The results of clinical application of the mesh with anti-adhesive fluoropolymer coating in laparoscopic intraperitoneal repair of incisional ventral hernia.
Abstract
The purpose of the study was to evaluate the results of using fluoropolymer-coated mesh during intraperitoneal onlay mesh hernia repair in patients with incisional ventral hernias. The multicenter, non-randomized, controlled clinical study included 67 patients of both sexes who were operated on using a laparoscopic approach using the LapIPOM technique for a primary ventra hernia. The duration of observation ranged from 12 to 94 months. In the main group, 31 patients received fluoropolymer-coated meshes (Ftorex). A comparison was made with a retrospective group of 36 patients who were treated with anti-adhesive collagen coated meshes (Parietene composite, Parietex Composite, Symbotex). The number of early and late postoperative complications in the groups did not have significant differences, at the same time, their number was lower in the group of patients in whom fluoropolymer-coated meshes were used. Most of the complications corresponded to Clavien-Dindo class I and II and did not pose a significant threat to health. There were two recurrences of hernias observed in patients included in the study. There were slightly more ad hesions in the fluoropolymer-coated mesh group. The quality of life of patients in the study groups did not differ. In laparoscopic LapIPOM hernia repair fluoropolymer-coated meshes are not inferior in effectiveness and safety to traditionally used collagen-coated meshes and can be recommended for use in patients with incisional ventral hernias.
About the Authors
A. M. Belousov
Saint Petersburg State University Hospital
Russian Federation
Russian Federation
Belousov Alexander Mikhailovich – Doctor of Medical Sciences, Deputy Chief Physician for Medical Affairs (Surgery, Oncology)
S. L. Nepomnyaschaya
Saint Petersburg State University Hospital
Russian Federation
Russian Federation
Nepomnyaschaya Svetlana Leonidovna – Candidate of Medical Sciences, Surgeon, Oncological Department No. 2
V. N. Danilin
Saint Petersburg State University Hospital
Russian Federation
Russian Federation
Danilin Valery Nikolaevich– Candidate of Medical Sciences, Surgeon, Oncological Department No. 2
K. O. Timofeeva
Saint Petersburg State University Hospital
Russian Federation
Russian Federation
Timofeeva Kseniya Olegovna – Surgeon, Oncological Department No. 2
V. P. Armashov
Pirogov Russian National Research Medical University
Russian Federation
Russian Federation
Armashov Vadim Petrovich – Candidate of Medical Sciences, Associate Professor
N. L. Matveev
Pirogov Russian National Research Medical University
Russian Federation
Russian Federation
Matveev Nikolay Lvovich – Doctor of Medical Sciences, Professor
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For citations:
Belousov A.M., Nepomnyaschaya S.L., Danilin V.N., Timofeeva K.O., Armashov V.P., Matveev N.L. The results of clinical application of the mesh with anti-adhesive fluoropolymer coating in laparoscopic intraperitoneal repair of incisional ventral hernia. Russian surgical journal. 2025;1(1):20-27. (In Russ.)
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