Comparison of early complications using regular mesh versus Atramat® Neoflex 25 mesh in inguinal, umbilical and post incisional hernias

Authors

  • Juan José Granados-Romero Cirugía General, Hospital General de México
  • Alan Isaac Valderrama-Treviño Departamento de Cirugía, Facultad de Medicina, UNAM
  • Germán Eduardo Mendoza-Barrera Departamento de Cirugía, Facultad de Medicina, UNAM
  • Jesús Carlos Ceballos-Villalva AFINES, Facultad de Medicina, UNAM
  • Aranza Guadalupe Estrada-Mata AFINES, Facultad de Medicina, UNAM
  • Carlos Aarón Méndez Celis Departamento de Cirugía, Facultad de Medicina, UNAM
  • José Javier Romo García Facultad de Medicina, La Salle
  • Ericka Hazzel Contreras-Flores AFINES, Facultad de Medicina, UNAM

DOI:

https://doi.org/10.18203/2320-6012.ijrms20160030

Keywords:

Inguinal hernia, Surgery, Surgical mesh, Absorbable mesh, Treatment outcome

Abstract

Background: Hernias are one of the most common reasons of primary health care with subsequent surgery and this has led to search new techniques to approach them. Comparing traditional techniques with polypropylene mesh versus one bioabsorbible mesh there has been a decrease in postoperative complications.

Methods: 100 patients with inguinal hernia, umbilical and post incisional were surgically intervened and divided into two groups according to mesh material used. The patients were tracked for two months after surgery.

Results: Traditional mesh was used to repair hernias in 50 patients and Atramat® Neoflex 25 mesh was used in the other half.  Two patients developed infection with traditional mesh and one patient using Atramat® Neoflex 25 mesh (p 0.558). Hernias recurred in 4 patients with traditional mesh compared with 0 patients with Atramat® Neoflex 25 mesh ( p.041 ) , seroma formation was found with a 6: 1 ratio, traditional mesh: Atramat® Neoflex 25 mesh ( p.050 ) and hematoma in a 2:1 ratio (p .558). The total of complications showed a total of 14 using traditional mesh and 3 with Atramat® Neoflex 25 mesh. The use of mesh made from absorbable materials is a better alternative to reduce chronic pain and recurrence due to its high biocompatibility.

Conclusions: Using Atramat® Neoflex 25 mesh demonstrated a significant reduction of complications (recurrence and seroma formation) and length of hospital stay (2 days vs 1 day in abdominoplasty after surgery).   

 

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Published

2016-12-24

How to Cite

Granados-Romero, J. J., Valderrama-Treviño, A. I., Mendoza-Barrera, G. E., Ceballos-Villalva, J. C., Estrada-Mata, A. G., Méndez Celis, C. A., García, J. J. R., & Contreras-Flores, E. H. (2016). Comparison of early complications using regular mesh versus Atramat® Neoflex 25 mesh in inguinal, umbilical and post incisional hernias. International Journal of Research in Medical Sciences, 4(1), 194–197. https://doi.org/10.18203/2320-6012.ijrms20160030

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Original Research Articles