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Hernia. 2018 Oct;22(5):767-772. doi: 10.1007/s10029-018-1791-3. Epub 2018 Jun 15.

Infection and recurrence rates of the C-QUR V-Patch in ventral hernia repairs.

Author information

1
Royal Melbourne Hospital, Parkville, Australia. davidemcheng@gmail.com.
2
, Parkville, Australia. davidemcheng@gmail.com.
3
Monash University, Melbourne, Australia.
4
Melbourne Hernia Clinic, St Kilda East, Australia.

Abstract

PURPOSE:

Ventral hernias are a common surgical issue and a myriad of surgical mesh designs has been developed for their treatment. Many of these new mesh designs have not been extensively tested and their complications rates are largely unknown. The C-QUR V-Patch Mesh combines a unique knit construction polypropylene mesh with an omega-3 fatty acid coating. There has only previously been one reported study investigating this mesh.

METHODS:

A multicentre cohort study, with a single surgeon, of 168 consecutive patients with ventral hernias underwent repair using a standardized open pre-peritoneal approach with the novel C-QUR V-Patch Mesh between January 2013 and June 2015. A median follow-up of 37 months was completed to assess the patients for hernia infection and recurrence rates. Mesh infections were further classified into early and late infections for further subgroup analysis.

RESULTS:

Infection and recurrence rates of the C-QUR V-Patch® were compared with similar published results of alternate mesh designs. Surgical site infection rates were 7.7% and recurrence rates were 2.4%. The infection rate rose dramatically to 19.0% when the mesh was placed intra-peritoneally. The rate of mesh explantation was 2.4% and usually occurred between 4 and 12 months post-operatively. Smoking was the only factor that appeared to be associated with recurrence.

CONCLUSION:

This series finds that recurrence rates associated with the novel C-QUR V-Patch Mesh is acceptably low; however, infection rates appear to be higher when compared to comparable products for use in ventral hernia repairs.

KEYWORDS:

Mesh; Umbilical hernia; Ventral hernia

PMID:
29907940
DOI:
10.1007/s10029-018-1791-3

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