Abstract:

Surgical treatment of umbilical and small ventral hernias ranges from a simple suture repair to the placement of large intra-abdominal or retromuscular meshes. Several articles report a lower incidence of recurrence after mesh repair, whether this is positioned onlay, retromuscular, or intraperitoneally. Often, a simple suture repair fails in the longterm, whereas a laparoscopic or retromomuscular approach seems too extensive for these rather small hernias. In between those two treatment options exists a go-between repair that carries the idea of posterior repair without being so aggressive in its approach. In this study, the authors examined a new device called the Proceed™ Ventral Patch (PVP) (Ethicon, Inc., Sommerville, NJ, USA). It is a self-expanding, partially absorbable, flexible laminate mesh device that allows an easy, quick and minimal invasive, tension-free, and standarized approach to umbilical hernia treatment. No data nor publication exist on this new device. Reported herein is our early and first experience with this novel technique.

Authors:

Tim Tollens, M.D., Consultant, General Surgery, David Struyve, M.D., Registrar, General Surgery, Chris Aelvoet, M.D., Consultant, General Surgery, Jean Pierre Vanrijkel, M.D., Head of Department, General Surgery, Imelda Hospital, Bonheiden, Belgium

For Direct IP Access please click this link