BACKGROUND: A reliable method of fixation of intraperitoneal mesh is required both in laparoscopic and open surgery for ventral hernia. We evaluated anchoring capacity of 3 fixation devices available for clinical use. MATERIALS AND METHODS: Anchoring capacity of 3 commercially available fixation devices were compared by counting the number of sheets anchored by a single firing under a fixed pressure. A total of 5 trials were conducted for each device. RESULTS: The number of sheets fixed (mean+/-SD) were, 12.4+/-1.1 for a coil type; 11.4+/-1.3 for a helical type; and 5.8+/-0.5 for a staple type tacker. The fixation capacity of the staple type was significantly lower than the other 2 types (P<0.0001). However, there was not statistically significant difference between the coil type and the helical type tackers. CONCLUSIONS: The helical and coil type tackers in ventral hernia equally provide deep penetration that may contribute to strong fixation of the intraperitoneal mesh to the abdominal wall.
BACKGROUND: A reliable method of fixation of intraperitoneal mesh is required both in laparoscopic and open surgery for ventral hernia. We evaluated anchoring capacity of 3 fixation devices available for clinical use. MATERIALS AND METHODS: Anchoring capacity of 3 commercially available fixation devices were compared by counting the number of sheets anchored by a single firing under a fixed pressure. A total of 5 trials were conducted for each device. RESULTS: The number of sheets fixed (mean+/-SD) were, 12.4+/-1.1 for a coil type; 11.4+/-1.3 for a helical type; and 5.8+/-0.5 for a staple type tacker. The fixation capacity of the staple type was significantly lower than the other 2 types (P<0.0001). However, there was not statistically significant difference between the coil type and the helical type tackers. CONCLUSIONS: The helical and coil type tackers in ventral hernia equally provide deep penetration that may contribute to strong fixation of the intraperitoneal mesh to the abdominal wall.
Authors: S Ferzoco; E Sta Clara; S W Tang; J Hu; W B Tan; A Shabbir; D Lomanto; K Etherson; K Atkinson; S Khan; P Gwiti; Y Viswanath; P C Munipalle; F Berrevoet; L Dhondt; A Vanlander; A M Matos-Azevedo; J A Fatás Cabeza; C Zaragoza-Fernández; J Marín; F Navarro; B Rose; F Morfesis; N Armstrong; S Das Mohapatra; J O'Hara; C Camp; D Hughes; A C J Windsor; L Blair; T Cox; C Huntington; B Oommen; M Kim; A Lincourt; V Augenstein; T Heniford; K Srivastava; R Martindale; J Scott; M Rosen; D Ray; M Bossi; M Tabbara; S Carandina; C Polliand; C Barrat; R Berta; C Wong; P C Yang; P P Cheung; T M Chung; C Y Chan; C H Lai; C N Tang; K W Li; Y M Shen; Q Li; J Chen; L Sun; F Q Chen; M Sharma; N Satija; K Mitura; K Garnysz; M Skolimowska-Rzewuska; K Wyrwas; S Kumar; S Lee; A Alves; C Pompee; S Chirat; E Drevon-Gaillot; G Clermont; K Tung; G Yang Journal: Hernia Date: 2015-04 Impact factor: 4.739
Authors: J F Byrd; N Agee; R Z Swan; K N Lau; J J Heath; I H Mckillop; D Sindram; J B Martinie; D A Iannitti Journal: Hernia Date: 2011-05-19 Impact factor: 4.739