Comparison of mesh fixation devices for laparoscopic ventral hernia repair: an experimental study on human anatomic specimens

ConclusionsAlthough articulating laparoscopic tackers improve accessibility and facilitate the utilization of tacks within the fixation weak spot adjacent to the trocar placement, an articulating shaft that is not ergonomic to use may limit mechanisms of force transmission. For mesh fixation in LVHR, transfascial sutures and tacks with a longer length provide better immediate fixation tensile strength results.
Source: Surgical Endoscopy - Category: Surgery Source Type: research