ArticleHernia : the journal of hernias and abdominal wall surgery2012
Does expanded polytetrafluoroethylene mesh really shrink after laparoscopic ventral hernia repair?
Article in Hernia : the journal of hernias and abdominal wall surgery, 2012. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 14 papers, 2 of them syntheses that pooled it.
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Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
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Who cites it
14 citing papers in PubMed, 2 syntheses or guidelines pooled it, 30 citations in OpenAlex.
- Laparoscopic ventral/incisional hernia repair: updated Consensus Development Conference based guidelines [corrected].Surgical endoscopy · 2015Guideline
- Current state of laparoscopic parastomal hernia repair: A meta-analysis.World journal of gastroenterology · 2015Pooled it
- Randomized clinical trial of mesh fixation with "double crown" versus "sutures and tackers" in laparoscopic ventral hernia repair.Hernia : the journal of hernias and abdominal wall surgery · 2013Trial
- Reconstruction of single large abdominal wall defects in 2 dogs using expanded polytetrafluoroethylene-based mesh.The Canadian veterinary journal = La revue veterinaire canadienne · 2025Article
- Prospective cohort study on mesh shrinkage measured with MRI after robot-assisted minimal invasive retrorectus ventral hernia repair using an iron-oxide-loaded polyvinylidene fluoride mesh.Surgical endoscopy · 2023Observational
- Pore texture analysis in automated 3D breast ultrasound images for implanted lightweight hernia mesh identification: a preliminary study.Biomedical engineering online · 2021Article
- Modified keyhole technique for the treatment of parastomal hernia: A case series.International journal of surgery case reports · 2020Article
- Prospective cohort study on mesh shrinkage measured with MRI after laparoscopic ventral hernia repair with an intraperitoneal iron oxide-loaded PVDF mesh.Surgical endoscopy · 2018Observational
- Persistent posterior seroma after laparoscopic repair of ventral abdominal wall hernias with expanded polytetrafluoroethylene mesh: prevalence, independent predictors and detached tacks : Retrospective review.Hernia : the journal of hernias and abdominal wall surgery · 2018Article
- Postoperative complications as an independent risk factor for recurrence after laparoscopic ventral hernia repair: a prospective study of 417 patients with long-term follow-up.Surgical endoscopy · 2017Article
- Parastomal Hernia Repair with Intraperitoneal Mesh.Surgery research and practice · 2017Article
- Long term recurrence, pain and patient satisfaction after ventral hernia mesh repair.World journal of gastrointestinal surgery · 2015Article
- Intraperitoneal mesh devices for small midline hernias: mesh behavior in a porcine model.Hernia : the journal of hernias and abdominal wall surgery · 2015Article
- The laparoscopic modified Sugarbaker technique is safe and has a low recurrence rate: a multicenter cohort study.Surgical endoscopy · 2013Article
Corrections and comments
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Authors and funding
7 authors at 1 institution in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundThe shrinkage of mesh has been cited as a possible explanation for hernia recurrence. Expanded polytetrafluoroethylene (ePTFE) is unique in that it can be visualized on computed tomography (CT). Some animal studies have shown a greater than 40% rate of contraction of ePTFE; however, very few human studies have been performed. STUDY
designA total of 815 laparoscopic incisional/ventral hernia (LIVH) repairs were performed by a single surgical group. DualMesh Plus (ePTFE) (WL Gore & Associates, Newark, DE) was placed in the majority of these patients using both transfascial sutures and tack fixation. Fifty-eight patients had postoperative CTs of the abdomen and pelvis with ePTFE and known transverse diameter of the implanted mesh. The prosthesis was measured on the CT using the AquariusNet software program (TeraRecon, San Mateo, CA), which outlines the mesh and calculates the total length. Data were collected regarding the original mesh size, known linear dimension of mesh, seroma formation, and time interval since mesh implantation in months.
resultsThe mean shrinkage rate was 6.7%. The duration of implantation ranged from 6 weeks to 78 months, with a median of 15 months. Seroma was seen in 8.6% (5) of patients. No relationship was identified between the percentage of shrinkage and the original mesh size (P = 0.78), duration of time implanted (P = 0.57), or seroma formation (P = 0.074). In 27.5% (16) of patients, no shrinkage of mesh was identified. Of the patients who did experience mesh shrinkage, the range of shrinkage was 2.6-25%.
conclusionsOur results are markedly different from animal studies and show that ePTFE has minimal shrinkage after LIVH repair. The use of transfascial sutures in addition to tack fixation may have an implication on the mesh contraction rates.
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