Ventralax – A cost effective IPOM (IntraPeritonial Onlay Mesh) repair for small umbilical hernias by open method

Authors

  • R. Annie Stephy Edwin
  • Ragumani
  • Imran Thariq Ajmal

Keywords:

Hernia, Symptoms, Surgery, laparoscopy, Patients

Abstract

Background: Both the best surgical technique and the best equipment to employ in this treatment are still up for discussion when it comes to ventral hernias. Owing to the lower cost/efficiency ratio, the open technique is more likely to be used for small size faults. However, laparoscopy yields superior results for medium-sized problems while being more expensive. This study examines the outcomes of a straightforward and successful laparoscopic mesh repair method for small- to medium-sized ventral lesions utilizing the Ventralex® ST patch

Method:

Between January 1, 2023 and January 31, 2024, 30 patients with ventral primary nonobstructive abdominal wall defects (up to 3 cm) treated laparoscopically using the intraperitoneal onlay mesh repair technique with Ventralex® patch (22 patients) and Ventralex® ST patch (8 patients). Results were prospectively analyzed based on postoperative complications, postoperative pain, recurrent hernia, and quality of life.

Results:

The technique was used in 30 patients with umbilical hernia (64.5%),  patients with juxta-umbilical hernia (19.3%), and patients with epigastric hernia (16.1%). Out of these, 12 patients had nonreducible (nonobstructive) hernia. The median operating time was 55 minutes (range 40–80 min). Minor complications were recorded in 16.1%. The mean hospitalization time was 1.24 days (range 1–2). After a median follow-up of 39 months (range 20–81), the recurrence rate was 11.1% and nil (p = 0.010), and other complaints were recorded in 11.1% and 3.3% of patients (p = 0.293), for Ventralex® patch and Ventralex® ST patch, respectively

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References

Bedewi MA, El-Sharkawy MS, Al Boukai AA, Al-Nakshabandi N. Prevalence of adult paraumbilical hernia. Assessment by high-resolution sonography: a hospital-based study. Hernia. 2012;16(1):59–62. Epub 2011 Jul 28. [PubMed] [Google Scholar]

Rutkow IM. Demographic and socioeconomic aspects of hernia repair in the United States in 2003. Surg Clin North Am. 2003;83(5):1045–1051, v–vi. [PubMed] [Google Scholar]

Poulose BK, Beck WC, Phillips SE, Sharp KW, Nealon WH, Holzman MD. The chosen few: disproportionate resource use in ventral hernia repair. Am Surg. 2013;79(8):815–818. [PubMed] [Google Scholar]

Liang MK, Holihan JL, Itani K, et al. Ventral hernia management: expert consensus guided by systematic review. Ann Surg. 2017;265(1):80–89. [PubMed] [Google Scholar]

Christoffersen MW, Helgstrand F, Rosenberg J, Kehlet H, Bisgaard T. Lower reoperation rate for recurrence after mesh versus sutured elective repair in small umbilical and epigastric hernias. A nationwide register study. World J Surg. 2013;37(11):2548–2552. [PubMed] [Google Scholar]

Iversen E, Lykke A, Hensler M, Jorgensen LN. Abdominal wall hernia repair with a composite ePTFE/polypropylene mesh: clinical outcome and quality of life in 152 patients. Hernia. 2010;14(6):555–560. [PubMed] [Google Scholar]

Tollens T, Den Hondt M, Devroe K, et al.Retrospective analysis of umbilical, epigastric, and small incisional hernia repair using the Ventralex™ hernia patch. Hernia. 2011;15(5):531–540. [PubMed] [Google Scholar]

Wright BE, Beckerman J, Cohen M, Cumming JK, Rodriguez JL. Is laparoscopic umbilical hernia repair with mesh a reasonable alternative to conventional repair? Am J Surg. 2002;184(6):505–508; discussion 508–509. [PubMed] [Google Scholar]

Voeller GR, Chin AK, LeBlanc KA. Novel technique for full-thickness abdominal wall closure in laparoscopic ventral hernia repair. Surg Technol Int. 2019;10;35:123–128. [PubMed] [Google Scholar]

Bernardi K, Olavarria OA, Holihan JL, et al.Primary fascial closure during laparoscopic ventral hernia repair improves patient quality of life: a multicenter, blinded randomized controlled trial. Ann Surg. 2020;271(3):434–439. [PubMed] [Google Scholar]

Henriksen NA, Montgomery A, Kaufmann R, et al. Guidelines for treatment of umbilical and epigastric hernias from the European Hernia Society and Americas Hernia Society. Br J Surg. 2020;107(3):171–190. [PubMed] [Google Scholar]

. Vychnevskaia K, Mucci-Hennekinne S, Casa C, et al.Intraperitoneal mesh repair of small ventral abdominal wall hernias with a Ventralex hernia patch. Dig Surg. 2010;27(5):433–435. [PubMed] [Google Scholar]

Bschor M, Sahm M, Pross M. Laparoscopic repair for incisional hernias. 3rd Edition, 2006, Endo Press GMBH, Berlin, Germany. ISBN 978-3-89756-876-1, 8–11. [Google Scholar]

Beldi G, Ipaktchi R, Wagner M, Gloor B, Candinas D. Laparoscopic ventral hernia repair is safe and cost effective. Surg Endosc. 2006;20(1):92–95. [PubMed] [Google Scholar]

Turner PL, Park AE. Laparoscopic repair of ventral incisional hernias: pros and cons. Surg Clin North Am. 2008;88(1):85–100, viii. [PubMed] [Google Scholar]

Joels CS, Matthews BD, Kercher KW, et al. Evaluation of adhesion formation, mesh fixation strength, and hydroxyproline content after intraabdominal placement of polytetrafluoroethylene mesh secured using titanium spiral tacks, nitinol anchors, and polypropylene suture or polyglactin 910 suture. Surg Endosc. 2005;19(6):780–785. [PubMed] [Google Scholar]

Eid GM, Prince JM, Mattar SG, Hamad G, Ikrammudin S, Schauer PR. Medium-term follow-up confirms the safety and durability of laparoscopic ventral hernia repair with PTFE. Surgery. 2003;134(4):599–603; discussion 603–604. [PubMed] [Google Scholar]

Nicolau AE, Vasile R, Haiducu C. Laparoscopic repair of small ventral hernias using the “Ventralex™ Hernia Patch". Chirurgia (Bucur). 2019;114(1):95–102. [PubMed] [Google Scholar]

Baker JJ, Öberg S, Rosenberg J. Reoperation for recurrence is affected by type of mesh in laparoscopic ventral hernia repair: a nationwide cohort study. Ann Surg. [published online ahead of print, 2021 Sep 13]. [PubMed] [Google Scholar]

Tazaki T, Okamoto N, Sasaki M, et al. Laparoscopy-assisted repair with Ventralex ST Hernia Patch for a small subcostal hernia: a case report. Asian J Endosc Surg. 2021. Jan;14(1):132–135. [PubMed] [Google Scholar]

Awad ZT, Puri V, LeBlanc K, et al. Mechanisms of ventral hernia recurrence after mesh repair and a new proposed classification. J Am Coll Surg. 2005;201(1):132–140. [PubMed] [Google Scholar]

Heniford BT, Park A, Ramshaw BJ, Voeller G. Laparoscopic repair of ventral hernias: nine years' experience with 850 consecutive hernias. Ann Surg. 2003;238(3):391–399; discussion 399–400. [PMC free article] [PubMed] [Google Scholar]

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Published

2025-06-02

How to Cite

1.
Edwin RAS, Ragumani R, Ajmal IT. Ventralax – A cost effective IPOM (IntraPeritonial Onlay Mesh) repair for small umbilical hernias by open method. J Neonatal Surg [Internet]. 2025Jun.2 [cited 2025Oct.14];14(29S):1001-1. Available from: https://jneonatalsurg.com/index.php/jns/article/view/6962