Use of absorbable meshes in laparoscopic paraesophageal hernia repair

Table 1 Different types of absorbable meshes

Type of material	Composition	Commercial name
Synthetic	Polyglactin 910	Vycril®
Synthetic	Polyglycolic acid (67%)	Bio-A®
	Trimethylene carbonate (33%)
Biological	Porcine small intestine submucosa	Surgisis®
Biological	Acellular human dermis	AlloDerm®
Biological	Bovine pericardium collagen matrix	Veritas®
Biological	Porcine acellular dermal collagen	Permacol®1
Biological	Porcine-derived acellular dermal matrix	StratticeTM

¹Medtronic, Minneapolis, MN, United States.

Table 2 Experiences with absorbable synthetic mesh

Publication	Study design	n	Type of mesh	Recurrence	MRC	Median FU in mo
Massullo et al[10]	Retrospective	11	Bio-A®	9%	No	13
Iossa et al[12]	Retrospective	120	Bio-A®	7.1%	No	42
Asti et al[13]	Retrospective	100	Bio-A®	9%	No	30
Zehetner et al[16]	Retrospective	35	Vicryl®	9.5%	No	12

FU: Follow-up; MRC: Mesh-related complication.

Table 3 Experiences with biological mesh

Author	Study design	n	Type of Mesh	Recurrence	MRC	Median FU in mo
Oelschlager et al[17]	RCT	108 (51 with mesh)	Surgisis®	9%	No	6
Oelschlager et al[18]	RCT	72 (33 with mesh)	Surgisis®	54%	No	58
Lee et al[19]	Retrospective	52	AlloDerm®	3.8%	No	16
Lomelin et al[20]	Retrospective	35	StratticeTM	14%	No	12
Lidor et al[21]	Prospective non-randomized	111	Veritas®	27%	No	36

FU: Follow-up; MRC: Mesh-related complication; RCT: Randomized-controlled trial.

Table 4 Experiences with multiple mesh materials

Author	Study design	n	Type of mesh	Recurrence	MRC	Median FU in mo
Tam et al[22]	Retrospective	106	Mostly biological	22%	2.8%	NS
Parsak et al[23]	RCT	150	75 Polypropylene/75 Polyglactin	7.5%	No	36
Watson et al[25]	RCT	126	43 Suture alone	Similar, about 20%	No	12
			41 Surgisis®
			42 Nonabsorbable

FU: Follow-up; NS: Not stated; RCT: Randomized-controlled trial.