T-line Hernia Mesh Repairs of Large Umbilical Hernias: Technique and Short-term Outcomes

Overview

Journal Plast Reconstr Surg Glob Open

Specialty General Surgery

Date 2024 Mar 21

PMID 38510327

Authors

Hani I Naga

Emmanuel Emovon

Joshua K Kim

Jorge Andres Hernandez

Jin S Yoo

Affiliations

Soon will be listed here.

Abstract

Background: The T-line hernia mesh is a synthetic, polypropylene mesh specifically designed to prevent anchor point failure by evenly distributing tension through mesh suture extensions. This case series illustrates the first clinical application of the T-line mesh for umbilical hernia repair (UHR).

Methods: This study is a retrospective, consecutive cases series of all adult patients presenting to a single surgeon with symptomatic umbilical hernia requiring surgical repair using the T-line hernia mesh. Patient demographics, surgical details, and 30-day postoperative complications were collected. Descriptive statistics were computed in Microsoft Excel (Redmond, Va.).

Results: Three patients presented for UHR. All three patients were obese with mean body mass index of 37.5 ± 6.6. Two patients were former smokers, and two had presented after hernia recurrence. The average defect size was 80.1 cm ± 94.0 cm. Two patients had UHR with onlay mesh placement, whereas one had a transversus abdominus release followed by retrorectus mesh placement. The average mesh size was 192.3 cm ± 82.5 cm. All three cases were classified as clean. There were no intraoperative complications. No patients experienced 30-day postoperative complications or recurrence.

Conclusions: We present a case series of three patients presenting with large, symptomatic umbilical hernias who underwent UHR with T-line hernia mesh reinforcement without short term complications or hernia recurrence at last follow-up.

Citing Articles

Retrorectus Ventral Hernia Repair Utilizing T-line Hernia Mesh: Technical Descriptions.

Naga H, Oyola A, Kim J, Hope W, Farber L, Yoo J Plast Reconstr Surg Glob Open. 2024; 12(8):e6101.

PMID: 39188965 PMC: 11346900. DOI: 10.1097/GOX.0000000000006101.

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