Efficacy comparison between ProGrip self-gripping mesh and polypropylene mesh for retromuscular repair of incisional hernias_Chinese Journal of Reparative and Reconstructive Surgery

Authors：

SUN Pengjun , FEI Yang , WANG Shibin , ZHANG Yan ,  LI Jiye

Department of General Surgery, the First Hospital Affiliated to General Hospital of Chinese PLA, Beijing, 100048, P.R.China;

Corresponding author：

LI Jiye, Email: jiye151015@163.com

Keywords：

Incisional hernia; retromuscular repair; ProGrip self-gripping mesh; polypropylene mesh

DOI：

10.7507/1002-1892.201611040

Video：

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Objective To compare the efficacy of retromuscular repair of incisional hernia by using ProGrip self-gripping mesh and conventional polypropylene mesh. Methods A retrospective analysis was made on clinical data of 83 cases of incisional hernia between May 2012 and May 2016. Of 83 cases, ProGrip self-gripping mesh was used in 46 cases (self-gripping mesh group) and conventional polypropylene mesh (conventional mesh group) in 37 cases. There was no significant difference in gender, age, body mass index, types of incision hernia, hernia ring diameter, course of disease, and associated disease between 2 groups (P>0.05). The operative time, hospital stays, and visual analogue scale (VAS) were recorded and compared between 2 groups. Results The self-gripping mesh group was significantly lower than conventional mesh group in operative time and hospital stays (t=2.977,P=0.004;t=2.270,P=0.026). Primary healing of incision was obtained in 2 groups, with no seroma and mesh infection. The VAS score of self-gripping mesh group was significantly lower than that of conventional mesh group at 24 hours, 7 days, and 30 days after operation (P<0.05). The follow-up time was 5-53 months (mean, 25.8 months) in 43 patients of self-gripping mesh group, and was 7-54 months (mean, 27.4 months) in 33 patients of conventional mesh group. No chronic pain or hernia recurrence was found in both groups during follow-up time. Conclusion It is a safe and feasible curative way to use ProGrip self-gripping mesh for retromuscular repair of incisional hernia as it can reduce operative time, hospital stays, and postoperative pain.

Citation： SUN Pengjun, FEI Yang, WANG Shibin, ZHANG Yan, LI Jiye. Efficacy comparison between ProGrip self-gripping mesh and polypropylene mesh for retromuscular repair of incisional hernias. Chinese Journal of Reparative and Reconstructive Surgery, 2017, 31(3): 331-334. doi: 10.7507/1002-1892.201611040 Copy

1.	Muysoms FE, Vanlander A, Ceuleman R, et al. A prospective, multicenter, observational study on quality of life after laparoscopic inquinal hernia repair with ProGrip laparoscopic, self-fixating mesh according to the European Registry for Abdominal Wall Hernias Quality of Life Instrument. Surgery, 2016, 160(5): 1344-1357.
2.	Marco MGM, Mosconi C, Colella MC, et al. Open hernioplasty with Progrip technique: Our experience about 3-years follow-up of three hundred patients. Hernia, 2016, 20(Suppl2): s211.
3.	Batabyal P, Haddad RL, Samra JS, et al. Inquinal hernia repair with Parietex ProGrip mesh causes minimal discomfort and allows early return to normal activites. Am J Surg, 2016, 211(1): 24-30.
4.	Sanders DL, Nienhuijs S, Ziprin P, et al. Randomized clinical trial comparing self-gripping mesh with suture fixation of lightweight polypropylene mesh in open inquial hernia repair. Br J Surg, 2014, 101(11): 1373-1382.
5.	Verhelst J, de Goede B, Kleinrensink GJ, et al. Open incisional hernia repair with a self-gripping retromuscular parietex mesh: a retrospective cohort study. Int J Surg, 2015, 13: 184-188.
6.	Hopson SB, Miller LE. Open ventral hernia using ProGrip^TM self-gripping mesh. Int J Surg, 2015, 23(1):137-140.
7.	Avram IO, Schutze F, Metzger R. Extraperitoneal repair of a lumbar hernia without mesh fixation. Surg Endosc and Other Int Tech, 2016, 30(Suppl 1): S160.
8.	Moore AM, Anderson LN, Chen DC. Laparoscopic stapled sublay repair with self-gripping mesh: A simplified technique for minimally invasive extraperitoneal ventral hernia repair. Surg Technol Int, 2016, 26(10):131-139.
9.	李基业, 费阳, 姚胜, 等. 开放式合成材料补片修补腹壁疝217例的经验总结. 外科理论与实践, 2008, 13(6): 552-555.
10.	Eriksson A, Rosenberg J, Bisgaard T. Surgical treatment for giant incisionalhernia: a qualitative systematic review. Hernia, 2014, 18(1): 31-38.
11.	Albino FP, Patel KM, Nahabedian MY, et al. Does mesh location matter in abdominal wall reconstruction? A systematicreview of the literature and a summary of recommendations. Plast Reconstr Surg, 2013, 132 (5): 1295-1304.
12.	Fayezizadeh M, Majumder A, Belyansky I, et al. Outcomes of retromuscular porcine biologic mesh repairs using transversus abdominis release reconstruction. J Am Coll Surg, 2016, 223(3): 461-468.
13.	Holihan JL, Bondre I, Askenasy EP, et al. Sublay versus underlay in open ventral hernia repair. J Surg Res, 2016, 202(1): 26-32.
14.	Holihan JL, Nguyen DH, Nguyen MT, et al. Mesh location in open ventral hernia repair: A systematic review and network Meta-analysis. World J Surg, 2016, 40(1): 89-99.
15.	Renard Y, de Mestier L, Cagniet A, et al. Open retromuscular large mesh reconstruction of lumber incisional hernias including the atrophic muscular area. Hernia, 2017, 21(1): 10-15.
16.	Cox TC, Huntington CR, Blair LJ, et al. Predictive modeling for chronic pain after ventral hernia repair. Am J Surg, 2016, 212(3): 501-510.
17.	Langbach O, Bukholm I, Benth JŠ, et al. Long term recurrence, pain and patient satisfaction after ventral hernia mesh repair. World J Gastrointest Surg, 2015, 7(12): 384-393.
18.	Hollinsky C, Kolbe T, Water I, et al. Comparison of a new self-gripping mesh with other fixation methods for laparoscopic hernia repair in a rat model. J Am Coll Surg, 2009, 209(4): 543-544.
19.	Kolbe T, Hollinsky C, Water I, et al. Influence of a new self-gripping hernia mesh on male fertility in a rat model. Surg Endosc, 2010, 24(2): 455-461.
20.	Chastan P. Tension-free open hernia repair using an innovative self-gripping semi-resorbable mesh. Hernia, 2009, 13(2): 137-142.
21.	戎世捧, 田文, 刘飞德, 等. 应用自粘式补片修补肋缘下切口疝的六例体会. 中华普通外科手术学杂志(电子版), 2014, 8(3): 219-222.
22.	Khansa I, Janis J. Abdominal wall reconstruction using retrorectus selfadhering mesh: a noval apprasch. Hernia, 2016, 20(Suppl 1): S69.
23.	Hopson SB, Miler L. Open repair of large incisional hernia with Progripping mesh-2years long term results. Hernia, 2016, 20(Suppl 2): S185.

1. Muysoms FE, Vanlander A, Ceuleman R, et al. A prospective, multicenter, observational study on quality of life after laparoscopic inquinal hernia repair with ProGrip laparoscopic, self-fixating mesh according to the European Registry for Abdominal Wall Hernias Quality of Life Instrument. Surgery, 2016, 160(5): 1344-1357.
2. Marco MGM, Mosconi C, Colella MC, et al. Open hernioplasty with Progrip technique: Our experience about 3-years follow-up of three hundred patients. Hernia, 2016, 20(Suppl2): s211.
3. Batabyal P, Haddad RL, Samra JS, et al. Inquinal hernia repair with Parietex ProGrip mesh causes minimal discomfort and allows early return to normal activites. Am J Surg, 2016, 211(1): 24-30.
4. Sanders DL, Nienhuijs S, Ziprin P, et al. Randomized clinical trial comparing self-gripping mesh with suture fixation of lightweight polypropylene mesh in open inquial hernia repair. Br J Surg, 2014, 101(11): 1373-1382.
5. Verhelst J, de Goede B, Kleinrensink GJ, et al. Open incisional hernia repair with a self-gripping retromuscular parietex mesh: a retrospective cohort study. Int J Surg, 2015, 13: 184-188.
6. Hopson SB, Miller LE. Open ventral hernia using ProGrip^TM self-gripping mesh. Int J Surg, 2015, 23(1):137-140.
7. Avram IO, Schutze F, Metzger R. Extraperitoneal repair of a lumbar hernia without mesh fixation. Surg Endosc and Other Int Tech, 2016, 30(Suppl 1): S160.
8. Moore AM, Anderson LN, Chen DC. Laparoscopic stapled sublay repair with self-gripping mesh: A simplified technique for minimally invasive extraperitoneal ventral hernia repair. Surg Technol Int, 2016, 26(10):131-139.
9. 李基业, 费阳, 姚胜, 等. 开放式合成材料补片修补腹壁疝217例的经验总结. 外科理论与实践, 2008, 13(6): 552-555.
10. Eriksson A, Rosenberg J, Bisgaard T. Surgical treatment for giant incisionalhernia: a qualitative systematic review. Hernia, 2014, 18(1): 31-38.
11. Albino FP, Patel KM, Nahabedian MY, et al. Does mesh location matter in abdominal wall reconstruction? A systematicreview of the literature and a summary of recommendations. Plast Reconstr Surg, 2013, 132 (5): 1295-1304.
12. Fayezizadeh M, Majumder A, Belyansky I, et al. Outcomes of retromuscular porcine biologic mesh repairs using transversus abdominis release reconstruction. J Am Coll Surg, 2016, 223(3): 461-468.
13. Holihan JL, Bondre I, Askenasy EP, et al. Sublay versus underlay in open ventral hernia repair. J Surg Res, 2016, 202(1): 26-32.
14. Holihan JL, Nguyen DH, Nguyen MT, et al. Mesh location in open ventral hernia repair: A systematic review and network Meta-analysis. World J Surg, 2016, 40(1): 89-99.
15. Renard Y, de Mestier L, Cagniet A, et al. Open retromuscular large mesh reconstruction of lumber incisional hernias including the atrophic muscular area. Hernia, 2017, 21(1): 10-15.
16. Cox TC, Huntington CR, Blair LJ, et al. Predictive modeling for chronic pain after ventral hernia repair. Am J Surg, 2016, 212(3): 501-510.
17. Langbach O, Bukholm I, Benth JŠ, et al. Long term recurrence, pain and patient satisfaction after ventral hernia mesh repair. World J Gastrointest Surg, 2015, 7(12): 384-393.
18. Hollinsky C, Kolbe T, Water I, et al. Comparison of a new self-gripping mesh with other fixation methods for laparoscopic hernia repair in a rat model. J Am Coll Surg, 2009, 209(4): 543-544.
19. Kolbe T, Hollinsky C, Water I, et al. Influence of a new self-gripping hernia mesh on male fertility in a rat model. Surg Endosc, 2010, 24(2): 455-461.
20. Chastan P. Tension-free open hernia repair using an innovative self-gripping semi-resorbable mesh. Hernia, 2009, 13(2): 137-142.
21. 戎世捧, 田文, 刘飞德, 等. 应用自粘式补片修补肋缘下切口疝的六例体会. 中华普通外科手术学杂志(电子版), 2014, 8(3): 219-222.
22. Khansa I, Janis J. Abdominal wall reconstruction using retrorectus selfadhering mesh: a noval apprasch. Hernia, 2016, 20(Suppl 1): S69.
23. Hopson SB, Miler L. Open repair of large incisional hernia with Progripping mesh-2years long term results. Hernia, 2016, 20(Suppl 2): S185.

Chinese Journal of Reparative and Reconstructive Surgery

Efficacy comparison between ProGrip self-gripping mesh and polypropylene mesh for retromuscular repair of incisional hernias

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