Abstract:

Physiomesh™ is a novel, lightweight, large pore, polypropylene mesh designed to have flexibility that matches the compliance of the abdominal wall in an effort to improve patient quality of life (QOL). The International Hernia Mesh Registry was queried for ventral hernia repair (VHR) and inguinal hernia repair (IHR) with Physiomesh. Demographics, operative and postoperative details, and the Carolinas Comfort Scale (CCS) as a measure of QOL were recorded. Physiomesh was used in 100 patients, 29 IHR and 71 VHR. Their average age was 56.8 ± 13.7, and BMI was 34.0 ± 21.0 kg/m2. For IHR, preoperative pain (CCS > 2) was present in 41%, but decreased at 1, 6, and 12 months postoperatively to 25.9%, 0%, and 1.6%, while movement limitation decreased from 42.9% to 18.5%, 1.6%, and 3.1%. There were no complications or recurrences. The average VHR measured 66.4cm2; 93% underwent a laparoscopic repair. Pain was present in 59.1% preoperatively but 21% at 12 months. Movement limitations reduced from 43.2% to 15.8% at 12 months. Mesh sensation was reported in only 10.5% at 1 year. There was 1 recurrence. Physiomesh is well tolerated by patients undergoing IHR and VHR. It is associated with a very favorable long-term QOL.

Authors:

Joel F. Bradley, III, MD, Gastrointestinal and Minimally Invasive Surgery Fellow, Carolinas Medical Center, Charlotte, North Carolina, Amanda L. Walters, MS Senior Statistician And Applications Specialist Division of GI And Minimally Invasive Surgery Carolinas Medical Center, Charlotte, North Carolina, Kristopher B. Williams, MD, Gastrointestinal and Minimally Invasive Surgery Fellow, Carolinas Medical Center, Charlotte, North Carolina, Ronald F. Sing, DO, FACS, FCCM, Professor of Surgery Carolinas Medical Center, Charlotte, North Carolina, Blair A. Wormer, MD, General Surgery Resident, Carolinas Medical Center, Charlotte, North Carolina, Igor Belyansky, MD, General And Minimally Invasive Surgeon, Anne Arundel Medical Center, Annapolis, Maryland, Victor B. Tsirline, MD, Assistant Professor of Surgery, Northwestern University, Chicago, Illinois, B. Todd Heniford, MD, Facs, Chief, Division of Gastrointestinal and Minimally Invasive Surgery, Carolinas Laparoscopic and Advanced Surgery Program, Carolinas Medical Center, Charlotte, North Carolina

PMID: 23292674

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