A "self adhering" prosthesis for hernia repair: experimental study.

Hernia : the Journal of Hernias and Abdominal Wall Surgery
G ChampaultL Behr

Abstract

Prosthetic reinforcement is now routine in the management of inguinal and incisional hernia, and it significantly reduces the risk of recurrence. After surgery, chronic pain is often attributed to the characteristics of the mesh and to the method of fixation in the wound, with a potential risk of nerve or muscle injuries. To evaluate the properties of a new "self adhering" prosthesis in an experimental animal study. The self adhering prosthesis, a lightweight (40 mg/m(2)) polypropylene mesh coated with a synthetic glue on one side, was implanted laparoscopically in pigs. Removal of the prosthesis was performed at one day, one week and one month post operatively. A macroscopic and microscopic evaluation was performed. The results, using a quantitative score, were compared to those of a control group using the same polypropylene mesh without glue, but fixed by staples. The operative time was significantly lower in the self adhering group: 23 min (15-32) versus 31 min (21-40) (P = 0.01). The average time interval from the introduction of the mesh into the preperitoneal space until the appearance of the first tough adhesion was 3 min (2-4). In the control group, the mesh handling time was 8.3 min (5-14) (P = 0.01). At the time of i...Continue Reading

References

Oct 23, 2002·The British Journal of Surgery·S KumarI M C Macintyre
Mar 24, 2006·Hernia : the Journal of Hernias and Abdominal Wall Surgery·L A IsraelssonL Spangen
Mar 24, 2006·Hernia : the Journal of Hernias and Abdominal Wall Surgery·R SchwabH P Becker
May 20, 2006·Hernia : the Journal of Hernias and Abdominal Wall Surgery·E K AasvangH Kehlet

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Citations

May 8, 2013·Hernia : the Journal of Hernias and Abdominal Wall Surgery·D L Sanders, S Waydia
May 7, 2014·Hernia : the Journal of Hernias and Abdominal Wall Surgery·S Gruber-BlumA H Petter-Puchner
Oct 25, 2011·Journal of Minimal Access Surgery·Nik KosaiJoseph Varghese
Jul 13, 2011·Hernia : the Journal of Hernias and Abdominal Wall Surgery·G ChampaultC Barrat
Nov 5, 2014·Hernia : the Journal of Hernias and Abdominal Wall Surgery·Jose L PorreroBrígido Pérez
Jun 26, 2015·Advanced Healthcare Materials·Olivier GuillaumeAlexander Petter-Puchner
Nov 26, 2020·Plastic and Reconstructive Surgery·Shiva M RangwaniJeffrey E Janis
Jun 3, 2021·Materials·Marta RodríguezJuan Manuel Bellón

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