Prosthetic strap system for simplified ventral hernia repair. Its results in a porcine experimentalmodel.

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Abstract

Abstract: IntroductionAiming to achieve a simplified ventral hernia repair, a proprietary shaped mesh was experimentallytested in the porcine model. The mesh is structured with a large central body and radiating straps. Thefriction of the straps passing through the tissues are hypothesized to be adequate to maintain the meshin place during tissue ingrowth, avoiding classic point fixation while ensuring a wide coverage of theabdomen.MethodsThe mesh, having 6 radial straps, was placed using a sublay preperitoneal technique in 4 pigs. Allstraps were passed laterally through the abdominal wall and exteriorized from the skin. The strapswere trimmed at the level of the skin, allowing the stumps to recoil into the subcutaneous space. Theanimal were euthanized at 1 and 4 months to determine the integration of the straps.ResultsMacroscopically all 24 straps were firmly incorporated within the abdominal wall. The tension freeplacement of the mesh by using the straps was effective. The friction of the straps passing through thetissues was adequate to keep the mesh well orientated. No dislocation of the implants was observed.The strap system also allowed a broader coverage of the abdominal wall, far beyond the woundopening.ConclusionsThe described arm system of the described implant seems to be effective in eliminating point fixationof the mesh. The fixation arms seemed to have ensured the mesh stayed orientated in all animals. Avery wide lateral mesh placement was accomplished, assuring sufficient defect overlap whenshrinkage occurs.
Lingua originaleEnglish
pagine (da-a)389-395
Numero di pagine7
RivistaHERNIA
Volume14
Stato di pubblicazionePublished - 2010

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Ventral Hernia
Herniorrhaphy
Abdominal Wall
Swine
Arm
Skin
Friction

All Science Journal Classification (ASJC) codes

  • Surgery

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title = "Prosthetic strap system for simplified ventral hernia repair. Its results in a porcine experimentalmodel.",
abstract = "Abstract: IntroductionAiming to achieve a simplified ventral hernia repair, a proprietary shaped mesh was experimentallytested in the porcine model. The mesh is structured with a large central body and radiating straps. Thefriction of the straps passing through the tissues are hypothesized to be adequate to maintain the meshin place during tissue ingrowth, avoiding classic point fixation while ensuring a wide coverage of theabdomen.MethodsThe mesh, having 6 radial straps, was placed using a sublay preperitoneal technique in 4 pigs. Allstraps were passed laterally through the abdominal wall and exteriorized from the skin. The strapswere trimmed at the level of the skin, allowing the stumps to recoil into the subcutaneous space. Theanimal were euthanized at 1 and 4 months to determine the integration of the straps.ResultsMacroscopically all 24 straps were firmly incorporated within the abdominal wall. The tension freeplacement of the mesh by using the straps was effective. The friction of the straps passing through thetissues was adequate to keep the mesh well orientated. No dislocation of the implants was observed.The strap system also allowed a broader coverage of the abdominal wall, far beyond the woundopening.ConclusionsThe described arm system of the described implant seems to be effective in eliminating point fixationof the mesh. The fixation arms seemed to have ensured the mesh stayed orientated in all animals. Avery wide lateral mesh placement was accomplished, assuring sufficient defect overlap whenshrinkage occurs.",
author = "Giorgio Romano and Giuseppe Salamone and Antonino Agrusa and Gaspare Gulotta and Giovanni Cassata",
year = "2010",
language = "English",
volume = "14",
pages = "389--395",
journal = "Hernia : the journal of hernias and abdominal wall surgery",
issn = "1265-4906",
publisher = "Springer Paris",

}

TY - JOUR

T1 - Prosthetic strap system for simplified ventral hernia repair. Its results in a porcine experimentalmodel.

AU - Romano, Giorgio

AU - Salamone, Giuseppe

AU - Agrusa, Antonino

AU - Gulotta, Gaspare

AU - Cassata, Giovanni

PY - 2010

Y1 - 2010

N2 - Abstract: IntroductionAiming to achieve a simplified ventral hernia repair, a proprietary shaped mesh was experimentallytested in the porcine model. The mesh is structured with a large central body and radiating straps. Thefriction of the straps passing through the tissues are hypothesized to be adequate to maintain the meshin place during tissue ingrowth, avoiding classic point fixation while ensuring a wide coverage of theabdomen.MethodsThe mesh, having 6 radial straps, was placed using a sublay preperitoneal technique in 4 pigs. Allstraps were passed laterally through the abdominal wall and exteriorized from the skin. The strapswere trimmed at the level of the skin, allowing the stumps to recoil into the subcutaneous space. Theanimal were euthanized at 1 and 4 months to determine the integration of the straps.ResultsMacroscopically all 24 straps were firmly incorporated within the abdominal wall. The tension freeplacement of the mesh by using the straps was effective. The friction of the straps passing through thetissues was adequate to keep the mesh well orientated. No dislocation of the implants was observed.The strap system also allowed a broader coverage of the abdominal wall, far beyond the woundopening.ConclusionsThe described arm system of the described implant seems to be effective in eliminating point fixationof the mesh. The fixation arms seemed to have ensured the mesh stayed orientated in all animals. Avery wide lateral mesh placement was accomplished, assuring sufficient defect overlap whenshrinkage occurs.

AB - Abstract: IntroductionAiming to achieve a simplified ventral hernia repair, a proprietary shaped mesh was experimentallytested in the porcine model. The mesh is structured with a large central body and radiating straps. Thefriction of the straps passing through the tissues are hypothesized to be adequate to maintain the meshin place during tissue ingrowth, avoiding classic point fixation while ensuring a wide coverage of theabdomen.MethodsThe mesh, having 6 radial straps, was placed using a sublay preperitoneal technique in 4 pigs. Allstraps were passed laterally through the abdominal wall and exteriorized from the skin. The strapswere trimmed at the level of the skin, allowing the stumps to recoil into the subcutaneous space. Theanimal were euthanized at 1 and 4 months to determine the integration of the straps.ResultsMacroscopically all 24 straps were firmly incorporated within the abdominal wall. The tension freeplacement of the mesh by using the straps was effective. The friction of the straps passing through thetissues was adequate to keep the mesh well orientated. No dislocation of the implants was observed.The strap system also allowed a broader coverage of the abdominal wall, far beyond the woundopening.ConclusionsThe described arm system of the described implant seems to be effective in eliminating point fixationof the mesh. The fixation arms seemed to have ensured the mesh stayed orientated in all animals. Avery wide lateral mesh placement was accomplished, assuring sufficient defect overlap whenshrinkage occurs.

UR - http://hdl.handle.net/10447/50022

M3 - Article

VL - 14

SP - 389

EP - 395

JO - Hernia : the journal of hernias and abdominal wall surgery

JF - Hernia : the journal of hernias and abdominal wall surgery

SN - 1265-4906

ER -