Post-surgical ventral hernia repair using Biological Mesh

Abstract

Background: Ventral hernia represents one of the most frequently encountered surgical problem in the world, with incisional hernia alone affecting up to 11% of patients after major abdominal surgery. Additionally, up to 23% of patients who undergo a ventral hernia repair require a reoperation due to in incisional hernia within 13 years of their initial operation. To combat this problem many different approaches for repairing ventral hernias have been described, ranging from a simple fascial closure to the use of prosthetic materials to cover the fascial defect. Mesh-based repair has been shown to be the standard of care for all ventral hernias. Synthetic-based mesh is the traditional and most commonly used materials for all hernia repairs due to its low cost, strength, ease of handling and versatility. However, synthetic-based mesh is more prone to infectious and other postsurgical complications such as foreign body reaction and adhesion formation for increased need for reoperation. In contrast, over the past two decades biological prosthesis have been increasingly promoted the repair of abdominal wall defects due to their advantages of resistance to infection and incorporation of tissue but biological mesh is expensive. Case presentation: Patient E. 57-year-old woman was hospitalized in the Department of Surgery of Mongolia-Japan hospital in July 2022 due to a large sized hernia. It has been 10 years since the patient has full of abdominal pain, the abdominal organs are bulging to a large extent, and due to the high risk of complication prosthetic mesh was not indicated. A large hernia has been successfully repaired using a mesh derived from biological tissue. Results: We performed repair of giant post-operational hernia using biological mesh. There was no post operative complications and hernia recurrence. Conclusion: Biologic prosthesis has more tissue remodeling by excessive amount of collagen product.