Results of expanded polytetrafluoroethylene patches in moderate and large incisional hernias

• DOI: 10.1007/bf01195316
• Publication Date: 2005-02-18T14:10:57Z
• Authors: D. A. Martinez; J. L. Vazquez; E. Pellicer; J. L. Aguayo; G. Morales; A. Moreno-Egea
• Keywords: Incisional Hernia; Polytetrafluoroethylene; Transverse diameter

Incisional hernia is a common problem seen by the general surgeon, with one alternative for repair being the use of a prosthetic material. This study analyzes the results obtained with an expanded polytetrafluoroethylene patch (e-PTFE) in the management of 53 moderate and large incisional hernias, using a predesigned operating approach. A specific technique was indicated depending on the result of evaluation of the transverse diameter of the hernial orifice and the status and trophy of the rectal muscles and their sheaths. The PTFE prosthesis was used in 30 cases as reinforcement, while in the remaining 23 cases it was placed as the only retention plane. All patients were reviewed a minimum of 6 months and a maximum of 78 months postoperatively, with an average follow-up of 40 months. There were no postoperative respiratory or haemodynamic complications and there was no operating mortality. There was wound infection in two cases (3.7%), and four recurrences were detected (7.5%). On the basis of our clinical experience, we believe that e-PTFE is an acceptable mode of treatment for incisional hernias. With the predesigned operative approach, the infection rate was low with a recurrence rate of 7.5% at a mean follow-up of 40 months.