, Volume 22, Issue 5, pp 767–772 | Cite as

Infection and recurrence rates of the C-QUR V-Patch in ventral hernia repairs

  • D. Cheng
  • L. Bonato
  • C. Leinkram
Original Article



Ventral hernias are a common surgical issue and a myriad of surgical mesh designs has been developed for their treatment. Many of these new mesh designs have not been extensively tested and their complications rates are largely unknown. The C-QUR V-Patch Mesh combines a unique knit construction polypropylene mesh with an omega-3 fatty acid coating. There has only previously been one reported study investigating this mesh.


A multicentre cohort study, with a single surgeon, of 168 consecutive patients with ventral hernias underwent repair using a standardized open pre-peritoneal approach with the novel C-QUR V-Patch Mesh between January 2013 and June 2015. A median follow-up of 37 months was completed to assess the patients for hernia infection and recurrence rates. Mesh infections were further classified into early and late infections for further subgroup analysis.


Infection and recurrence rates of the C-QUR V-Patch® were compared with similar published results of alternate mesh designs. Surgical site infection rates were 7.7% and recurrence rates were 2.4%. The infection rate rose dramatically to 19.0% when the mesh was placed intra-peritoneally. The rate of mesh explantation was 2.4% and usually occurred between 4 and 12 months post-operatively. Smoking was the only factor that appeared to be associated with recurrence.


This series finds that recurrence rates associated with the novel C-QUR V-Patch Mesh is acceptably low; however, infection rates appear to be higher when compared to comparable products for use in ventral hernia repairs.


Umbilical hernia Ventral hernia Mesh 


Compliance with ethical standards

Conflict of interest

DC, LB and CL declare no conflict of interest. This research received no specific grant from any funding agency in the public, commercial or not-for-profit sectors.

Ethical approval

Ethical Approval for this research was obtained through The Avenue Hospital Ethics Committee and was conducted in accordance with the Australian National Statement on Ethical Conduct in Human Research (2007).

Statement of human and animal rights

This article does not contain any studies with animals performed by any of the authors.

Informed consent

Informed consent was obtained from each of the study participants.


  1. 1.
    Dabbas N, Adams K, Pearson K, Royle GT (2011) Frequency of abdominal wall hernias: is classical teaching out of date? JRSM Short Rep 2(1):5. CrossRefPubMedPubMedCentralGoogle Scholar
  2. 2.
    Poulouse BK, Shelton J, Phillips S, Moore D, Nealon W, Penson D, Beck W, Holzman MD (2012) Epidemiology and cost of ventral hernia repair: making the case for hernia research. Hernia 16(2):179–183. CrossRefGoogle Scholar
  3. 3.
    Read RC (2005) The contributions of Usher and others to the elimination of tension from groin herniorrhapy. Hernia 9(3):208–211CrossRefPubMedGoogle Scholar
  4. 4.
    Arroyo A, Garcia P, Perez F, Andreu J, Candela F, Calpena R (2001) Randomised clinical trial comparing suture and mesh repair of umbilical hernia in adults. Br J Surg 88(10):1321–1323CrossRefPubMedGoogle Scholar
  5. 5.
    Keating JJ, Kennedy GT, Datta J, Schuricht A (2016) Outcomes of 157 V-Patch implants in the repair of umbilical, epigastric, and incisional hernias. Am Surg 82(1):6–10PubMedGoogle Scholar
  6. 6.
    Polat C, Dervisoglu A, Senyurek G, Bilgin M, Erzurumlu K, Ozkan K (2005) Umbilical hernia repair with the prolene hernia system. Am J Surg 190(1):61–64CrossRefPubMedGoogle Scholar
  7. 7.
    Wassenberg D, Zarmpis N, Seip N, Ambe PC (2014) Closure of small and medium size umbilical hernias with the Proceed Ventral Patch in obese patients: a single center experience. Springerplus 3:686CrossRefPubMedPubMedCentralGoogle Scholar
  8. 8.
    Zarmpis N, Wassenberg D, Ambe PC (2015) Repair of small and medium size umbilical hernias with the “Proceed Ventral Patch” in the preperitoneal position. Am Surg 81(11):1144–1148PubMedGoogle Scholar
  9. 9.
    Ambe P, Meyer A, Kohler L (2013) Repair of small and medium size ventral hernias with a Proceed Ventral Patch: a single center retrospective analysis. Surg Today 43(4):381–385. CrossRefPubMedGoogle Scholar
  10. 10.
    Bontinck J, Kyle-Leinhase I, Pletinckx P, Vergucht V, Beckers R, Muysoms F (2014) Single centre observational study to evaluate the safety and efficacy of the Proceed Ventral Patch to repair small ventral hernias. Hernia 18(5):671–680. CrossRefPubMedGoogle Scholar
  11. 11.
    Tollens T, Den Hondt M, Devroe K, Terry C, Speybroeck S, Aelvoet C, Vanrykel JP (2011) Retrospective analysis of umbilical, epigastric, and small incisional hernia repair using the VentralexTM hernia patch. Hernia 15(5):531–540. CrossRefPubMedGoogle Scholar
  12. 12.
    Iversen E, Lykke A, Hensler M, Jorgensen LN (2010) Abdominal wall hernia repair with a composite ePTFE/polypropylene mesh: clinical outcome and quality of life in 152 patients. Hernia 14(6):555–560. CrossRefPubMedGoogle Scholar
  13. 13.
    Vychnevskaia K, Mucci-Hennekinne S, Casa C, Brachet D, Meunier K, Briennon X, Hamy A, Arnaud JP (2010) Intraperitoneal mesh repair of small ventral abdominal wall hernias with a Ventralex hernia patch. Dig Surg 27(5):433–435. CrossRefPubMedGoogle Scholar
  14. 14.
    Martin DF, Williams RF, Mulrooney T, Voeller GR (2008) Ventralex mesh in umbilical/epigastric hernia repairs: clinical outcomes and complications. Hernia 12(4):379–383. CrossRefPubMedGoogle Scholar
  15. 15.
    Hadi HI, Maw A, Sarmah S, Kumar P (2006) Intraperitoneal tension-free repair of small midline ventral abdominal wall hernias with a Ventralex hernia patch: initial experience in 51 patients. Hernia 10(5):409–413CrossRefPubMedGoogle Scholar
  16. 16.
    Kaufmann R, Halm JA, Eker HH, Klitsie PJ, Nieuwenhuizen J, Van Geldere D et al (2018) Mesh versus suture repair of umbilical hernia in adults: a randomised, double-blind, controlled, multicentre trial. Lancet 391(10123):860–869CrossRefPubMedGoogle Scholar
  17. 17.
    Muysoms FE, Bontinck J, Pletinckx P (2011) Complications of mesh devices for intraperitoneal umbilical hernia repair: a word of caution. Hernia 15(4):463–468CrossRefPubMedGoogle Scholar
  18. 18.
    Cobb W, Carbonell AM, Kalbaugh CL, Jones Y, Lokey JS (2009) Infection risk of open placement of intraperitoneal composite mesh. Am Surg 75(9):762–767PubMedGoogle Scholar
  19. 19.
    Halm JA, De Wall LL, Steyerberg EW, Jeekel J, Lange FL (2007) Intraperitoneal polypropylene mesh hernia repair complicates subsequent abdominal surgery. World J Surg 31(2):423–429CrossRefPubMedGoogle Scholar

Copyright information

© Springer-Verlag France SAS, part of Springer Nature 2018

Authors and Affiliations

  1. 1.Royal Melbourne HospitalParkvilleAustralia
  2. 2.Monash UniversityMelbourneAustralia
  3. 3.Melbourne Hernia ClinicSt Kilda EastAustralia
  4. 4.ParkvilleAustralia

Personalised recommendations