Asian Journal of Surgery (Jan 2019)

The results of expanded-polytetrafluoroethylene mesh repair in difficult abdominal wall defects

  • Tarkan Ünek,
  • Selman Sökmen,
  • Tufan Egeli,
  • Vildan Avkan Oğuz,
  • Hülya Ellidokuz,
  • Funda Obuz

Journal volume & issue
Vol. 42, no. 1
pp. 131 – 143

Abstract

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Summary: Background: The repair of difficult abdominal wall defects (AWDs) continues to be a crucial and demanding issue for surgeons. This study aimed to present the risk factors and the long-term results of usage of an expanded-polytetrafluoroethylene (e-PTFE) synthetic mesh for the AWR of difficult abdominal wall defects. Methods: This study included 156 adult patients who underwent difficult AWR with e-PTFE mesh for incisional hernia, ventral hernia, and created AWDs of various etiopathologies. The association between the risk factors and the postoperative complications of AWR was analyzed, and overall long-term outcomes of e-PTFE repair were assessed. Results: The median follow-up duration was 119.1 (ranging from 2 to 206) months. In 70 (44.8%) patients, there were major co-morbidities. A surgical site infection developed in 17 (10.9%) patients. Of these, only 2 (1.3%) patients had e-PTFE mesh infection. Seven (4.4%) patients experienced recurrence. Recalcitrant seroma formation occurred in 8 (36.3%) patients. Conclusion: E-PTFE synthetic mesh usage for difficult abdominal wall hernias can help the hernia surgeon obtain safe and durable long-term results of sound repair. Keywords: Expanded-polytetrafluoroethylene mesh, Abdominal wall defects, Incisional hernia