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Hernia mesh fixation

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https://www.readbyqxmd.com/read/29462710/fibrin-glue-mesh-fixation-combined-with-mesenchymal-stem-cells-or-exosomes-modulates-the-inflammatory-reaction-in-a-murine-model-of-incisional-hernia
#1
Rebeca Blázquez, Francisco Miguel Sánchez-Margallo, Verónica Álvarez, Alejandra Usón, Federica Marinaro, Javier G Casado
Surgical meshes are effective and frequently used to reinforce soft tissues. Fibrin glue (FG) has been widely used for mesh fixation and is also considered an optimal vehicle for stem cell delivery. The aim of this preclinical study was to evaluate the therapeutic effect of MSCs and their exosomes combined with FG for the treatment of incisional hernia. A murine incisional hernia model was used to implant surgical meshes and different treatments with FG, MSCs and exo-MSCs were applied. The implanted meshes were evaluated at day 7 by anatomopathology, cellular analysis of infiltrating leukocytes and gene expression analysis of TH1/TH2 cytokines, MMPs, TIMPs and collagens...
February 17, 2018: Acta Biomaterialia
https://www.readbyqxmd.com/read/29457698/feasibility-of-a-novel-tacking-method-of-securing-mesh-in-transabdominal-preperitoneal-inguinal-hernia-repair-secure-tacking-against-recurrence
#2
Yoshio Nagahisa, Ryuju Kawashima, Ryu Matsumoto, Masaki Harada, Kazuki Hashida, Michio Okabe, Kazuyuki Kawamoto
INTRODUCTION: Postoperative chronic pain is an important outcome of hernia surgery. In laparoscopic hernia surgery, either fixation outside the trapezoid of disaster or no fixation is recommended to avoid postoperative pain. To avoid recurrence are transabdominal preperitoneal (TAPP) hernia repair, the myopectineal orifice must be covered with mesh during TAPP, but lifting or shrinking of the mesh can lead to recurrence. The aim of this study was to evaluate the feasibility of a novel technique for mesh fixation to prevent the mesh from lifting off...
February 19, 2018: Asian Journal of Endoscopic Surgery
https://www.readbyqxmd.com/read/29423552/laparoscopic-management-of-large-hiatal-hernia-mesh-method-with-the-use-of-progrip-mesh-versus-standard-crural-repair
#3
V V Ilyashenko, Viktor V Grubnyk, V V Grubnik
BACKGROUND: Primary repair of large hiatal hernia is associated with a high recurrence rate. The use of mesh can lead to a reduce of recurrence rate. Despite this reduction, the type of mesh used and the placement technique are controversial. In our study, we used a new type of non-absorbable, self-fixating mesh to reinforce the cruroplasty. The aim of the present study was to compare the long-term results of laparoscopic treatment of large hiatal hernia with mesh reinforcement versus simple crura repair...
February 8, 2018: Surgical Endoscopy
https://www.readbyqxmd.com/read/29410137/fibrin-glue-versus-staple-mesh-fixation-in-single-port-laparoscopic-totally-extraperitoneal-inguinal-hernia-repair-a-propensity-score-matched-analysis
#4
Byung Jo Choi, Won Jun Jeong, Sang Chul Lee
BACKGROUND: Mesh fixation minimizes the risk of recurrence following laparoscopic inguinal hernia repair. Mesh fixation using staples has been implicated as a cause of chronic inguinal pain. We investigated whether fibrin glue mesh fixation reduces acute or chronic postoperative pain in patients undergoing single-port laparoscopic totally extraperitoneal inguinal hernia repair (SP TEP). METHODS: Inguinal hernia patients undergoing SP TEP between October 2013 and September 2016 were evaluated...
February 1, 2018: International Journal of Surgery
https://www.readbyqxmd.com/read/29393928/erratum-preclinical-evaluation-of-the-effect-of-the-combined-use-of-the-ethicon-securestrap%C3%A2-open-absorbable-strap-fixation-device-and-ethicon-physiomesh%C3%A2-open-flexible-composite-mesh-device-on-surgeon-stress-during-ventral-hernia-repair-corrigendum
#5
https://www.readbyqxmd.com/read/29367031/laparoscopic-ventral-hernia-repair-results-of-a-two-thousand-patients-prospective-multicentric-database
#6
Luis José Sánchez, Micaela Piccoli, Carlo Giovanni Ferrari, Eugenio Cocozza, Maurizio Cesari, Pietro Maida, Antonio Iuppa, Giuseppe Pavone, Lapo Bencini
Laparoscopic incisional and ventral hernia repair (LIVHR) has been largely employed by the surgical community worldwide, despite the use of different types of mesh and fixation devices. A large nationwide prospective multicentric database collected 2005 operations from 8 high-volume centers, to investigate the perioeperative and long-term outcomes. The laparoscopic operations were completed in 1979 patients (98.7%), with a mean age of 60.7 years and a Body Mass Index of 28.8 kg/m2. Two hundred and one patient (18...
January 20, 2018: International Journal of Surgery
https://www.readbyqxmd.com/read/29362907/prospective-randomized-study-comparing-single-incision-laparoscopic-versus-multi-trocar-laparoscopic-totally-extraperitoneal-tep-inguinal-hernia-repair-at-2-years
#7
Luca Cardinali, Claudia Hannele Mazzetti, Anny Cadenas Febres, Deborah Repullo, Jean Bruyns, Giovanni Dapri
BACKGROUND: Inguinal hernia repair via multi-trocar laparoscopy (MTL) has gained an increasing popularity worldwide. Single-incision laparoscopy (SIL) has been introduced to reduce the port-related complications and to improve the cosmetic results. The authors report a prospective randomized study comparing SIL versus MTL totally extraperitoneal (TEP) inguinal hernia repair. METHODS: Between January 2013 and May 2015, 113 versus 97 patients were prospectively randomized between SILTEP and MTLTEP...
January 23, 2018: Surgical Endoscopy
https://www.readbyqxmd.com/read/29354904/-clinical-application-of-pelvic-floor-reconstruction-in-extralevator-abdominoperineal-excision-for-low-rectal-cancer
#8
Wei Ge, Gang Chen, Songsong Jiang, Hao Wang
OBJECTIVE: To investigate the safety and clinical significance of pelvic floor reconstruction in extralevator abdominoperineal excision(ELAPE) for advanced low rectal cancer. METHODS: The clinical efficacy was retrospectively analyzed in 30 patients with low rectal cancer who underwent ELAPE from January 2013 to December 2016 in Nanjing Drum Tower Hospital, the affiliated Hospital of Nanjing University Medical School. There were 21 male patients and 9 female, with an average age of 61...
January 25, 2018: Zhonghua Wei Chang Wai Ke za Zhi, Chinese Journal of Gastrointestinal Surgery
https://www.readbyqxmd.com/read/29340814/comparison-of-mesh-fixation-devices-for-laparoscopic-ventral-hernia-repair-an-experimental-study-on-human-anatomic-specimens
#9
Yi-Wei Chan, Zacaria Sow, Dobrica Lukic, Matthias Monschein, Elisabeth Calek, Michael Pretterklieber, Christian Hollinsky
BACKGROUND: As there is a lack of clarity in terms of the tensile strength of mesh fixation for laparoscopic ventral hernia repair (LVHR), our aim was to investigate the immediate tensile strength of currently available mesh fixation devices on human anatomic specimens. METHODS: Sixteen recently deceased body donators (mean body mass index of 24.4 kg/m2) were used to test the immediate tensile strength (Newton) of 11 different LVHR mesh fixation devices. RESULTS: Each of the 11 different laparoscopic fixation devices was tested 44 times...
January 16, 2018: Surgical Endoscopy
https://www.readbyqxmd.com/read/29340811/a-word-of-caution-never-use-tacks-for-mesh-fixation-to-the-diaphragm
#10
F Köckerling, C Schug-Pass, R Bittner
BACKGROUND: The mesh fixation technique used in repair of hiatal hernias and subxiphoid ventral and incisional hernias must meet strenuous requirements. In the literature, there are reports of life-threatening complications with cardiac tamponade and a high mortality rate on using tacks. The continuing practice of tack deployment for mesh fixation to the diaphragm and esophageal hiatus should be critically reviewed. METHODS: In a systematic search of the available literature in May 2017, 23 cases of severe penetrating cardiac complications were identified...
January 16, 2018: Surgical Endoscopy
https://www.readbyqxmd.com/read/29330835/international-guidelines-for-groin-hernia-management
#11
(no author information available yet)
INTRODUCTION: Worldwide, more than 20 million patients undergo groin hernia repair annually. The many different approaches, treatment indications and a significant array of techniques for groin hernia repair warrant guidelines to standardize care, minimize complications, and improve results. The main goal of these guidelines is to improve patient outcomes, specifically to decrease recurrence rates and reduce chronic pain, the most frequent problems following groin hernia repair. They have been endorsed by all five continental hernia societies, the International Endo Hernia Society and the European Association for Endoscopic Surgery...
February 2018: Hernia: the Journal of Hernias and Abdominal Wall Surgery
https://www.readbyqxmd.com/read/29318008/novel-technique-using-a-bioabsorbable-prosthesis-with-fibrin-glue-fixation-to-prevent-a-petersen-s-space-hernia
#12
Mark Magdy, Hyerim Suh, Vytauras Kuzinkovas
Laparoscopic Roux-en-Y gastric bypass is a bariatric operation that is effective for long-term weight loss. Although rare, one serious complication is an internal hernia through Petersen's space, which may result in bowel strangulation. Although the incidence of internal hernia can be reduced through closing the Petersen's defect, it does not eliminate the risk. This case describes a novel and reliable method to close Petersen's defect. We report the case of a 30-year-old female who underwent a laparoscopic Roux-en-Y gastric bypass for the management of morbid obesity...
December 2017: Journal of Surgical Case Reports
https://www.readbyqxmd.com/read/29315451/clinical-and-patient-reported-outcomes-after-absorbable-strap-fixation-for-ventral-hernia-repair
#13
Heather Bougard, Sven Bringman, William W Hope, Jay A Redan, Carl Doerhoff, Michal Chudy, Christine Romanowski, Peter Charles Jones
INTRODUCTION: Various mesh fixation methods are employed by surgeons during ventral hernia repair. These may include tacks, straps, sutures, glue, or a combination of methods. One of these choices is an absorbable fixation device, Securestrap® (Ethicon Inc., Somerville, New Jersey), consisting of an absorbable copolymer barbed U-shaped strap with a spring-loaded deployment system. MATERIALS AND METHODS: The International Hernia Mesh Registry is a prospective multi-center registry, designed to collect longitudinal data on hernia repair methods, products, and outcomes...
December 22, 2017: Surgical Technology International
https://www.readbyqxmd.com/read/29296101/preclinical-evaluation-of-the-effect-of-the-combined-use-of-the-ethicon-securestrap%C3%A2-open-absorbable-strap-fixation-device-and-ethicon-physiomesh%C3%A2-open-flexible-composite-mesh-device-on-surgeon-stress-during-ventral-hernia-repair
#14
Nadia Sutton, Melinda H MacDonald, John Lombard, Bodgan Ilie, Piet Hinoul, Douglas A Granger
Aim: To evaluate whether performing ventral hernia repairs using the Ethicon Physiomesh™ Open Flexible Composite Mesh Device in conjunction with the Ethicon Securestrap® Open Absorbable Strap Fixation Device reduces surgical time and surgeon stress levels, compared with traditional surgical repair methods. Methods: To repair a simulated ventral incisional hernia, two surgeries were performed by eight experienced surgeons using a live porcine model. One procedure involved traditional suture methods and a flat mesh, and the other procedure involved a mechanical fixation device and a skirted flexible composite mesh...
2018: Medical Devices: Evidence and Research
https://www.readbyqxmd.com/read/29250525/early-surgical-intervention-following-inguinal-hernia-repair-with-severe-postoperative-pain
#15
Ferdinand Köckerling, Christine Schug-Pass
Introduction: Severe postoperative pain is an important risk factor for onset of chronic inguinal pain following inguinal hernia repair. All measures must be taken to eliminate postoperative pain. Materials and methods: This case report highlights the problems of severe postoperative pain following transabdominal preperitoneal patch plasty (TAPP) inguinal hernia repair and describes a systematic treatment path that may include surgical intervention. Results: Following TAPP operation for lateral inguinal hernia, this patient who had been operated on in an external hospital still experienced intense, stabbing inguinal pain on postoperative day 7 during movement, despite optimal pain treatment...
2017: Frontiers in Surgery
https://www.readbyqxmd.com/read/29250511/efficacy-and-safety-of-a-novel-partially-absorbable-mesh-in-totally-extraperitoneal-hernia-repair
#16
Hsien Wen Yang, Sang Hee Kang, Sung Yeop Jung, Byung Wook Min, Sun Il Lee
Purpose: Partially absorbable mesh has been introduced and used for inguinal hernia repair for the purpose of minimizing pain and improving abdominal wall compliance. In this study, we evaluate the efficacy and safety of ProFlex mesh, a partially absorbed mesh with new structural architecture. Methods: We retrospectively reviewed 64 cases of totally extraperitoneal herniorrhapy (TEP) from January 2013 to December 2014 for their clinical features, including operation time, pain, postoperative complications, and recurrence...
December 2017: Annals of Surgical Treatment and Research
https://www.readbyqxmd.com/read/29249278/incisional-hernia-prevention-using-a-cyanoacrilate-fixed-retrofascial-mesh
#17
Carlos Hoyuela, Montserrat Juvany, Miquel Trias, Jordi Ardid, Antoni Martrat
INTRODUCTION: The rate of incisional hernia in high-risk patients (obesity, cancer, etc.) is high, even in laparoscopic surgery. The aim of this study is to evaluate the safety of the use of cyanoacrylate fixed prophylactic meshes in the assistance incision in overweight or obese patients undergoing laparoscopic colorectal surgery. METHODS: A prospective, non-randomized cohort study of patients undergoing elective laparoscopic resection for colorectal cancer between January 2013 and March 2016 was performed...
December 14, 2017: Cirugía Española
https://www.readbyqxmd.com/read/29247364/laparoscopic-repair-of-traumatic-flank-hernias
#18
Y W Novitsky
INTRODUCTION: Traumatic flank hernias (TFH) are caused by a blunt abdominal trauma with resultant detachment of the oblique musculofascial complex at the iliac crest and/or costal margin. Given such proximity to the bony structures and essential absence of healthy fascia to anchor the mesh, TFH represent a challenging surgical problem. Although laparoscopic repair of ventral hernias has become very common, no series of laparoscopic repairs of TFH has been reported to date. We present a series of patients undergoing laparoscopic repair of TFH...
December 15, 2017: Hernia: the Journal of Hernias and Abdominal Wall Surgery
https://www.readbyqxmd.com/read/29227530/systematic-review-and-network-meta-analysis-of-methods-of-mesh-fixation-during-laparoscopic-ventral-hernia-repair
#19
REVIEW
J J Baker, S Öberg, K Andresen, T W Klausen, J Rosenberg
BACKGROUND: Ventral hernia repairs are common and have high recurrence rates. They are usually repaired laparoscopically with an intraperitoneal mesh, which can be fixed in various ways. The aim was to evaluate the recurrence rates for the different fixation techniques. METHODS: This systematic review included studies with human adults with a ventral hernia repaired with an intraperitoneal onlay mesh. The outcome was recurrence at least 6 months after operation...
December 11, 2017: British Journal of Surgery
https://www.readbyqxmd.com/read/29226880/sewing-machine-technique-for-laparoscopic-mesh-fixation-in-intra-peritoneal-on-lay-mesh
#20
Khojasteh Sam Dastoor, Kaiomarz P Balsara, Asif Y Gazi
INTRODUCTION: Mesh fixation in laparoscopic ventral hernia is accomplished using tacks or tacks with transfascial sutures. This is a painful operation and the pain is believed to be more due to transfascial sutures. We describe a method of transfascial suturing which fixes the mesh securely and probably causes less pain. METHOD: Up to six ports may be necessary, three on each side. A suitable-sized mesh is used and fixed with tacks all around. A 20G spinal needle is passed from the skin through one corner of the mesh...
December 11, 2017: Journal of Minimal Access Surgery
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