Mesh shrinkage and pain in laparoscopic ventral hernia repair: a randomized clinical trial comparing suture versus tack mesh fixation.

Surgical Endoscopy
Guido BeldiDaniel Candinas

Abstract

Mesh fixation during laparoscopic ventral hernia repair can be performed using transfascial sutures or metal tacks. The aim of the present study is to compare mesh shrinkage and pain between two different techniques of mesh fixation in a prospective randomized trial. A randomized trial was performed. Patients with ventral hernia of maximal diameter 8 cm were assigned to mesh fixation using either transfascial nonabsorbable sutures or metal tacks for fixation of a parietene composite mesh. The borders of the mesh were marked using clips, and radiological images in prone position were used for assessment of mesh size and location. The primary endpoint was mesh shrinkage; secondary endpoints included postoperative pain, mesh dislocation, and surgical morbidity. Demographic parameters were similar in both groups. A total of 40 patients were randomized, and 36 patients were available for follow-up. There was one hernia recurrence in each group. Pain was significantly higher following suture fixation after 6 weeks, but no difference was found after 6 months. Mesh shrinkage after 6 months was significantly higher using tacks for mesh fixation. Transfascial sutures are associated with more pain within the first 6 postoperative weeks an...Continue Reading

References

Oct 1, 1981·Diseases of the Colon and Rectum·Z KaufmanM Zager
Aug 28, 1996·JAMA : the Journal of the American Medical Association·C BeggD F Stroup
Jul 5, 2002·Surgical Endoscopy·M van't RietH J Bonjer
Jan 31, 2004·Surgical Endoscopy·E R WinslowM E Klingensmith
Aug 6, 2005·Hernia : the Journal of Hernias and Abdominal Wall Surgery·K R Van SickleB J Ramshaw
Dec 8, 2005·Surgical Endoscopy·G BeldiD Candinas
Jun 20, 2007·Archives of Surgery·Juliane BingenerKenneth Sirinek
Mar 6, 2008·Surgical Endoscopy·Matthias KapischkeAmke Caliebe
Jul 11, 2008·American Journal of Surgery·Muhammad S SajidMirza K Baig
Jan 1, 2009·Surgical Endoscopy·Francisco AsencioMarwan Ahmad

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Citations

Jan 25, 2013·Hernia : the Journal of Hernias and Abdominal Wall Surgery·L ZogbiM R M Trindade
Oct 8, 2011·Journal of Materials Science. Materials in Medicine·D N GrantS A Grant
Nov 23, 2013·AJR. American Journal of Roentgenology·Srdjan Rakic, Karl A LeBlanc
Oct 15, 2013·Langenbeck's Archives of Surgery·Emmelie ReynvoetFrederik Berrevoet
Apr 3, 2013·Hernia : the Journal of Hernias and Abdominal Wall Surgery·F MuysomsR Ceulemans
Nov 26, 2013·Hernia : the Journal of Hernias and Abdominal Wall Surgery·M H F SchreinemacherN D Bouvy
Dec 16, 2011·Hernia : the Journal of Hernias and Abdominal Wall Surgery·P R CarterB W Allain
Nov 10, 2012·Hernia : the Journal of Hernias and Abdominal Wall Surgery·M S SajidM R McFall
May 8, 2013·Hernia : the Journal of Hernias and Abdominal Wall Surgery·T Sommer, H Friis-Andersen
Jun 25, 2013·Hernia : the Journal of Hernias and Abdominal Wall Surgery·F HelgstrandT Bisgaard
Dec 8, 2010·World Journal of Surgery·Anita KurmannGuido Beldi
Dec 30, 2011·World Journal of Surgery·Guido Beldi
Jul 6, 2015·Hernia : the Journal of Hernias and Abdominal Wall Surgery·K LeBlanc
Jun 25, 2015·Surgical Endoscopy·David NguyenRaul J Rosenthal
Nov 10, 2012·Journal of Visceral Surgery·P-E MoreauC Vons
Mar 31, 2016·Journal of Laparoendoscopic & Advanced Surgical Techniques. Part a·William D Tobler, Kamal M F Itani
Feb 24, 2015·The British Journal of Surgery·M W ChristoffersenT Bisgaard
Jan 30, 2013·International Journal of Surgery Case Reports·Tobias Haltmeier, Yves Groebli
Jul 14, 2016·Surgical Endoscopy·David EarleUNKNOWN SAGES Guidelines Committee
Jul 28, 2016·Surgical Endoscopy·Y Julia ChenLinda Zhang
Sep 8, 2012·Surgical Innovation·Alfredo Moreno-EgeaMarian C Cuervo
Dec 12, 2017·Journal of Minimal Access Surgery·Khojasteh Sam DastoorAsif Y Gazi
Feb 28, 2018·The British Journal of Radiology·Steve HalliganAlastair Cj Windsor
Jan 14, 2018·Hernia : the Journal of Hernias and Abdominal Wall Surgery·UNKNOWN HerniaSurge Group
Oct 11, 2012·Surgical Laparoscopy, Endoscopy & Percutaneous Techniques·Fritz KleinSven-Christian Schmidt
Apr 30, 2019·Journal of Minimal Access Surgery·M D WasimU Vasudeva Rao
Dec 1, 2019·Hernia : the Journal of Hernias and Abdominal Wall Surgery·C HeC L K Chia
Jul 12, 2017·Surgical Innovation·Medhat FanousWilliam Cobb

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