OC-111 FIVE YEARS OUTCOME OF LAPAROSCOPIC VENTRAL HERNIA REPAIR WITH PHASIX ST

Abstract

Abstract Background Repair of ventral and incisional hernias (VIHR) is a standard procedure; newly introduced resorbable mesh biomaterials provide an attractive option to reduce the use of permanent synthetic mesh in hernia surgery and reduce its complications. Indeed the data of Phasix resorption started to occur post-maturation of the wound tissue. However, data on the use of slowly resorbable mesh materials remain scarce, and this study aims to evaluate the use of Phasix ST in the laparoscopic repair of VIHR. Methods This is a retrospective study of a sequential cohort of patients undergoing laparoscopic VIHR utilizing a Phasix ST mesh. Perioperative characteristics and clinical outcomes were collected. Results In total, 26 patients, including 19 females and 7 males, underwent laparoscopic VIHR using Phasix ST from April 2016 to January 2023. All surgeries were performed in a single institution by the same surgeon. The average patient age was 52.6, and the mean BMI was 35.5. All patients had a clean wound classification. The average defect size was 136.4 cm2. All patients were seen in the clinic with a median follow-up of 48 months. We observed four wound seromas, no wound infections, and three recurrences during the five years follow-up period. All occurred in the center of the mesh with severe adhesions to the mesh and tacker Conclusion Five years of follow-ups showed 11% recurrence in the same site note, which needs to be reviewed. Further, ten years of follow-up results need to be assessed.