Prospective repair of Ventral Hernia Working Group type 3 and 4 abdominal wall defects with condensed polytetrafluoroethylene (MotifMESH) mesh
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 subsequentl...
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| Veröffentlicht in: | The American journal of surgery 2016-01, Vol.211 (1), p.1-10 |
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| creator | Cheesborough, Jennifer E., M.D Liu, Jing, M.D Hsu, Derek, B.A Dumanian, Gregory A., M.D., F.A.C.S |
| description | 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. |
| doi_str_mv | 10.1016/j.amjsurg.2015.03.033 |
| format | Article |
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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.</description><identifier>ISSN: 0002-9610</identifier><identifier>EISSN: 1879-1883</identifier><identifier>DOI: 10.1016/j.amjsurg.2015.03.033</identifier><identifier>PMID: 26184351</identifier><language>eng</language><publisher>United States: Elsevier Inc</publisher><subject>Abdomen ; Abdominal Wall - surgery ; Adult ; Aged ; Defects ; Female ; Follow-Up Studies ; Hernia, Ventral - surgery ; Hernias ; Herniorrhaphy - instrumentation ; Herniorrhaphy - methods ; Humans ; Infections ; Male ; Mesh ; Middle Aged ; Ostomy ; Patients ; Plastic surgery ; Polytetrafluoroethylene ; Postoperative period ; Prospective Studies ; Prostheses ; Recurrence ; Skin ; Surgery ; Surgical Mesh ; Surgical site infection ; Surgical site occurrence ; Surgical Wound Infection ; Treatment Outcome ; Ventral hernia ; Working groups</subject><ispartof>The American journal of surgery, 2016-01, Vol.211 (1), p.1-10</ispartof><rights>The Authors</rights><rights>2016 The Authors</rights><rights>Copyright © 2016 The Authors. Published by Elsevier Inc. All rights reserved.</rights><rights>Copyright Elsevier Limited Jan 2016</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c565t-2b262ed4ad108ead0fdf3665de4ef73b13388970f67cb5e3f83ff7ed0a9a480e3</citedby><cites>FETCH-LOGICAL-c565t-2b262ed4ad108ead0fdf3665de4ef73b13388970f67cb5e3f83ff7ed0a9a480e3</cites><orcidid>0000-0001-9969-1638</orcidid></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktohtml>$$Uhttps://www.proquest.com/docview/1753452853?pq-origsite=primo$$EHTML$$P50$$Gproquest$$H</linktohtml><link.rule.ids>314,780,784,3550,27924,27925,45995,64385,64387,64389,72469</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/26184351$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Cheesborough, Jennifer E., M.D</creatorcontrib><creatorcontrib>Liu, Jing, M.D</creatorcontrib><creatorcontrib>Hsu, Derek, B.A</creatorcontrib><creatorcontrib>Dumanian, Gregory A., M.D., F.A.C.S</creatorcontrib><title>Prospective repair of Ventral Hernia Working Group type 3 and 4 abdominal wall defects with condensed polytetrafluoroethylene (MotifMESH) mesh</title><title>The American journal of surgery</title><addtitle>Am J Surg</addtitle><description>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.</description><subject>Abdomen</subject><subject>Abdominal Wall - surgery</subject><subject>Adult</subject><subject>Aged</subject><subject>Defects</subject><subject>Female</subject><subject>Follow-Up Studies</subject><subject>Hernia, Ventral - surgery</subject><subject>Hernias</subject><subject>Herniorrhaphy - instrumentation</subject><subject>Herniorrhaphy - methods</subject><subject>Humans</subject><subject>Infections</subject><subject>Male</subject><subject>Mesh</subject><subject>Middle Aged</subject><subject>Ostomy</subject><subject>Patients</subject><subject>Plastic surgery</subject><subject>Polytetrafluoroethylene</subject><subject>Postoperative period</subject><subject>Prospective Studies</subject><subject>Prostheses</subject><subject>Recurrence</subject><subject>Skin</subject><subject>Surgery</subject><subject>Surgical Mesh</subject><subject>Surgical site infection</subject><subject>Surgical site occurrence</subject><subject>Surgical Wound Infection</subject><subject>Treatment Outcome</subject><subject>Ventral hernia</subject><subject>Working groups</subject><issn>0002-9610</issn><issn>1879-1883</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2016</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><sourceid>8G5</sourceid><sourceid>ABUWG</sourceid><sourceid>AFKRA</sourceid><sourceid>AZQEC</sourceid><sourceid>BENPR</sourceid><sourceid>CCPQU</sourceid><sourceid>DWQXO</sourceid><sourceid>GNUQQ</sourceid><sourceid>GUQSH</sourceid><sourceid>M2O</sourceid><recordid>eNqFkt1u1DAQhSMEokvhEUCWuCkXWfwTJ9kbKlSVLlIrkMrPpeXE465Txw520iovwTPjsAtIvUEaaWTpm2PNOZNlLwleE0zKt91a9l2cws2aYsLXmKVij7IVqatNTuqaPc5WGGOab0qCj7JnMXbpSUjBnmZHtCR1wThZZT8_Bx8HaEdzByjAIE1AXqNv4MYgLdpCcEai7z7cGneDLoKfBjTOAyCGpFOoQLJRvjcusffSWqRAJ7GI7s24Q613ClwEhQZv5xGSpLaTDx7G3WzBATq58qPRV-fX2zeoh7h7nj3R0kZ4cejH2dcP51_Otvnlp4uPZ-8v85aXfMxpQ0sKqpCK4BqkwlppVpZcQQG6Yg1hrK43FdZl1TYcmK6Z1hUoLDeyqDGw4-xkrzsE_2OCOIrexBaslQ78FAWpOC4KuqFlQl8_QDs_hbTwb4oVnNacJYrvqTb5GQNoMQTTyzALgsUSmOjEITCxBCYwS7XMvTqoT00P6u_Un4QScLoHINlxZyCI2BpwLSgTktNCefPfL949UGitcaaV9hZmiP-2EZEKLK6Xq1mOhnCMWZEc-AU2aMA4</recordid><startdate>20160101</startdate><enddate>20160101</enddate><creator>Cheesborough, Jennifer E., M.D</creator><creator>Liu, Jing, M.D</creator><creator>Hsu, Derek, B.A</creator><creator>Dumanian, Gregory A., M.D., F.A.C.S</creator><general>Elsevier Inc</general><general>Elsevier Limited</general><scope>6I.</scope><scope>AAFTH</scope><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>3V.</scope><scope>7QO</scope><scope>7X7</scope><scope>7XB</scope><scope>88E</scope><scope>8FD</scope><scope>8FI</scope><scope>8FJ</scope><scope>8FK</scope><scope>8G5</scope><scope>ABUWG</scope><scope>AFKRA</scope><scope>AZQEC</scope><scope>BENPR</scope><scope>CCPQU</scope><scope>DWQXO</scope><scope>FR3</scope><scope>FYUFA</scope><scope>GHDGH</scope><scope>GNUQQ</scope><scope>GUQSH</scope><scope>K9.</scope><scope>M0S</scope><scope>M1P</scope><scope>M2O</scope><scope>MBDVC</scope><scope>P64</scope><scope>PQEST</scope><scope>PQQKQ</scope><scope>PQUKI</scope><scope>PRINS</scope><scope>Q9U</scope><scope>7X8</scope><orcidid>https://orcid.org/0000-0001-9969-1638</orcidid></search><sort><creationdate>20160101</creationdate><title>Prospective repair of Ventral Hernia Working Group type 3 and 4 abdominal wall defects with condensed polytetrafluoroethylene (MotifMESH) mesh</title><author>Cheesborough, Jennifer E., M.D ; Liu, Jing, M.D ; Hsu, Derek, B.A ; Dumanian, Gregory A., M.D., F.A.C.S</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c565t-2b262ed4ad108ead0fdf3665de4ef73b13388970f67cb5e3f83ff7ed0a9a480e3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2016</creationdate><topic>Abdomen</topic><topic>Abdominal Wall - surgery</topic><topic>Adult</topic><topic>Aged</topic><topic>Defects</topic><topic>Female</topic><topic>Follow-Up Studies</topic><topic>Hernia, Ventral - surgery</topic><topic>Hernias</topic><topic>Herniorrhaphy - instrumentation</topic><topic>Herniorrhaphy - methods</topic><topic>Humans</topic><topic>Infections</topic><topic>Male</topic><topic>Mesh</topic><topic>Middle Aged</topic><topic>Ostomy</topic><topic>Patients</topic><topic>Plastic surgery</topic><topic>Polytetrafluoroethylene</topic><topic>Postoperative period</topic><topic>Prospective Studies</topic><topic>Prostheses</topic><topic>Recurrence</topic><topic>Skin</topic><topic>Surgery</topic><topic>Surgical Mesh</topic><topic>Surgical site infection</topic><topic>Surgical site occurrence</topic><topic>Surgical Wound Infection</topic><topic>Treatment Outcome</topic><topic>Ventral hernia</topic><topic>Working groups</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Cheesborough, Jennifer E., M.D</creatorcontrib><creatorcontrib>Liu, Jing, M.D</creatorcontrib><creatorcontrib>Hsu, Derek, B.A</creatorcontrib><creatorcontrib>Dumanian, Gregory A., M.D., F.A.C.S</creatorcontrib><collection>ScienceDirect Open Access Titles</collection><collection>Elsevier:ScienceDirect:Open Access</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>ProQuest Central (Corporate)</collection><collection>Biotechnology Research Abstracts</collection><collection>Health & Medical Collection</collection><collection>ProQuest Central (purchase pre-March 2016)</collection><collection>Medical Database (Alumni Edition)</collection><collection>Technology Research Database</collection><collection>Hospital Premium Collection</collection><collection>Hospital Premium Collection (Alumni Edition)</collection><collection>ProQuest Central (Alumni) (purchase pre-March 2016)</collection><collection>Research Library (Alumni Edition)</collection><collection>ProQuest Central (Alumni Edition)</collection><collection>ProQuest Central UK/Ireland</collection><collection>ProQuest Central Essentials</collection><collection>ProQuest Central</collection><collection>ProQuest One Community College</collection><collection>ProQuest Central Korea</collection><collection>Engineering Research Database</collection><collection>Health Research Premium Collection</collection><collection>Health Research Premium Collection (Alumni)</collection><collection>ProQuest Central Student</collection><collection>Research Library Prep</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>Health & Medical Collection (Alumni Edition)</collection><collection>Medical Database</collection><collection>Research Library</collection><collection>Research Library (Corporate)</collection><collection>Biotechnology and BioEngineering Abstracts</collection><collection>ProQuest One Academic Eastern Edition (DO NOT USE)</collection><collection>ProQuest One Academic</collection><collection>ProQuest One Academic UKI Edition</collection><collection>ProQuest Central China</collection><collection>ProQuest Central Basic</collection><collection>MEDLINE - Academic</collection><jtitle>The American journal of surgery</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Cheesborough, Jennifer E., M.D</au><au>Liu, Jing, M.D</au><au>Hsu, Derek, B.A</au><au>Dumanian, Gregory A., M.D., F.A.C.S</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Prospective repair of Ventral Hernia Working Group type 3 and 4 abdominal wall defects with condensed polytetrafluoroethylene (MotifMESH) mesh</atitle><jtitle>The American journal of surgery</jtitle><addtitle>Am J Surg</addtitle><date>2016-01-01</date><risdate>2016</risdate><volume>211</volume><issue>1</issue><spage>1</spage><epage>10</epage><pages>1-10</pages><issn>0002-9610</issn><eissn>1879-1883</eissn><abstract>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.</abstract><cop>United States</cop><pub>Elsevier Inc</pub><pmid>26184351</pmid><doi>10.1016/j.amjsurg.2015.03.033</doi><tpages>10</tpages><orcidid>https://orcid.org/0000-0001-9969-1638</orcidid><oa>free_for_read</oa></addata></record> |
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| subjects | Abdomen Abdominal Wall - surgery Adult Aged Defects Female Follow-Up Studies Hernia, Ventral - surgery Hernias Herniorrhaphy - instrumentation Herniorrhaphy - methods Humans Infections Male Mesh Middle Aged Ostomy Patients Plastic surgery Polytetrafluoroethylene Postoperative period Prospective Studies Prostheses Recurrence Skin Surgery Surgical Mesh Surgical site infection Surgical site occurrence Surgical Wound Infection Treatment Outcome Ventral hernia Working groups |
| title | Prospective repair of Ventral Hernia Working Group type 3 and 4 abdominal wall defects with condensed polytetrafluoroethylene (MotifMESH) mesh |
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