DOI: http://dx.doi.org/10.18203/2349-2902.isj20205015

Comparative study in healing process and complications inpatient undergoing ventral hernia mesh repair with and without the usage of collagen granules

A. P. Subburaaj, Sahaya Rani Joycey, Preethiya S., Arun Balaji, Nabeel Yusaf

Abstract


Background: Ventral hernias are the second most common type of hernias accounting for 21 to 35% of all types of hernias. Collagen is defined as an endogenous substance that forms an important structural component in connective tissue. Collagen granules have an advantage with a reduction in inflammatory cells during healing resulting in decreased days of healing. This study is to compare the outcome of a patient with and without collagen granules usage during ventral hernia open mesh repair.

Methods: This prospective comparative study was done in 50 cases of ventral hernias admitted to the department of surgery in VMKV Medical College, Salem between periods of March 2018 to October 2019 were chosen for the study. The test group was treated with collagen granules and the control group was collagen granules not been used during ventral hernia mesh repair.

Results: Most common surgical approach used in ventral hernia is open mesh repair. The study shows a group of patients where collagen granules are used after mesh fixation has faster wound healing, reduced seroma, and hematoma collection, and reduced hospital stay, reduced infection compared to the group of patients who undergone non-collagen closure.  

Conclusions: The study shows a group of patients where collagen granules are used after mesh fixation has faster wound healing, reduced seroma, and hematoma collection, and reduced hospital stay, reduced infection compared to the group of patients who underwent non-collagen closure.


Keywords


Epigastric hernia, Hypertension, Incisional hernia, Surgical site infection

Full Text:

PDF

References


Cuschieri A. Surgical Conditions in Children Infants and Neonates. 2000;6:771-91

Ansaloni L, Catena F, Gagliardi S, Gazzotti F, D’Alessandro L, Pinna AD. Hernia repair with porcine small-intestinal submucosa. Hernia. 2007;11(4):321-6.

Arroyo A, Garcı´a P, Pe´rez F. Randomized clinical trial comparing suture and mesh repair of umbilical hernia in adults. Br J Surg. 2001;88(10):1321-3.

Conze J, Rosch R, Klinge U, Weiss C, Anurov M, Titkowa S, et al. Polypropylene in the intra-abdominal position: influence of pore size and surface area. Hernia. 2004;8(4):365-72.

Courtney CA, Lee AC, Wilson C, O'Dwyer PJ. Ventral hernia repair: a study of current practice. Hernia. 2003;7(1):44-6.

de Vries Reilingh TS, van Goor H, Rosman C, Bemelmans MH, de Jong D, van Nieuwenhoven EJ, et al. Components separation technique for the repair of large abdominal wall hernias. J Am Coll Surgeo. 2003;196(1):32-7.

Abrahamson J. The Shouldice repair. Bendavid R, Abrahamson J, Arregui ME, Flament JB, Phillips EH. Abdominalwall hernias. New York: Springer Verlag Inc. 2001;483.

Flum DR, Horvath K, Koepsell T. Have outcomes of incisional hernia repair improved with time?” A population-based analysis. Ann Surg. 2003; 237(1):129-35.

Franklin ME, Gonzalez JJ, Glass JL, Manjarrez A. Laparoscopic ventral and incisional hernia repair: an 11-year experience. Hernia. 2004;8(1):23-7.

Schreinemacher MH, Emans PJ, Gijbels MJ, Greve JW, Beets GL, Bouvy ND, et al. Degradation of mesh coatings and intraperitoneal adhesion formation in an experimental model. Br J Surg. 2009;96:305-13.

Kim H, Bruen K, Vargo D. Acellular dermal matrix in the management of high-risk abdominal wall defects. Am J Surg. 2006;192(6):705-9.

Koehler RH, Begos D, Berger D, Carey S, LeBlanc K, Park A, et al. Minimal adhesions to ePTFE mesh after laparoscopic ventral incisional hernia repair: reoperative findings in 65 cases. J Soc Laparoendosc Surgeo. 2003;7(4):335.

Hobar PC, Rohrich RJ, Byrd HS. Abdominal-wall reconstruction with expanded musculofascial tissue in a posttraumatic defect. Plast Reconstr Surg. 1994;94(2):379-83.

Lang B, Lau H, Lee F. Epigastric hernia and its etiology. Hernia. 2002;6(3):148-50.

Mayagoitia JC, Suarez D, Arenas JC, de León VD. Preoperative progressive pneumoperitoneum in patients with abdominal-wall hernias. Hernia. 2006;10(3):213-7.

Montes IS, Deysine M. Spigelian and other uncommon hernia repairs. Surg Clin North Am. 2003;83(5):1235-53.

Moreno-Egea A, Carrasco L, Girela E, Martín JG, Aguayo JL, Canteras M. Open vs laparoscopic repair of spigelian hernia: a prospective randomized trial. Arch Surg. 2002;137(11):1266-8.

Muschaweck U. Umbilical and Epigastric hernia repair. Surg Clin North Am. 2003;83(5):1207-21.

Novitsky YW, Harrell AG, Cristiano JA. Comparative evaluation of adhesion formation, the strength of ingrowth, and textile properties of prosthetic meshes after long-term intraabdominal implantation in a rabbit. J Surg Res. 2007;140(1):6-11.

Patton JH Jr, Berry S, Kralovich KA. Use of human acellular dermal matrix in complex and contaminated abdominal wall reconstructions. Am J Surg. 2007;193(3):360-3

Read RC. Milestones in the history of hernia surgery: prosthetic repair. Hernia. 2004;8(1):8-14.

Turnage RH. Abdominal wall, umbilicus, peritoneum, mesenteries, omentum, and retroperitoneum. Sabis Textbo Surg. 2008:1150-1.

Ethridge RT. Chapter 8- Wound Healing Townsend: Sabiston Textbook of Surgery, 18th Ed. 2007;18(8):450-5

Rosch R, Junge K, Knops M, Lynen P, Klinge U, Schumpelick V. Analysis of collagen-interacting proteins in patients with incisional hernias. Langenbeck's Arch Surg. 2003;387(11-12):427-32.

Sikkink CJ, de Reilingh TV, Malyar AW, Jansen JA, Bleichrodt RP, van Goor H. Adhesion formation and reherniation differ between meshes used for abdominal wall reconstruction. Hernia. 2006;10(3):218-22.