Modified fixation free plug technique using a new 3D multilamellar implant for inguinal hernia repair: A retrospective study of a single operator case series

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Abstract

Aim: Implant fixation, mesh shrinkage and poor quality of tissue ingrowth are unresolved issues in modern hernia repair. Many complications reported in the literature such as bleeding, nerve entrapment, hematoma, pain, discomfort, and testicular complications, are considered to be a direct results of implant fixation. This article describes the outcomes of a procedure carried out using a handcrafted implant that addresses the issues consequent to point fixation. Methods: This was a retrospective study on the short, medium and long-term results of placing a-modified, fixation free three-dimensional polypropylene implant in 61 patients who underwent inguinal hernia repair using a novel delivery technique. The follow up length was at least 36 months postop. Results: Only minor adverse events and a low complication rate of the procedure were observed in this patient sample. There were no long- term complications. Postoperative pain was very low in both the short and long term. No chronic pain was reported. No recurrences occurred. Conclusion: The results of this retrospective study on a new method of inguinal hernia repair using a three dimensional handcrafted multilamellar implant delivered with a modified placement technique are promising. The short-, medium- and long-term complications were notably low. No recurrences were noticed but, more importantly, no chronic pain and extremely low discomfort rates were observed even in the long term. © 2013 Springer-Verlag France.
Lingua originaleEnglish
pagine (da-a)243-250
Numero di pagine8
RivistaDefault journal
Volume18
Stato di pubblicazionePublished - 2013

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Inguinal Hernia
Herniorrhaphy
Retrospective Studies
Chronic Pain
Nerve Compression Syndromes
Recurrence
Polypropylenes
Postoperative Pain
Hematoma
Hemorrhage
Pain

All Science Journal Classification (ASJC) codes

  • Surgery

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title = "Modified fixation free plug technique using a new 3D multilamellar implant for inguinal hernia repair: A retrospective study of a single operator case series",
abstract = "Aim: Implant fixation, mesh shrinkage and poor quality of tissue ingrowth are unresolved issues in modern hernia repair. Many complications reported in the literature such as bleeding, nerve entrapment, hematoma, pain, discomfort, and testicular complications, are considered to be a direct results of implant fixation. This article describes the outcomes of a procedure carried out using a handcrafted implant that addresses the issues consequent to point fixation. Methods: This was a retrospective study on the short, medium and long-term results of placing a-modified, fixation free three-dimensional polypropylene implant in 61 patients who underwent inguinal hernia repair using a novel delivery technique. The follow up length was at least 36 months postop. Results: Only minor adverse events and a low complication rate of the procedure were observed in this patient sample. There were no long- term complications. Postoperative pain was very low in both the short and long term. No chronic pain was reported. No recurrences occurred. Conclusion: The results of this retrospective study on a new method of inguinal hernia repair using a three dimensional handcrafted multilamellar implant delivered with a modified placement technique are promising. The short-, medium- and long-term complications were notably low. No recurrences were noticed but, more importantly, no chronic pain and extremely low discomfort rates were observed even in the long term. {\circledC} 2013 Springer-Verlag France.",
keywords = "80 and over; Female; Hernia, Hernia; Herniorrhaphy; Inguinal; Prostheses and implants; Prosthesis fixation; Adolescent; Adult; Aged; Aged, Inguinal; Herniorrhaphy; Humans; Male; Middle Aged; Operative Time; Pain, Postoperative; Polypropylenes; Postoperative Complications; Prosthesis Design; Retrospective Studies; Treatment Outcome; Surgical Mesh; Surgery; Medicine (all)",
author = "{Di Buono}, Giuseppe and Giorgio Romano and Antonino Agrusa and Gianfranco Cocorullo and Gaspare Gulotta and Giuseppe Amato and Salvatore Mularo",
year = "2013",
language = "English",
volume = "18",
pages = "243--250",
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TY - JOUR

T1 - Modified fixation free plug technique using a new 3D multilamellar implant for inguinal hernia repair: A retrospective study of a single operator case series

AU - Di Buono, Giuseppe

AU - Romano, Giorgio

AU - Agrusa, Antonino

AU - Cocorullo, Gianfranco

AU - Gulotta, Gaspare

AU - Amato, Giuseppe

AU - Mularo, Salvatore

PY - 2013

Y1 - 2013

N2 - Aim: Implant fixation, mesh shrinkage and poor quality of tissue ingrowth are unresolved issues in modern hernia repair. Many complications reported in the literature such as bleeding, nerve entrapment, hematoma, pain, discomfort, and testicular complications, are considered to be a direct results of implant fixation. This article describes the outcomes of a procedure carried out using a handcrafted implant that addresses the issues consequent to point fixation. Methods: This was a retrospective study on the short, medium and long-term results of placing a-modified, fixation free three-dimensional polypropylene implant in 61 patients who underwent inguinal hernia repair using a novel delivery technique. The follow up length was at least 36 months postop. Results: Only minor adverse events and a low complication rate of the procedure were observed in this patient sample. There were no long- term complications. Postoperative pain was very low in both the short and long term. No chronic pain was reported. No recurrences occurred. Conclusion: The results of this retrospective study on a new method of inguinal hernia repair using a three dimensional handcrafted multilamellar implant delivered with a modified placement technique are promising. The short-, medium- and long-term complications were notably low. No recurrences were noticed but, more importantly, no chronic pain and extremely low discomfort rates were observed even in the long term. © 2013 Springer-Verlag France.

AB - Aim: Implant fixation, mesh shrinkage and poor quality of tissue ingrowth are unresolved issues in modern hernia repair. Many complications reported in the literature such as bleeding, nerve entrapment, hematoma, pain, discomfort, and testicular complications, are considered to be a direct results of implant fixation. This article describes the outcomes of a procedure carried out using a handcrafted implant that addresses the issues consequent to point fixation. Methods: This was a retrospective study on the short, medium and long-term results of placing a-modified, fixation free three-dimensional polypropylene implant in 61 patients who underwent inguinal hernia repair using a novel delivery technique. The follow up length was at least 36 months postop. Results: Only minor adverse events and a low complication rate of the procedure were observed in this patient sample. There were no long- term complications. Postoperative pain was very low in both the short and long term. No chronic pain was reported. No recurrences occurred. Conclusion: The results of this retrospective study on a new method of inguinal hernia repair using a three dimensional handcrafted multilamellar implant delivered with a modified placement technique are promising. The short-, medium- and long-term complications were notably low. No recurrences were noticed but, more importantly, no chronic pain and extremely low discomfort rates were observed even in the long term. © 2013 Springer-Verlag France.

KW - 80 and over; Female; Hernia

KW - Hernia; Herniorrhaphy; Inguinal; Prostheses and implants; Prosthesis fixation; Adolescent; Adult; Aged; Aged

KW - Inguinal; Herniorrhaphy; Humans; Male; Middle Aged; Operative Time; Pain

KW - Postoperative; Polypropylenes; Postoperative Complications; Prosthesis Design; Retrospective Studies; Treatment Outcome; Surgical Mesh; Surgery; Medicine (all)

UR - http://hdl.handle.net/10447/97637

M3 - Article

VL - 18

SP - 243

EP - 250

JO - Default journal

JF - Default journal

ER -