• Skip to main content
  • Skip to header right navigation
  • Skip to site footer

Log in
  • Search
    • Search All SAGES Content
    • Search SAGES Guidelines
    • Search the Video Library
    • Search the Image Library
    • Search the Abstracts Archive
www.sages.org

SAGES

Reimagining surgical care for a healthier world

  • Home
    • Search
    • SAGES Home
    • SAGES Foundation Home
  • About
    • Awards
    • Who Is SAGES?
    • Leadership
    • Our Mission
    • Advocacy
    • Committees
      • SAGES Board of Governors
      • Officers and Representatives of the Society
      • Committee Chairs and Co-Chairs
      • Committee Rosters
      • SAGES Past Presidents
  • Meetings
    • SAGES NBT Innovation Weekend
    • SAGES Annual Meeting
      • 2026 Scientific Session Call for Abstracts
      • 2026 Emerging Technology Call for Abstracts
    • CME Claim Form
    • SAGES Past, Present, Future, and Related Meeting Information
    • SAGES Related Meetings & Events Calendar
  • Join SAGES!
    • Membership Application
    • Membership Benefits
    • Membership Types
      • Requirements and Applications for Active Membership in SAGES
      • Requirements and Applications for Affiliate Membership in SAGES
      • Requirements and Applications for Associate Active Membership in SAGES
      • Requirements and Applications for Candidate Membership in SAGES
      • Requirements and Applications for International Membership in SAGES
      • Requirements for Medical Student Membership
    • Member Spotlight
    • Give the Gift of SAGES Membership
  • Patients
    • Join the SAGES Patient Partner Network (PPN)
    • Patient Information Brochures
    • Healthy Sooner – Patient Information for Minimally Invasive Surgery
    • Choosing Wisely – An Initiative of the ABIM Foundation
    • All in the Recovery: Colorectal Cancer Alliance
    • Find A SAGES Surgeon
  • Publications
    • Sustainability in Surgical Practice
    • SAGES Stories Podcast
    • Patient Information Brochures
    • Patient Information From SAGES
    • TAVAC – Technology and Value Assessments
    • Surgical Endoscopy and Other Journal Information
    • SAGES Manuals
    • MesSAGES – The SAGES Newsletter
    • COVID-19 Archive
    • Troubleshooting Guides
  • Education
    • Wellness Resources – You Are Not Alone
    • Avoid Opiates After Surgery
    • SAGES Subscription Catalog
    • SAGES TV: Home of SAGES Surgical Videos
    • The SAGES Safe Cholecystectomy Program
    • Masters Program
    • Resident and Fellow Opportunities
      • MIS Fellows Course
      • SAGES Robotics Residents and Fellows Courses
      • SAGES Free Resident Webinar Series
      • Fluorescence-Guided Surgery Course for Fellows
      • Fellows’ Career Development Course
    • SAGES S.M.A.R.T. Enhanced Recovery Program
    • SAGES @ Cine-Med Products
      • SAGES Top 21 Minimally Invasive Procedures Every Practicing Surgeon Should Know
      • SAGES Pearls Step-by-Step
      • SAGES Flexible Endoscopy 101
    • SAGES OR SAFETY Video Activity
  • Opportunities
    • Fellowship Recognition Opportunities
    • SAGES Advanced Flexible Endoscopy Area of Concentrated Training (ACT) SEAL
    • Multi-Society Foregut Fellowship Certification
    • Research Opportunities
    • FLS
    • FES
    • FUSE
    • Jobs Board
    • SAGES Go Global: Global Affairs and Humanitarian Efforts
  • OWLS/FLS
You are here: Home / Abstracts / P4 HB MESHES AND THE FIRST 2 YEARS RESULTS OF A SINGLE CENTER UNIVERSITY HOSPITAL EXPERIENCE USING IT FOR INFECTED, COMPLEX AND SMALL HERNIA REPAIRS

P4 HB MESHES AND THE FIRST 2 YEARS RESULTS OF A SINGLE CENTER UNIVERSITY HOSPITAL EXPERIENCE USING IT FOR INFECTED, COMPLEX AND SMALL HERNIA REPAIRS

Thomas S Auer, Prof, MD, James E Waha, MD, Daniela Kniepeiss, PhDMD. University Clinic of Surgery Graz

Introduction: Infected or contaminated hernia places still present very demanding and not solved surgical challenge. Biological meshes were thought to solve the problem of infected hernia situations and complex hernia in high risk patients. However, recent results were disappointing for the benefit of the use of the cost intensive material. In vitro and animal studies have demonstrated an enhanced bacterial growth and late hydrolysis, after 15 to 18 months, for P4HB meshes, and the remaining scar tissue of high strength.

Methods and Procedures: Between September 2015 and September 2017, 37 Patients were operated for complex, infected and small hernia, using the bio-absorbable P4 HB meshes. The meshes were placed mainly in onlay position, in some cases  sublay or as a supplement enforcement onlay  when a permanent mesh was placed sublay  (sandwich). For groin hernia, TAPP procedure was used.

Results: All cases showed a primary ingrowth of the mesh, none had to be explanted. Observation period is 4- 24months ( mean 12). The main complication was observed with 2 cases of seroma, one of them infected. 3 Patients were re-operated due to skin necrosis. In these cases, the meshes left in site and were seen and documented with excellent granulation activity. No hernia recurrence was observed in the first 12 months, 1 recurrence in the first 24 months. 

Conclusions: The use of P4 HB meshes showed to be an excellent plan B for very complicated and infected hernia cases that need repair. Onlay position of these meshes is not an additive risk factor also in complicate skin situation. P4HB mesh can be considered as an alternative to permanent mesh or suture alone for small incisional and groin hernia.


Presented at the SAGES 2017 Annual Meeting in Houston, TX.

Abstract ID: 86302

Program Number: P043

Presentation Session: iPoster Session (Non CME)

Presentation Type: Poster

15

Share this:

  • Click to share on X (Opens in new window) X
  • Click to share on Facebook (Opens in new window) Facebook
  • Click to share on LinkedIn (Opens in new window) LinkedIn
  • Click to share on Pinterest (Opens in new window) Pinterest
  • Click to share on WhatsApp (Opens in new window) WhatsApp
  • Click to share on Reddit (Opens in new window) Reddit
  • Click to share on Pocket (Opens in new window) Pocket
  • Click to share on Mastodon (Opens in new window) Mastodon
  • Click to share on Threads (Opens in new window) Threads
  • Click to share on Bluesky (Opens in new window) Bluesky

Related


sages_adbutler_leaderboard

Hours & Info

11300 West Olympic Blvd, Suite 600
Los Angeles, CA 90064

1-310-437-0544

[email protected]

Monday – Friday
8am to 5pm Pacific Time

Find Us Around the Web!

  • Bluesky
  • X
  • Instagram
  • Facebook
  • YouTube

Copyright © 2025 · SAGES · All Rights Reserved

Important Links

Healthy Sooner: Patient Information

SAGES Guidelines, Statements, & Standards of Practice

SAGES Manuals