ArticleHernia : the journal of hernias and abdominal wall surgery2015
Central failures of lightweight monofilament polyester mesh causing hernia recurrence: a cautionary note.
Article in Hernia : the journal of hernias and abdominal wall surgery, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 20 papers, 1 of them a synthesis that pooled it.
What it found
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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
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.
Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.
Who cites it
20 citing papers in PubMed, 1 synthesis or guideline pooled it.
- Heavyweight versus non-heavyweight mesh in ventral hernia repair: a systematic review and meta-analysis.Hernia : the journal of hernias and abdominal wall surgery · 2024Pooled it
- Analysis of retromuscular drain output and postoperative outcomes for heavyweight versus mediumweight polypropylene mesh following open ventral hernia repair.Hernia : the journal of hernias and abdominal wall surgery · 2024Trial
- Enhanced view/extended totally extraperitoneal plasty (eTEP) Rives-Stoppa repair versus open Rives-Stoppa repair: a single-center retrospective propensity score-matched cohort study.Surgical endoscopy · 2026Article
- Clinically Applied Biomechanics of Mesh-reinforced Ventral Hernia Repair: A Practical Review.Plastic and reconstructive surgery. Global open · 2024Review
- Maximizing mesh mileage: evaluating the long-term performance of a novel hybrid mesh for ventral hernia repair.Hernia : the journal of hernias and abdominal wall surgery · 2024Article
- Short-term outcomes of heavyweight versus mediumweight synthetic mesh in a retrospective cohort of clean-contaminated and contaminated retromuscular ventral hernia repairs.Surgical endoscopy · 2024Article
- Two-meshes approach in posterior component separation with transversus abdominis release: the IMPACT study (Italian Multicentric Posterior-separation Abdominal Complex hernia Transversus-release).Hernia : the journal of hernias and abdominal wall surgery · 2024Article
- Mediumweight polypropylene mesh fractures after open retromuscular ventral hernia repair: incidence and associated risk factors.Surgical endoscopy · 2023Article
- Outcomes of posterior component separation with transversus abdominis release (TAR) in large and other complex ventral hernias: a single-surgeon experience.Hernia : the journal of hernias and abdominal wall surgery · 2022Article
- Losartan modifies mesh integration after abdominal wall repair: an experimental study.Hernia : the journal of hernias and abdominal wall surgery · 2022Article
- Long term outcome and elasticity of a polyester mesh used for laparoscopic ventral hernia repair.Hernia : the journal of hernias and abdominal wall surgery · 2022Article
- Outcomes of redo-transversus abdominis release for abdominal wall reconstruction.Hernia : the journal of hernias and abdominal wall surgery · 2021Article
- Posterior component separation with transversus abdominis release (TAR) for repair of complex incisional hernias after orthotopic liver transplantation.Hernia : the journal of hernias and abdominal wall surgery · 2019Article
- Polyester vs polypropylene, do mesh materials matter? A meta-analysis and systematic review.Medical devices (Auckland, N.Z.) · 2019Article
- Abdominal Wall Reconstruction Utilizing the Combination of Absorbable and Permanent Mesh in a Retromuscular Position: A Multicenter Prospective Study.World journal of surgery · 2019Article
- Combined in vivo and ex vivo analysis of mesh mechanics in a porcine hernia model.Surgical endoscopy · 2018Article
- Multicenter, Prospective, Longitudinal Study of the Recurrence, Surgical Site Infection, and Quality of Life After Contaminated Ventral Hernia Repair Using Biosynthetic Absorbable Mesh: The COBRA Study.Annals of surgery · 2017Observational
- Surgical mesh for ventral incisional hernia repairs: Understanding mesh design.Plastic surgery (Oakville, Ont.) · 2016Review
- Mesh implants: An overview of crucial mesh parameters.World journal of gastrointestinal surgery · 2015Article
- A case of splenic rupture within an umbilical hernia with loss of domain.Journal of gastrointestinal surgery : official journal of the Society for Surgery of the Alimentary Tract · 2015Article
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
7 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
introductionUncoated, lightweight, macroporous,monofilament mesh has been shown to demonstrate improved bacterial clearance, better tissue integration,reduced foreign body response, and less chronic pain with equivalent durability for hernia repair. These findings led us to use a new lightweight monofilament polyester mesh (Parietex TCM, Covidien). Here, we report our experience with this mesh in open incisional hernia repair.
methodsPatients undergoing incisional hernia repair with Parietex TCM were retrospectively identified within our prospectively maintained database. Patient demographics,operative characteristics, and follow-up were reviewed. Outcome parameters included 90-day wound morbidity and hernia recurrence.
resultsIn 2011, 36 patients (mean age 56.8; mean BMI32.4 kg/m2) underwent open incisional hernia repair with retrorectus mesh placement by two surgeons (MJR, YWN) at Case Medical Center. Anterior and posterior fascial closure was achieved in all cases. Wound morbidity included seven surgical site occurrences: four superficial infections that resolved with antibiotics, one wound dehiscence requiring wet-to-dry packing, and two seromas that resolved without intervention. With a mean follow-up of 13 months, 8 (22%) recurrences have occurred. On reoperation, 7 (19%) of these patients had mechanical failure or fracturing of the mesh. No confounding variables were identified by univariate analysis of patient demographics,operative characteristics, or wound morbidity.
conclusionLightweight monofilament polyester mesh (Parietex TCM) appears to have a high incidence of mechanical failure in the context of open incisional hernia repair. While this limitation may ultimately be revealed asa weakness of all lightweight mesh, surgeons should be aware that these failures have already been documented.
Indexed as
Identifiers
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Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.