-Report on Experiments and Clinical Cases-

An Abdominal Incisional Hernia Repair using the Composix^® Kugel Patch: Two Cases Reports

Kiyonori Furukawa, Nobuhiko Taniai, Hideyuki Suzuki, Teruro Kiyama, Tsutomu Nomura, Tsubasa Takahashi, Toshiroh Yoshiyuki and Takashi Tajiri

Surgery for Organ Function and Biological Regulation (Surgery 1), Nippon Medical School Graduate School of Medicine

We describe two patients with abdominal incisional hernias, which occurred after appendectomy and replacement of an artificial blood vessel. Both were treated by operative hernial repair with the Composix^® Kugel Patch (C.R. Bard Inc.), a composite mesh that combines polypropylene mesh and expanded polytetrafluoroethylene (Gore-Tex^®). The mesh has various beneficial characteristics. It is a reinforcing material for the abdominal wall; even when in direct contact with the intestinal tract it is minimally adherent to the intestinal tract. The mesh expands readily and is easily fixed to the abdominal wall because it has a shape-memory ring. The long-term results of operative repair with this mesh have not yet been reported, but it is hoped that the aforementioned characteristics will yield favorable outcomes.

J Nippon Med Sch 2005; 72: 182-186

Keywords
abdominal incisional hernia, repair of incicional hernia, composite mesh, Composix^® Kugel Patch

Correspondence to
Kiyonori Furukawa, Department of Surgery I, Nippon Medical School, 1-1-5 Sendagi, Bunkyo-ku, Tokyo 113-8603, Japan
seiken-f@nms.ac.jp

Received, December 28, 2004
Accepted, February 2, 2005