ArticleSurgical endoscopy2023
Mediumweight polypropylene mesh fractures after open retromuscular ventral hernia repair: incidence and associated risk factors.
Article in Surgical endoscopy, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 12 papers, 1 of them a synthesis that pooled it.
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Who cites it
12 citing papers in PubMed, 1 synthesis or guideline pooled it.
- Conflict resolution of the beams: CT vs. MRI in recurrent hernia detection: a systematic review and meta-analysis of mesh visualization and other outcomes.Hernia : the journal of hernias and abdominal wall surgery · 2025Pooled 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
- Comparison of medium-weight vs heavy-weight mesh in minimally invasive extraperitoneal ventral hernia repairs.Surgical endoscopy · 2026Article
- Figure-of-eights vs running suture for fascial closure of large ventral hernias: do figure-of-eights induce ischemia?Surgical endoscopy · 2026Article
- PVDF versus polypropylene large pore mesh for open incisional hernia repair - a case control matched analysis.Hernia : the journal of hernias and abdominal wall surgery · 2026Article
- Predictors of Postoperative Complications After Retromuscular Incisional Hernia Repair: A Retrospective Cohort Study.Journal of clinical medicine · 2026Article
- "Long-term outcomes of ventral hernia repair using heavyweight non-woven polypropylene mesh".Hernia : the journal of hernias and abdominal wall surgery · 2026Article
- Changes in the Level of hs-CRP in the Blood and Morphometric Parameters of Tissues Following Implantation of Polypropylene.International journal of molecular sciences · 2025Article
- Comparing Short-Term Outcomes of Ventral Hernia Repair Using Heavyweight Non-Woven Polypropylene Mesh With Heavyweight Knitted Polypropylene Mesh.Journal of abdominal wall surgery : JAWS · 2025Article
- 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
- Can surgeons accurately identify mesh type when interpreting computed tomography scans after 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
Corrections and comments
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Authors and funding
10 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
purposeMediumweight (MW) and heavyweight (HW) polypropylene have demonstrated similar clinical and patient-reported outcomes in the setting of open retromuscular ventral hernia repair (VHR). While MW mesh has an anecdotal risk of central mesh fracture, that phenomenon is not well-characterized. We sought to assess the incidence of and risk factors for MW polypropylene mesh fractures after VHR.
methodsThe ACHQC registry was queried for patients with CT-documented hernia recurrence after open retromuscular VHR with MW polypropylene mesh at our institution with 1-year follow-up between January 2014 and April 2022. Images were reviewed by five blinded surgeons at Cleveland Clinic to reach consensus that hernia recurrence mechanism was central mesh fracture. Patients without clinical recurrence or patient-reported bulge were used as a comparator group.
resultsEighty patients were identified with radiographically documented recurrence; 28 had recurrence from mesh fractures and these were compared to 644 patients without recurrence. Incidence of MW fracture was 4.2%. Bridging of anterior fascia was more common in the group with the central mesh fracture (33.3% vs 3.3%, p < 0.001); the incidence of fracture was 30% (9/30) in patients requiring a bridged closure. Mesh fracture was associated with larger hernias (median width: 20 cm [16-26] vs 15 cm [12-18], p < 0.001,), length (25 cm [23-30] vs 23 cm [19-26], p = 0.004).
conclusionMW polypropylene mechanical failures are surprisingly common, particularly in settings of bridged fascial closure and larger hernias. Use of HW polypropylene should be considered in this setting, and industry should be encouraged to create larger pieces of HW polypropylene mesh.
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