Omega-3 fatty acid covered polypropylene mesh for abdominal wall hernia repair: a prospective analysis of 30 patients

Abstract

Purpose: The main principle in abdominal wall hernia repair is achieving a tension free repair. To reduce adhesion risk caused by polypropylene mesh, meshes with anti-adhesive barrier have been introduced into clinical practice. The present study aimed to analyze postoperative outcomes in patients operated with omega-3 fatty acid covered polypropylene mesh for abdominal wall hernia repair. Materials and Methods: This study was prospective cohort conducted by examining the data of patients operated with omega-3 fatty acid covered polypropylene mesh between November 2010 and July 2015. The patients divided into two groups according to the operative technique. Primary parameters included complications, i.e., hernia recurrence, mesh adhesion, mesh infection and surgical site infection. Results: This study enrolled 30 patients (15 men, 15 women) with a mean age of 56.2 +/- 14.5 (range 17-83) years. Group 1 had eight patients (27%) who had laparoscopically repaired abdominal wall hernias, and group 2 included 22 (73%) patients who had abdominal wall hernias un-repairable by primary suture. Nine (30%) patients developed a complication. Age, sex and operative technique did not significantly affect complication rate. In patients who developed complication, defect size was significantly greater. Conclusion: The long-term effects of meshes with antiadhesive barrier are unknown. It should be noted that this meshes have the potential to cause morbidity, serious health problems or even death.