Retrospective Study of 710 Patients Treated with 4DDome® Mesh: A New Chance for Open Inguinal Hernia Repair

Introduction: Although mesh techniques are used with increasing frequency, they are correlated to major long-term complications such as chronic inguinal pain (8.6%) and recurrence (1.6-8.6%). It is due to a non-development of an ideal mesh, which simultaneously ensures inguinal wall strength and a lower inflammatory foreign body reaction, which also seems to be correlated to the use of a non absorbable mesh. Materials and methods: They were retrospectively analyzed from January 2007 to June 2014, 710 patients (103 women with mean age of 62, (14.54%) and 607 men with mean age of 51.8, (85.45%) underwent a surgical groin hernia repair. In 96 patients (13.66%), we used the dome only and in 614 patients (86.36%), both the dome and the onlay mesh were used for inguinal hernia repair. In all cases, we used a 4DDome® mesh (dome, lay patch) for reconstruction. This prosthesis is made of 10% light polypropylene and 90% absorbable poly-L-Lactic Acid (PLLA).