follow-up on recurrences and remodeling will provide further valuable information to make clear recommendations. Trial registration: Registered on clinicaltrials.gov (NCT02720042), March 25, 2016.
KW - Biosynthetic mesh
KW - Hernia recurrence
KW - Hernia surgery
KW - Incisional hernia
U2 - 10.1007/s10029-021-02453-1
DO - 10.1007/s10029-021-02453-1
M3 - Journal article
C2 - 34282506
AN - SCOPUS:85110902783
VL - 26
SP - 131
EP - 138
JO - Hernia : the journal of hernias and abdominal wall surgery
JF - Hernia : the journal of hernias and abdominal wall surgery
SN - 1265-4906
ER -
ID: 276333683