Repair of a medium-sized ventral hernia with the UltraPro Hernia System
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Repair of a medium‑sized ventral hernia with the UltraPro Hernia System Shiwei Yang1 · Bing Wu2 · Yong Wang1 · Lie Yang1 · Wenqin Luo1 · Wenzhang Lei1 · Zongguang Zhou1 Received: 20 April 2020 / Accepted: 25 August 2020 © Springer Nature Singapore Pte Ltd. 2020
Abstract Mesh repairs are widely accepted as a suitable option for ventral hernia repair. Among the various devices and surgical approaches used for ventral hernia repair, the UltraPro Hernia System (UHS) is considered an effective method of open repair for patients with medium ventral hernia defects between 3 and 5 cm in diameter. However, few clinical studies on this system have been reported. We describe a simple and safe UHS mesh technique for open ventral hernia repair, which was performed successfully under local anesthesia in 23 patients with medium ventral hernia defects. Minor postoperative complications included seroma (n = 3) and a superficial infection (n = 1). There was no incidence of recurrence in 12 months of follow-up. Our results show that the UHS is simple and easily reproducible for medium ventral hernia defects between 3 and 5 cm in diameter. Keywords UltraPro hernia system · Ventral hernia · Tension-free hernioplasty
Introduction Ventral hernia is defined as a protrusion of loops of intestine, fat, or fibrous tissues through a defect or weakened area in the abdominal wall [1]. Ventral hernia may be congenital or acquired. Umbilical and epigastric hernias account for approximately 10% of all primary hernias [2]. In 2015, Burcharth et al. reported that the prevalence of umbilical and epigastric hernia was 2% in a 5 year study [3]. Acquired ventral hernia is usually associated with the previous laparotomy and it is also synonymous with incisional hernia. Naguib et al. reported that incisional hernia occurs in approximately 10–25% of patients undergoing laparotomy
Yang Shiwei and Bing Wu contributed equally to this work and should be considered co-first authors. * Yong Wang [email protected] * Lie Yang [email protected] 1
Department of Gastrointestinal Surgery, West China Hospital, Sichuan University, Chengdu 610041, China
Department of Radiology, West China Hospital, Sichuan University, Chengdu 610041, China
2
[4]. Several studies show an increasing prevalence of ventral hernia over the last 20 years [5, 6]. Mesh repairs have become a suitable option for ventral hernia repairs because of their low recurrence rate [1]. Burger et al. reported that prosthetic materials decrease the incidence of recurrence after ventral hernia repair [7]. A number of devices and surgical approaches are used in ventral hernia repair [8]. The UltraPro Hernia System (UHS) (Ethicon, Norderstedt, Germany) is a sterile, pre-shaped, three-dimensional device constructed of an onlay patch connected by a mesh cylinder (connector) to an underlay patch. UHS mesh has been used to repair inguinal and femoral hernias, [9, 10] but there are few clinical reports of its use in ventral hernia repair. Dabic et al. suggested that UHS devices coul
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