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Laparoscopic Ventral Hernia Repair with Polypropylene Mesh: A Literature Review
            long-term follow-up and had included small numbers of subjects.     3.  Burger JWA, Halm JA, Wijsmuller AR, et al. Evaluation of new prosthetic
            Tran and colleagues studied the use of the fibrin sealant to cover the   meshes for ventral hernia repair. Surg Endosc 2006;20(8):1320–1325.
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            mesh and reported adhesions prevention after its use.  However,   DOI: 10.1007/s00464-005-0706-4.
            the fibrin sealant itself is costly, which takes us back to square one     4.  Bingener J, Kazantsev GB, Chopra S, et al. Adhesion formation after
            of the financial limitations.                           laparoscopic ventral incisional hernia repair with polypropylene
                                                                    mesh: a study using abdominal ultrasound. JSLS 2004;8(2):127–131.
               The literature reviews failed to come up with a high-level     5.  Doctor HG. Evaluation of various prosthetic materials and newer
            evidence. In their review, Eriksen and his colleagues could not make   meshes for hernia repairs. J Minim Access Surg 2006;2(3):110–116.
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            out a clear recommendation from the published literature.  Later on,   DOI: 10.4103/0972-9941.27721.
                                                           5
            Doctor HG in his review rejected the use of intraperitoneal PPM.  In     6.  Jitea N, Cristian D, Burcoş T, et al. Umbilical hernia in adults:
            the most recent comprehensive literature review by Ramakrishna   laparoscopic approach with prolene mesh—is it a safe procedure?
            and Lakshman, no statistically significant difference in the incidence   Chirurgia (Bucur) 2008;103(2):175–179.
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            of complications between the PPM and newer meshes was found.       7.  Schreinemacher MH, Emans PJ, Gijbels MJ, et al. Degradation of mesh
            The data they gathered were heterogeneous and they could not   coatings and intraperitoneal adhesion formation in an experimental
                                                                    model. Br J Surg 2009;96(3):305–313. DOI: 10.1002/bjs.6446.
            find a prospective controlled randomized double-blind study     8.  Qadri SJ, Khan M, Wani SN, et al. Laparoscopic and open incisional
            comparing intraperitoneal placement of PPM with newer meshes.  hernia repair using polypropylene mesh: a comparative single centre
                                                                    study. Int J Surg 2010;8(6):479–483. DOI: 10.1016/j.ijsu.2010.06.012.
            conclusIon                                           9.  Yildirim M, Engin O, Karademir M, et al. Is repair of incisional
                                                                    hernias by polypropylene mesh a safe procedure? Med Princ Pract
            The choice of mesh for intraperitoneal placement remains an   2010;19(2):129–132. DOI: 10.1159/000273074.
            unsolved issue. Complications had been reported with most of     10.  Tran H, Saliba L, Chandratnam E, et al. Strategies to minimize
            the mesh types. Well-designed prospective randomized controlled   adhesions to intraperitoneally placed mesh in laparoscopic ventral
            double-blind studies are required to generate high-level evidence   hernia repair. JSLS 2012;16(1):89–94. DOI: 10.4293/108680812X13291
            that can change practice. Until then the mesh selection is a   597716140.
            surgeon’s decision depending on his/her preference and patient’s     11.  Ramakrishna HK, Lakshman K. Intra peritoneal polypropylene mesh
            affordability.                                          and newer meshes in ventral hernia repair: what EBM says? Indian J
                                                                    Surg 2013;75(5):346–351. DOI: 10.1007/s12262-012-0743-x.
            AcknowledgMents                                      12.  Royal college of surgeons, Commissioning guide: Groin Hernia,
                                                                    2016:7.
            The author would like to thank Professor R. K. Mishra, Dr Chowhan,     13.  Kingsnorth AN. Hernia surgery: from guidelines to clinical practice. Ann
            and their professional team in World Laparoscopy Hospital in Delhi,   R Coll Surg Engl 2009;91:273–279. DOI: 10.1308/003588409X428540.
            India, for their great and valuable support.         14.  Sahoo MR, Bisoi S, Mathapati S. Polypropelene mesh eroding
                                                                    transverse colon following laparoscopic ventral hernia repair. J Minim
                                                                    Access Surg 2013;9(1):40–41. DOI: 10.4103/0972-9941.107139.
            references                                           15.  Voisard G, Feldman LS. An unusual cause of chronic anemia and
              1.  Eriksen JR, Gogenur I, Rosenberg J. Choice of mesh for laparoscopic   abdominal pain caused by transmural mesh migration in the
                ventral hernia repair. Hernia 2007;11(6):481–492. DOI: 10.1007/s10029-  small bowel after laparoscopic incisional hernia repair. Hernia
                007-0282-8.                                         2013;17(5):673–677. DOI: 10.1007/s10029-013-1127-2.
              2.  Zieren J, Neuss H, Ablassmaier B, et al. Adhesions after intraperitoneal     16.  Palumbo VD, Bruno A, Damiano G, et al. Intraperitoneal coated
                mesh repair in pigs: Prolene™ vs. Vypro™. J Laparoendosc Adv Surg   polypropylene hernia meshes: the dark side of the moon. Ann Ital
                Tech A 2002;12(4):249–252. DOI: 10.1089/109264202760268014.  Chir 2014;85(ePub):S2239253X14022695.

































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