SS  Vol.3 No.8 , August 2012
Laparoscopic Hernioplasty Using Omega-3 Coating Mesh
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.

Cite this paper
M. Kawaguchi, N. Ishikawa, Y. Nishida, H. Moriyama, M. Kaneki and G. Watanabe, "Laparoscopic Hernioplasty Using Omega-3 Coating Mesh," Surgical Science, Vol. 3 No. 8, 2012, pp. 389-392. doi: 10.4236/ss.2012.38077.

[1]   K. Breuing, C. E. Butler, S. Ferzoco, M. Franz, C. S. Hultman, J. F. Kilbridge, M. Rosen, R. P. Silverman and D. Vargo, “Incisional Ventral Hernias: Review of the Literature and Recommendations Regarding the Grading and Technique of Repair,” Surgery, Vol. 148, No. 3, 2010, pp. 544-558. doi:10.1016/j.surg.2010.01.008

[2]   J. Carter and Q.-Y. Duh, “Laparoscopic Repair of Inguinal Hernias,” World Journal of Surgery, Vol. 35, No. 7, 2011, pp. 1519-1525. doi:10.1007/s00268-011-1030-x

[3]   R. A. Pierce, J. M. Perrone, A. Nimeri, J. A. Sexton, J. Walcutt, M. M. Frisella and B. D. Matthews, “120-Day Comparative Analysis of Adhesion Grade and Quantity, Mesh Contraction, and Tissue Response to a Novel Omega-3 Fatty Acid Bioabsorbable Barrier Macroporous Mesh after Intraperitoneal Placement,” Surgical Innovation, Vol. 16, No. 1, 2009, pp. 46-54. doi:10.1177/1553350608330479

[4]   M. H. Schreinemacher, P. J. Emans, M. J. Gijbels, J. M. Greve, G. L. Beets and N. D. Bouvy, “Degradation of Mesh Coatings and Intraperitoneal Adhesion Formation in an Experimental Model,” British Journal of Surgery, Vol. 96, No. 3, 2009, pp. 305-313. doi:10.1002/bjs.6446

[5]   S. Sauerland, M. Walgenbach, B. Habermalz, C. M. Seiler and M. Miserez, “Laparoscopic Versus Open Surgical Techniques for Ventral or Incisional Hernia Repair,” Cochrane Database Systematic Reviews, Vol. 16, No. 3, 2011, Article ID: CD007781.

[6]   O. M. Ramirez, E. Ruas and A. L. Dellon, “‘Components Separation’ Method for Closure of Abdominal-Wall Defects: An Anatomic and Clinical Study,” Plastic and Reconstructive Surgery, Vol. 86, No. 3, 1990, pp. 519-526. doi:10.1097/00006534-199009000-00023

[7]   S. A. Kapiris, W. A. Brough, C. M. Royston, C. O’Boyle and P. C. Sedman, “Laparoscopic Transabdominal Preperitoneal (TAPP) Hernia Repair. A 7-Year Two-Center Experience in 3017 Patients,” Surgical Endoscopy, Vol. 15, No. 9, 2001, pp. 972-975. doi:10.1007/s004640080090

[8]   E. Kuhry, R. N. van Veen, H. R. Langeveld, E. W. Steyerberg, J. Jeekel and H. J. Bonjer, “Open or Endoscopic Total Extraperitoneal Inguinal Hernia Repair? A Systematic Review,” Surgical Endoscopy, Vol. 21, No. 2, 2007, pp. 161-166. doi:10.1007/s00464-006-0167-4

[9]   G. Linderoth, H. Kehlet, E. K. Aasvang and M. U. Werner, “Neurophysiological Characterization of Persistent Pain after Laparoscopic Inguinal Hernia Repair,” Hernia, Vol. 15, No. 5, 2011, pp. 521-529. doi:10.1007/s10029-011-0815-z

[10]   R. Bittner, B. J. Leibl, B. Kraft and J. Schwarz, “One-Year Results of a Prospective, Randomised Clinical Trial Comparing Four Meshes in Laparoscopic Inguinal Hernia Repair (TAPP),” Hernia, Vol. 15, No. 5, 2011, pp. 503-510. doi:10.1007/s10029-011-0810-4