double mesh intraperitoneal repair [ADMIR] for the management of large recurrent ventral hernia

ABSTRACT

This prospective study was performed on 31 patients who underwent surgery between January 2000 and August 2003 for recurrent large ventral hernias. The patients were randomized into two groups Group A included 16 patients who were subjected to suture repair with or without onlay polypropylene MeSH and group B included 15 patients who were subjected to a tailored double MeSH [vicryl + polypropylene] intraperitoneal repair. Superficial wound infection occurred in two patients, one in each group. Following a median follow up of 23 months, no seroma formation or hernia recurrence were encountered in group B in comparison with five and four cases, respectively, in group A. There was no intra-abdominal complications in the form of intestinal obstruction and enterocutaneous fistula observed in this study. In cases subjected to double intraperitoneal MeSH repair, this may be due to the protective effect of the inner vicryl layer which is characterized by its low reactivity