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Belousov A.M.

Loginov Moscow Clinical Scientific Center

Nepomnyashchaya S.L.

St. Petersburg State University Hospital

Danilin V.N.

St. Petersburg State University Hospital

Timofeeva K.O.

St. Petersburg State University Hospital

Armashov V.P.

Pirogov Russian National Research Medical University;
Loginov Moscow Clinical Scientific Center

Makarov S.A.

Center for Surgical Treatment of Obesity and Metabolic Disorders — St. George Hospital

Matveev N.L.

Pirogov Russian National Research Medical University;
Loginov Moscow Clinical Scientific Center

The results of clinical application of the mesh with anti-adhesive fluoropolymer coating in laparoscopic intraperitoneal repair of primary ventral hernia

Authors:

Belousov A.M., Nepomnyashchaya S.L., Danilin V.N., Timofeeva K.O., Armashov V.P., Makarov S.A., Matveev N.L.

More about the authors

Journal: Pirogov Russian Journal of Surgery. 2024;(5): 86‑94

DOI: 10.17116/hirurgia202405186

Read: 1745 times

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Table of contents

THE RESULTS OF CLINICAL APPLICATION OF THE MESH WITH ANTI-ADHESIVE FLUOROPOLYMER COATING IN LAPAROSCOPIC INTRAPERITONEAL REPAIR OF PRIMARY VENTRAL HERNIA
THE RESULTS OF CLINICAL APPLICATION OF THE MESH WITH ANTI-ADHESIVE FLUOROPOLYMER COATING IN LAPAROSCOPIC INTRAPERITONEAL REPAIR OF PRIMARY VENTRAL HERNIA

To cite this article:

Belousov AM, Nepomnyashchaya SL, Danilin VN, Timofeeva KO, Armashov VP, Makarov SA, Matveev NL. The results of clinical application of the mesh with anti-adhesive fluoropolymer coating in laparoscopic intraperitoneal repair of primary ventral hernia. Pirogov Russian Journal of Surgery. 2024;(5):86‑94. (In Russ.)
https://doi.org/10.17116/hirurgia202405186

Подписка 2026 Хирургия. Журнал им. Н.И. Пирогова (Pirogov Russian Journal of Surgery)
МСФ на ЯМ
Использование инфографики авторами научных работ
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Abstract:

OBJECTIVE

The purpose of the study was to evaluate the results of using fluoropolymer-coated mesh during intraperitoneal onlay mesh hernia repair in patients with primary ventral hernias.

MATERIAL AND METHODS

The multicenter, non-randomized, controlled clinical study included 88 patients of both sexes who were operated on using a laparoscopic approach using the IPOM technique for a primary ventral hernia. The duration of observation ranged from 3 to 12 months. In the main group, 48 patients received fluoropolymer-coated meshes (Ftorex). A comparison was made with a retrospective group of 40 patients who were treated with anti-adhesive collagen-coated meshes (Parietene composite, Parietex Composite, Symbotex).

RESULTS

The number of early and late postoperative complications in the groups did not have significant differences, at the same time, their number was lower in the group of patients in whom fluoropolymer-coated meshes were used. Most of the complications corresponded to Clavien—Dindo class I and II and did not pose a significant threat to health. There were no recurrences of hernias observed in patients included in the study. There were slightly more adhesions in the fluoropolymer-coated mesh group (35.4% vs. 25.0% in the collagen-coated mesh group). The quality of life of patients in the study groups did not differ.

CONCLUSION

In laparoscopic IPOM hernia repair fluoropolymer-coated meshes are not inferior in effectiveness and safety to traditionally used collagen-coated meshes and can be recommended for use in patients with primary ventral hernias.

Keywords:

ventral hernia
laparoscopic intraperitoneal onlay mesh
IPOM
recurrence
complications

Authors:

Belousov A.M.

Loginov Moscow Clinical Scientific Center

Nepomnyashchaya S.L.

St. Petersburg State University Hospital

Danilin V.N.

St. Petersburg State University Hospital

Timofeeva K.O.

St. Petersburg State University Hospital

Armashov V.P.

Pirogov Russian National Research Medical University;
Loginov Moscow Clinical Scientific Center

Makarov S.A.

Center for Surgical Treatment of Obesity and Metabolic Disorders — St. George Hospital

Matveev N.L.

Pirogov Russian National Research Medical University;
Loginov Moscow Clinical Scientific Center

Received:

20.03.2024

Accepted:

10.04.2024

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References:

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