Laparoscopic repair of ventral and incisional hernias using a new composite mesh (Parietex) - Initial experience

Ventral hernia repair is still a difficult problem for surgeons because of the high recurrence rate and possible postoperative complications. Repairs with a pros thesis have reduced the recurrence rate, but the anterior appro ach still involves high morbidity and a long hospital stay. The purpose of this article was to evaluate the results of laparoscopic surgery on ventral hernias using a new double-layer mesh in an intra-abdominal position. A re trospective analysis was performed of the first 20 patients undergoing lapa roscopic surgery for ventral hernia (75% incisional and 25% umbilical) with intra-abdominal prosthetic repair using a double-layer mesh consisting of three-dimensional multifiber polyester on one side and a hydrophilic resorb able nonstick collagen membrane on the other (Parietex composite, Sofradim, Villefranche sur Saone, France). The procedure was done on an outpatient b asis in 85% of the cases. There was no morbidity or mortality. During a mea n follow-up period of 10 months we found no infections, rejections, fistula s, recurrences, or alterations in bowel function. Laparoscopic repair of ve ntral hernias is an efficient alternative to open repair, with a low morbid ity rate and short hospital stay. The double-layer mesh is safe for intraab dominal use.