World Journal of Laparoscopic Surgery

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VOLUME 13 , ISSUE 1 ( January-April, 2020 ) > List of Articles


Laparoscopic Ventral Hernia Repair with Polypropylene Mesh: A Literature Review

Elmutaz Abdalla Mekki Kanani

Keywords : Complication, Laparoscopy, Mesh, Polypropylene, Prolene, Ventral hernia

Citation Information : Kanani EA. Laparoscopic Ventral Hernia Repair with Polypropylene Mesh: A Literature Review. World J Lap Surg 2020; 13 (1):31-34.

DOI: 10.5005/jp-journals-10033-1394

License: CC BY-NC 4.0

Published Online: 23-07-2020

Copyright Statement:  Copyright © 2020; The Author(s).


Background: Laparoscopic ventral hernia repair (LVHR) is currently considered the gold standard. However, the mesh selection is still controversial. The aim of this review is to look for evidence that supports the use of polypropylene mesh (PPM) in the intraperitoneal position in LVHR. Materials and methods: The literature was searched systematically using Google Scholar and PubMed for controlled studies, prospective descriptive series, and retrospective case series. Results: A total of 11 studies were retrieved. All the studies were either retrospective or animal experiments. Their outcomes are heterogeneous and they have multiple weaknesses. Conclusion: The literature clearly lacks data from controlled randomized trials in humans that can give strong evidence. The use of intraperitoneal PPM in LVHR remains an individual surgeon preference decision until well-designed prospective double-blind randomized controlled clinical trials are available.

  1. Eriksen JR, Gogenur I, Rosenberg J. Choice of mesh for laparoscopic ventral hernia repair. Hernia 2007;11(6):481–492. DOI: 10.1007/s10029-007-0282-8.
  2. Zieren J, Neuss H, Ablassmaier B, et al. Adhesions after intraperitoneal mesh repair in pigs: Prolene™ vs. Vypro™. J Laparoendosc Adv Surg Tech A 2002;12(4):249–252. DOI: 10.1089/109264202760268014.
  3. Burger JWA, Halm JA, Wijsmuller AR, et al. Evaluation of new prosthetic meshes for ventral hernia repair. Surg Endosc 2006;20(8):1320–1325. DOI: 10.1007/s00464-005-0706-4.
  4. Bingener J, Kazantsev GB, Chopra S, et al. Adhesion formation after laparoscopic ventral incisional hernia repair with polypropylene mesh: a study using abdominal ultrasound. JSLS 2004;8(2):127–131.
  5. Doctor HG. Evaluation of various prosthetic materials and newer meshes for hernia repairs. J Minim Access Surg 2006;2(3):110–116. DOI: 10.4103/0972-9941.27721.
  6. Jitea N, Cristian D, Burcoş T, et al. Umbilical hernia in adults: laparoscopic approach with prolene mesh—is it a safe procedure? Chirurgia (Bucur) 2008;103(2):175–179.
  7. Schreinemacher MH, Emans PJ, Gijbels MJ, et al. Degradation of mesh coatings and intraperitoneal adhesion formation in an experimental model. Br J Surg 2009;96(3):305–313. DOI: 10.1002/bjs.6446.
  8. Qadri SJ, Khan M, Wani SN, et al. Laparoscopic and open incisional hernia repair using polypropylene mesh: a comparative single centre study. Int J Surg 2010;8(6):479–483. DOI: 10.1016/j.ijsu.2010.06.012.
  9. Yildirim M, Engin O, Karademir M, et al. Is repair of incisional hernias by polypropylene mesh a safe procedure? Med Princ Pract 2010;19(2):129–132. DOI: 10.1159/000273074.
  10. Tran H, Saliba L, Chandratnam E, et al. Strategies to minimize adhesions to intraperitoneally placed mesh in laparoscopic ventral hernia repair. JSLS 2012;16(1):89–94. DOI: 10.4293/108680812X13291597716140.
  11. Ramakrishna HK, Lakshman K. Intra peritoneal polypropylene mesh and newer meshes in ventral hernia repair: what EBM says? Indian J Surg 2013;75(5):346–351. DOI: 10.1007/s12262-012-0743-x.
  12. Royal college of surgeons, Commissioning guide: Groin Hernia, 2016:7.
  13. Kingsnorth AN. Hernia surgery: from guidelines to clinical practice. Ann R Coll Surg Engl 2009;91:273–279. DOI: 10.1308/003588409X428540.
  14. Sahoo MR, Bisoi S, Mathapati S. Polypropelene mesh eroding transverse colon following laparoscopic ventral hernia repair. J Minim Access Surg 2013;9(1):40–41. DOI: 10.4103/0972-9941.107139.
  15. Voisard G, Feldman LS. An unusual cause of chronic anemia and abdominal pain caused by transmural mesh migration in the small bowel after laparoscopic incisional hernia repair. Hernia 2013;17(5):673–677. DOI: 10.1007/s10029-013-1127-2.
  16. Palumbo VD, Bruno A, Damiano G, et al. Intraperitoneal coated polypropylene hernia meshes: the dark side of the moon. Ann Ital Chir 2014;85(ePub):S2239253X14022695.
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