Inguinal/femoral hernias were repaired either by open (Lichtenstein) or minimally invasive techniques, that is totally extraperitoneal (TEP) or transabdominal preperitoneal (TAPP). Preoperatively, 2 g ampicillin/1 g
sulbactam (Pfizer, Berlin, Germany) was given for Lichtenstein, but not for minimally invasive repair. Partially absorbable lightweight polypropylene-polyglecaprone mesh (
ULTRAPRO, Ethicon, Norderstedt, Germany) was cropped to 15 × 12 cm for augmentation.
Same antibiotic was pre-operatively given for ventral, incisional and parastomal hernia repairs. Between 2001 and 2012, we implanted lightweight polypropylene-polyglactin mesh (
Vypro, Ethicon, Norderstedt, Germany) during open repair. Afterwards, we switched to a lightweight polypropylene mesh (Optilene, Braun, Melsungen, Germany). The meshes were routinely positioned retromuscularly with minimum 5 cm overlap of the fascial defect and fixed with interrupted 2/0 polypropylene sutures (
Prolene, Ethicon, Norderstedt, Germany). During minimally invasive intraperitoneal onlay mesh (IPOM), a non-absorbable polypropylene mesh (Proceed, Ethicon, Norderstedt, Germany) was fixed with four 2/0 polypropylene sutures (
Prolene, Ethicon, Norderstedt, Germany) and absorbable tacks (
Securestrap, Ethicon, Norderstedt, Germany) in double crown technique.
Lee L.D., Stroux A., Nickisch D., Wröbel L., Aschenbrenner K., Weixler B., Kreis M.E, & Lauscher J.C. (2020). Operative outcome of hernia repair with synthetic mesh in immunocompromised patients. ANZ journal of surgery, 90(11).