Ventral hernia repair with T-line hernia mesh: A multi-institutional experience
Introduction: Ventral hernia repair (VHR) is a common procedure complicated by high hernia recurrence rates exceeding 30 % over ten years. The T-Line® Hernia Mesh is a synthetic, polypropylene mesh featuring mesh extensions designed to prevent anchor point failure by evenly distributing tension to r...
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| Format: | Article |
| Language: | English |
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Elsevier
2025-06-01
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| Series: | Surgery in Practice and Science |
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| Online Access: | http://www.sciencedirect.com/science/article/pii/S2666262025000142 |
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| author | Emmanuel O. Emovon, III Anna Malysz Oyola Luis Arias-Espinosa Hani I. Naga Angela S. Volk William Hope Flavio Malcher Jamie P. Levine Hobart W. Harris Jin Yoo Ash Patel |
| author_facet | Emmanuel O. Emovon, III Anna Malysz Oyola Luis Arias-Espinosa Hani I. Naga Angela S. Volk William Hope Flavio Malcher Jamie P. Levine Hobart W. Harris Jin Yoo Ash Patel |
| author_sort | Emmanuel O. Emovon, III |
| collection | DOAJ |
| description | Introduction: Ventral hernia repair (VHR) is a common procedure complicated by high hernia recurrence rates exceeding 30 % over ten years. The T-Line® Hernia Mesh is a synthetic, polypropylene mesh featuring mesh extensions designed to prevent anchor point failure by evenly distributing tension to reduce ventral hernia recurrences. This study evaluates the outcomes of the T-Line® mesh in VHR with 1–3 year follow-up. Methods: This study is a multi-institutional retrospective cohort study on patients who underwent VHR with T-Line® mesh between October 2020 and December 2022. Patient demographics, surgical details, and postoperative outcomes were collected. Patient-reported outcomes were assessed using HerQLes and ACHQC surveys. Results: Fifty-seven patients underwent VHR with the T-Line® mesh with a median age of sixty years and BMI of 30.8 kg/m2. The median follow-up was 454 days with a range of 365 to 1192 days. The median defect area was 97.0 cm2 and mesh area was 300 cm2. Seventeen patients (29.8 %) underwent hernia repair with panniculectomy. Postoperatively, seven patients (12.3 %) presented to the emergency department within 30 days, with five patients (8.8 %) requiring readmission. Eight patients (14.0 %) experienced complications within thirty days, with the majority being surgical site infections (n = 7, 12.3 %). Of the five patients that reported feeling a slight bulge at their previous hernia site, upon clinical evaluation two patients had a recurrence (one recurrence was caused by the suture tearing through the underlying laparotomy repair while the mesh remained anchored intact above the repair, and the second recurrence was caused by inadequate mesh fixation at the caudal border of the mesh), while no patients reported using pain medication for abdominal wall discomfort. Conclusions: The T-Line® Hernia Mesh demonstrated safety and effectiveness in ventral hernia repair, with low recurrences and postoperative complications rates over a 1–3-year period, suggesting it is a valuable tool for complex hernia repairs. |
| format | Article |
| id | doaj-art-9d728e70ede84b4482715aff1650c1f3 |
| institution | OA Journals |
| issn | 2666-2620 |
| language | English |
| publishDate | 2025-06-01 |
| publisher | Elsevier |
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| series | Surgery in Practice and Science |
| spelling | doaj-art-9d728e70ede84b4482715aff1650c1f32025-08-20T02:06:12ZengElsevierSurgery in Practice and Science2666-26202025-06-012110028510.1016/j.sipas.2025.100285Ventral hernia repair with T-line hernia mesh: A multi-institutional experienceEmmanuel O. Emovon, III0Anna Malysz Oyola1Luis Arias-Espinosa2Hani I. Naga3Angela S. Volk4William Hope5Flavio Malcher6Jamie P. Levine7Hobart W. Harris8Jin Yoo9Ash Patel10Duke University School of Medicine, Durham, NC, USADepartment of Surgery, Novant Health New Hanover Regional Medical Center Wilmington, NC, USADepartment of Surgery, New York University Langone Health, New York, NY, USADivision of Plastic, Oral, and Maxillofacial Surgery, Duke University Medical Center, Durham, NC, USADepartment of Surgery, New York University Langone Health, New York, NY, USADepartment of Surgery, Novant Health New Hanover Regional Medical Center Wilmington, NC, USADepartment of Surgery, New York University Langone Health, New York, NY, USADepartment of Surgery, New York University Langone Health, New York, NY, USADepartment of Surgery, University of California, San Francisco, CA, USADepartment of General Surgery, Duke University Medical Center, Durham, NC, USADivision of Plastic, Oral, and Maxillofacial Surgery, Duke University Medical Center, Durham, NC, USA; Corresponding author at: Division of Plastic, Oral, and Maxillofacial Surgery, Department of Surgery, Duke University Medical Center, 40 Duke Medicine Circle, Durham, NC 27710.Introduction: Ventral hernia repair (VHR) is a common procedure complicated by high hernia recurrence rates exceeding 30 % over ten years. The T-Line® Hernia Mesh is a synthetic, polypropylene mesh featuring mesh extensions designed to prevent anchor point failure by evenly distributing tension to reduce ventral hernia recurrences. This study evaluates the outcomes of the T-Line® mesh in VHR with 1–3 year follow-up. Methods: This study is a multi-institutional retrospective cohort study on patients who underwent VHR with T-Line® mesh between October 2020 and December 2022. Patient demographics, surgical details, and postoperative outcomes were collected. Patient-reported outcomes were assessed using HerQLes and ACHQC surveys. Results: Fifty-seven patients underwent VHR with the T-Line® mesh with a median age of sixty years and BMI of 30.8 kg/m2. The median follow-up was 454 days with a range of 365 to 1192 days. The median defect area was 97.0 cm2 and mesh area was 300 cm2. Seventeen patients (29.8 %) underwent hernia repair with panniculectomy. Postoperatively, seven patients (12.3 %) presented to the emergency department within 30 days, with five patients (8.8 %) requiring readmission. Eight patients (14.0 %) experienced complications within thirty days, with the majority being surgical site infections (n = 7, 12.3 %). Of the five patients that reported feeling a slight bulge at their previous hernia site, upon clinical evaluation two patients had a recurrence (one recurrence was caused by the suture tearing through the underlying laparotomy repair while the mesh remained anchored intact above the repair, and the second recurrence was caused by inadequate mesh fixation at the caudal border of the mesh), while no patients reported using pain medication for abdominal wall discomfort. Conclusions: The T-Line® Hernia Mesh demonstrated safety and effectiveness in ventral hernia repair, with low recurrences and postoperative complications rates over a 1–3-year period, suggesting it is a valuable tool for complex hernia repairs.http://www.sciencedirect.com/science/article/pii/S2666262025000142Hernia repairT-line hernia mesh |
| spellingShingle | Emmanuel O. Emovon, III Anna Malysz Oyola Luis Arias-Espinosa Hani I. Naga Angela S. Volk William Hope Flavio Malcher Jamie P. Levine Hobart W. Harris Jin Yoo Ash Patel Ventral hernia repair with T-line hernia mesh: A multi-institutional experience Surgery in Practice and Science Hernia repair T-line hernia mesh |
| title | Ventral hernia repair with T-line hernia mesh: A multi-institutional experience |
| title_full | Ventral hernia repair with T-line hernia mesh: A multi-institutional experience |
| title_fullStr | Ventral hernia repair with T-line hernia mesh: A multi-institutional experience |
| title_full_unstemmed | Ventral hernia repair with T-line hernia mesh: A multi-institutional experience |
| title_short | Ventral hernia repair with T-line hernia mesh: A multi-institutional experience |
| title_sort | ventral hernia repair with t line hernia mesh a multi institutional experience |
| topic | Hernia repair T-line hernia mesh |
| url | http://www.sciencedirect.com/science/article/pii/S2666262025000142 |
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