Is There Indication for the Use of Biological Mesh in Cancer Patients?

abdominal wall biological mesh mesh oncological patients ventral hernia ventral hernia repair

Journal

Journal of clinical medicine
ISSN: 2077-0383
Titre abrégé: J Clin Med
Pays: Switzerland
ID NLM: 101606588

Informations de publication

Date de publication:
13 Oct 2022
Historique:
received: 02 09 2022
revised: 07 10 2022
accepted: 11 10 2022
entrez: 27 10 2022
pubmed: 28 10 2022
medline: 28 10 2022
Statut: epublish

Résumé

Up to 28% of all patients who undergo open surgery will develop a ventral hernia (VH) in the post-operative period. VH surgery is a debated topic in the literature, especially in oncological patients due to complex management. We searched in the surgical database of the Hepatobiliary Unit of the National Cancer Institute of Naples "G. Pascale Foundation" for all patients who underwent abdominal surgery for malignancy from January 2010 to December 2018. Our surgical approach and our choice of mesh for VH repair was planned case-by-case. We selected 57 patients that fulfilled our inclusion criteria, and we divided them into two groups: biological versus synthetic prosthesis. Anterior component separation was used in 31 patients (54.4%) vs. bridging procedure in 26 (45.6%). In 41 cases (71.9%), we used a biological mesh while a synthetic one was adopted in the remaining patients. Of our patients, 57% were male (33 male vs. 24 female) with a median age of 65 and a mean BMI of 30.8. We collected ventral hernia defects from 35 cm

Identifiants

pubmed: 36294356
pii: jcm11206035
doi: 10.3390/jcm11206035
pmc: PMC9605183
pii:
doi:

Types de publication

Journal Article

Langues

eng

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Auteurs

Renato Patrone (R)

Dieti Department, University of Naples Federico II, 80100 Naples, Italy.
Division of Hepatobiliary Surgical Oncology, Istituto Nazionale Tumori IRCCS Fondazione Pascale-IRCCS di Napoli, 80131 Naples, Italy.

Maddalena Leongito (M)

Division of Hepatobiliary Surgical Oncology, Istituto Nazionale Tumori IRCCS Fondazione Pascale-IRCCS di Napoli, 80131 Naples, Italy.

Raimondo di Giacomo (R)

Division of Breast Cancer, Istituto Nazionale Tumori IRCCS Fondazione Pascale-IRCCS di Napoli, 80131 Naples, Italy.

Andrea Belli (A)

Division of Hepatobiliary Surgical Oncology, Istituto Nazionale Tumori IRCCS Fondazione Pascale-IRCCS di Napoli, 80131 Naples, Italy.

Raffaele Palaia (R)

Division of Hepatobiliary Surgical Oncology, Istituto Nazionale Tumori IRCCS Fondazione Pascale-IRCCS di Napoli, 80131 Naples, Italy.

Alfonso Amore (A)

Melanoma and Skin Cancers Surgery Unit, Istituto Nazionale Tumori IRCCS Fondazione Pascale-IRCCS di Napoli, 80131 Naples, Italy.

Vittorio Albino (V)

Division of Hepatobiliary Surgical Oncology, Istituto Nazionale Tumori IRCCS Fondazione Pascale-IRCCS di Napoli, 80131 Naples, Italy.

Mauro Piccirillo (M)

Division of Hepatobiliary Surgical Oncology, Istituto Nazionale Tumori IRCCS Fondazione Pascale-IRCCS di Napoli, 80131 Naples, Italy.

Carmen Cutolo (C)

Department of Medicine, Surgery and Dentistry, University of Salerno, 84084 Salerno, Italy.

Sergio Coluccia (S)

Epidemiology and Biostatistics Unit, Istituto Nazionale Tumori IRCCS Fondazione Pascale-IRCCS di Napoli, 80131 Naples, Italy.

Aurelio Nasto (A)

Division of General Surgery, L. Curto Hospital, Polla, 84036 Salerno, Italy.

Giovanni Conzo (G)

Department of Traslational Medical Sciences, University of Campania "Luigi Vanvitelli", 80131 Naples, Italy.

Anna Crispo (A)

Epidemiology and Biostatistics Unit, Istituto Nazionale Tumori IRCCS Fondazione Pascale-IRCCS di Napoli, 80131 Naples, Italy.

Vincenza Granata (V)

Division of Radiology, Istituto Nazionale Tumori IRCCS Fondazione Pascale-IRCCS di Napoli, 80131 Naples, Italy.

Francesco Izzo (F)

Division of Hepatobiliary Surgical Oncology, Istituto Nazionale Tumori IRCCS Fondazione Pascale-IRCCS di Napoli, 80131 Naples, Italy.

Classifications MeSH