Laparoscopic Hernioplasty Using Omega-3 Coating Mesh

Masahiko Kawaguchi,Masahiro Kaneki,Hideki Moriyama,Norihiko Ishikawa,Go Watanabe,Youji Nishida

doi:10.4236/ss.2012.38077

Abstract

Background: Laparoscopic hernioplasty has gained popularity with significant advances in prostheses. Omega-3 coating mesh (C-Qur) is a prosthesis that can be used in the abdominal cavity, and the coating prevents adhesion of the mesh to the viscera. We planned a prospective observational study of laparoscopic hernioplasty using C-Qur. Methods: C-Qur was used in laparoscopic hernioplasty over the course of 1 year. We considered laparoscopic approaches as our primary treatment method for abdominal wall hernias. Although only a single incision was made for the majority of the laparoscopic hernioplasties, additional incisions were made when severe adhesions were encountered. For incisional or ventral hernias, a lateral lower incision was made. For inguinal hernias, an umbilical incision was made. Sex, age, diagnosis, number of incisions, additional incisions, morbidity, and follow-up period were evaluated. Results: Twenty-four patients who underwent surgery between May 2010 and April 2011 were included in this study. The median follow-up period was 14 months. The most common early complications included wound pain and edema; however, there were no persistent complications.

Highlights

The use of laparoscopic hernioplasty is spreading [1,2], and the use of prostheses is gaining popularity in line with the advancement of prostheses and laparoscopic devices
Omega-3 coating mesh (C-Qur) is a prosthesis that can be used in the abdominal cavity, and the coating prevents adhesion of the mesh to the viscera
We considered laparoscopic approaches as our primary treatment method for abdominal wall hernias

Summary

Introduction

The use of laparoscopic hernioplasty is spreading [1,2], and the use of prostheses is gaining popularity in line with the advancement of prostheses and laparoscopic devices. Omega-3 coating mesh (C-Qur; Atrium Medical Corp, Hudson, NH, USA) is one of these newly developed prostheses, and it has unique properties because of its absorbable barrier coating. The mesh can be placed directly on the peritoneum in the abdominal cavity, and the omega-3 coating prevents adhesion of the mesh to the viscera, promoting reperitonealization on the mesh. We have been performing hernioplasty using C-Qur since May 2010; clinical evaluation of hernioplasty performed using C-Qur has not yet been published. We studied our experiences with laparoscopic hernioplasty performed using C-Qur and present the results

Patients Characteristic

Surgical Technique

Results

Discussions