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Laparoscopic Ventral Hernia Repair with Polypropylene Mesh: A Literature Review
Table 1: Summary of relevant studies
Year of
Authors publication Type of study Details of study No. of subjects Follow-up time Conclusions
Zieren et al. 2 2004 Experimental in Compared Vypro 3 months Both meshes cannot be
pigs and prolene mesh recommended for intraperitoneal
placement in hernia surgery
because of their adhesion
potential and risk of bowel ob-
struction.
Bingener 2004 Case series Polypropylene 30 patients 14 months PPM with interposition of
et al. 4 mesh with omentum is not associated with
interposition of visceral adhesions in the majority
omentum over of patients.
loops of bowel
Burger et al. 3 2006 Experimental in Compared 30 days Recommended the use of Parietex
rats different types of composite and Sepramesh for
mesh hernia repair in which direct
contact with the abdominal vis-
cera cannot be avoided.
Doctor 5 2006 Literature review Compared Prosthesis with a barrier only
prostheses with should be used for intra-
and without abdominal placement to prevent
barrier bowel adhesions.
Eriksen et al. 1 2007 Literature review Choice of mesh depends on
surgeon’s preference and cost till
further randomized controlled
clinical trials are available.
Jitea et al. 6 2008 Case series Polypropylene 21 patients 6–12 months Intraperitoneal PPM in umbilical
mesh with hernia repair is a safe, efficient,
omentum and rapid method avoiding
interposition infection complications in obese
between mesh cirrhotic patient.
and bowel
Schreinemacher 2009 Experimental Compared six 30 days The absorbable layers of Parietex
et al. 7 in rats mesh types and C-Qur reduce adhesion
(PPM, Ultrapro, formation to intraperitoneal mesh
Proceed, Parietex in the short-term, but the effect
Composite, and diminishes and phagocytosis
c-Qur) of absorbable coatings may
contribute to adhesion formation.
Qadri et al. 8 2010 Case series 80 patients 28 months Intraperitoneal use of PPM was
not associated with any significant
complication.
Yildirim et al. 9 2010 Case series 25 patients 28 months The tension-free repair of
incisional hernia with PPM in
the intraperitoneal position is
a safe and easy procedure with
acceptable morbidity and no
recurrence.
Tran et al. 10 2012 Experiment in Compared PPM 3 months DualMesh caused fewer omental
pigs and DualMesh and visceral adhesions than PPM
with and without did.
fibrin sealant Fibrin sealant eliminated
adhesions to DualMesh and
prevented adhesions to PPM when
applied over the entire surface.
Ramakrishna and 2013 Literature review Intraperitoneal Complications of intraperitoneal
Lakshman 11 PPM and newer PPM can occur with the newer
meshes in ventral meshes also. There is no
hernia repair statistically significant differ-
ence in the incidence of these
complications between these
meshes.
32 World Journal of Laparoscopic Surgery, Volume 13 Issue 1 (January–April 2020)