The Use of Prosthetic Mesh in Laparoscopic Ventral Hernia Repair

  • Francesco Fidanza
  • Giuliana Simonatto
Part of the Updates in Surgery book series (UPDATESSURG)


The laparoscopic technique in ventral hernia repair, first proposed by the Blanche in 1993 [1], has been progressively accepted and used because of the benefits associated with laparoscopy: shorter hospital stay, more rapid return to functional independence and reduction in the complications linked to decreased mobility. In the case of abdominal-wall surgery, and ventral hernias in particular, there are no significant benefits in terms of aesthetics and a reduction in acute postoperative pain, although these are the hallmarks of a laparoscopic approach. Even standardisation of the technique is not yet uniform, since questions and basic research are still on going relating to the use of different fixation media, either in addition to transfascial suturing or alone. Nor has there yet been any conclusive definition of an ideal prosthesis for intraperitoneal implantation, generally delivered by the laparoscopic route, despite anecdotal reports of procedures using extraperitoneal prostheses.


Incisional Hernia Ventral Hernia Bovine Spongiform Encephalopathy Polypropylene Mesh Adhesion Formation 
These keywords were added by machine and not by the authors. This process is experimental and the keywords may be updated as the learning algorithm improves.


Unable to display preview. Download preview PDF.

Unable to display preview. Download preview PDF.


  1. 1.
    LeBlanc KA, Booth WV (1993) Laparoscopic repair of incisional abdominal hernias using polytetrafluoroetylene: preliminary findings. Surg Laparosc Endosc 3:39–41PubMedGoogle Scholar
  2. 2.
    Vrijland WW, Jeekel J, Steyberg EW et al (2000) Intraperitoneal polypropylene mesh repair of incisional hernia is not associated with enterocutaneous fistula. Br J Surg 87:348–352PubMedCrossRefGoogle Scholar
  3. 3.
    Bickel A, Evitan A (1999) A simplified laparoscopic technique for mesh placement in ventral hernia repair. Surg Endosc 13:532–534PubMedCrossRefGoogle Scholar
  4. 4.
    Carbajo MA, Martin del Olmo JC, Blanco J (2000) What is the appropriate mesh for laparoscopic intraperitoneal repair of abdominal wall hernia? Surg Endosc 14:408PubMedCrossRefGoogle Scholar
  5. 5.
    Zieren J, Neuss H, Ablassmaier B, Muller JM (2002) Adhesions after intraperitoneal mesh repair in pigs: prolene vs Vypro. J Laparoend Adv Surg Techn 4:249–252CrossRefGoogle Scholar
  6. 6.
    Conze J, Junge K, Klinge U et al (2005) Intraabdominal adhesion formation by polypropylene mesh. Surg Endosc 19:798–803PubMedCrossRefGoogle Scholar
  7. 7.
    van’t Riet M, de Vos van Steenwijk P, Bonthuis F et al (2003) Prevention of adhesion to prosthetic mesh. Ann Surg 237:123–128CrossRefGoogle Scholar
  8. 8.
    Schug-Pass C, Tamme C, Tannapfel A, Kockerling F (2006) A lightweight polypropylene mesh (TiMesh) for laparoscopic intraperitoneal repair of abdominal wall hernias. Surg Endosc 20:402–409PubMedCrossRefGoogle Scholar
  9. 9.
    Burger JWA, Halm JA, Wijsmuller AR et al (2006) Evaluation of new prosthetic meshes for ventral hernia repair. Surg Endosc 20:1320–1325PubMedCrossRefGoogle Scholar
  10. 10.
    Hutchinson RW, Chagnon M (2003) Preclinical studies on abdominal adhesions to surgical mesh. Proceedings Ethicon, INC Somerville, NJ, USAGoogle Scholar
  11. 11.
    Jacob BP, Hogle NJ, Durak E et al (2007) Tissue ingrowth and bowel adhesion formation in an animal comparative study: polypropylene versus Proceed versus Parietex Composite. Surg Endosc 21:629–633PubMedCrossRefGoogle Scholar
  12. 12.
    Borrazzo EC, Belmont MF, Boffa D, Fowler DL (2004) Effect of prosthetic material on adhesion formation after laparoscopic ventral hernia repair in a porcine model. Hernia 8:108–112PubMedCrossRefGoogle Scholar
  13. 13.
    McGinty JJ, Hogle NJ, McCarthy H, Fowler DL (2005) A comparative study of adhesion formation and abdominal wall ingrowth after laparoscopic ventral hernia repair in a porcine model, using multiple types of mesh. Surg Endos 19:786–790CrossRefGoogle Scholar
  14. 14.
    Moreno Egea A, Torralba JA, Girela E et al (2004) Immediate, early and late morbidity with laparoscopic ventral hernia repair and tolerance to composite mesh. Surg Laparosc Endosc Percutan Tech 14:130–135PubMedCrossRefGoogle Scholar
  15. 15.
    Heniford BT, Park A, Ramshaw BJ, Voeller G (2003) Laparoscopic repair of ventral hernias. Ann Surg 238:391–400PubMedGoogle Scholar
  16. 16.
    Carbajo MA, Martin del Olmo JC, Blanco JI (2003) Laparoscopica approach to incisional hernia. Surg Endosc 17:118–122PubMedCrossRefGoogle Scholar
  17. 17.
    Ben-Haim M, Kuriansky J, Tal R et al (2002) Pitfalls and complications with laparoscopic intraperitoneal expanded polytetrafluoroethylene patch repair of postoperative ventral hernia. Surg Endosc 16:785–788PubMedCrossRefGoogle Scholar
  18. 18.
    Carbonell AM, Matthews BD, Dreau D et al (2005) The susceptibility of prosthetic biomaterials to infection. Surg Endosc 19:430–435PubMedCrossRefGoogle Scholar
  19. 19.
    Maathews BD, Mostafa G, Carbonell AM (2003) An evaluation of adhesion formation and host tissue response to PTFE mesh and biosurgical composites. SAGES, Los AngelesGoogle Scholar
  20. 20.
    Eid GM, Prince JM, Mattar GM, Hamad G (2003) Medium-term follow up confirms the safety and durability of laparoscopic ventral hernia repair with PTFE. Surgery 134:599–604PubMedCrossRefGoogle Scholar
  21. 21.
    Majercik S, Tsikitis V, Iannitti DA (2006) Strength of tissue attachment to mesh after ventral hernia repair with synthetic composite mesh in a porcine model. Surg Endosc 20:1671–1674PubMedCrossRefGoogle Scholar
  22. 22.
    Saxena AK, Willital GH (2002) Omphalocele: clinical review and surgical experience using dura patch graft. Hernia 6:73–78PubMedCrossRefGoogle Scholar
  23. 23.
    Kapan S, Kapan M, Goksoy E et al (2003) Comparison of PTFE, pericardium bovine and fascia lata for repair of incisional hernia in rat model, experimental study. Hernia 7:39–43PubMedGoogle Scholar
  24. 24.
    Brown-Etris M, Cutshall WD, Hiles MC (2002) A new biomaterial derived from small intestine submucosa and developed into a wound matrix device. Wounds 14:150–166Google Scholar
  25. 25.
    Helton WS, Fisichella PM, Berger R et al (2005) Short term outcomes with small intestinal submucosa for ventral abdominal hernia. Arch Surg 140:549–562PubMedCrossRefGoogle Scholar
  26. 26.
    Schug-Paß, Tamme C, Kockerling F (2004) Biocompatibility of laparoscopically placed intra-abdominal meshes. In: Kockerling F (ed) Surgical techniques. Science Med Dr Sperber, Hannover, pp 2–9Google Scholar
  27. 27.
    Junge K, Klinge U, Prescher A et al (2001) Elasticity of the abdominal wall and impact for repair of incisional hernias using mesh implants. Hernia 3:113–118Google Scholar

Copyright information

© Springer-Verlag Italia 2008

Authors and Affiliations

  • Francesco Fidanza
  • Giuliana Simonatto

There are no affiliations available

Personalised recommendations