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Composite mesh (polypropylene-e-PTFE) in the intraperitoneal position

A report of 30 cases

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Summary

The treatment of incisional hernias, on occasions, imposes the use of an intraperitoneal prosthesis. Though none of the available biomaterials is entirely satifactory, the choice often reflects a compromise. Polypropylene and polyester have been associated with bowel obstruction, fistulization and transmigration through a viscus. These problems are almost unknown with e-PTFE. All three however can cause adhesions. On the other hand, the solidity of a repair is a function of the penetration of a prosthesis by fibroblasts and collagen. Polyester and polypropylene manifest such a penetration. e-PTFE less so. The combination of e-PTFE internally and polypropylene externally seems to provide a reasonable composite which has been used in 30 cases in the last six years. During that period no patient presented with an intestinal occlusion or fistula.

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  1. Shouldice Hospital, 7750, Bayview Avenue, L3T 43, Thornhill, Ontario, Canada

    R. Bendavid

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Bendavid, R. Composite mesh (polypropylene-e-PTFE) in the intraperitoneal position. Hernia 1, 5–8 (1997). https://doi.org/10.1007/BF02426380

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  • DOI: https://doi.org/10.1007/BF02426380

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