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Mesh Strip Repair of Ventral Hernias: A Case Series
Benjamin A. Sarac, MD
Paige Hackenberger, MD
Jeffrey E. Janis, MD
The Ohio State University Wexner Medical Center
Department of Plastic and Reconstructive Surgery
2024-01-31
Presenter: Benjamin A. Sarac, MD
Affidavit:
Ben performed the data collection, analysis, and wrote the abstract/manuscript for this submission.
Director Name: Gregory Pearson, MD
Author Category: Resident Plastic Surgery
Presentation Category: Clinical
Abstract Category: General Reconstruction
Purpose: Polypropylene mesh strip repair is a novel method of hernia closure. Currently, there is limited representation in the literature regarding both the reproducibility of this method and its outcomes. The present study sought to analyze a second institution's experience with fascial closure employing the mesh strip technique with long-term follow up.
Methods: A retrospective review of all patients undergoing abdominal wall reconstruction by the senior author was performed. Patients undergoing midline ventral hernia repair with mesh strip only fascial closure and greater than one year follow up were including for analysis. Demographic data, operative details, and outcomes, specifically presence and timing of hernia recurrence, were recorded.
Results: Eighteen patients met inclusion criteria. Average follow up was 860±307 days. Nine patients (50%) had recurrence of hernia following repair. Average time to recurrence was 602±406 days, with the earliest recurrence occurring at 126 days postoperatively. Seven patients (39%) underwent concurrent anterior component separation (4 unilateral, 3 bilateral), of which there were 3 recurrences, all occurring in patients with bilateral anterior component separation.
Conclusion: The mesh strip repair is a novel technique that shows uncertain reproducibility of outcomes, specifically with concurrent component separation techniques. With the recent FDA approval of a mesh suture, further multi-institutional analysis will allow for better characterization of the outcomes and indications for this technique.
