Self-Gripping Hernia Mesh Technique Evolving
Surgeon J.L. Porrero and colleagues are reporting a new twist in placing self-gripping mesh in inguinal hernia repair that might prevent help prevent accidental fixation and “stickiness” during placement. He recently published a report in Hernia that suggested folding the top third of the mesh back onto the middle third to reduce the number of microgrips attaching directly to the skin. This still allows for microgrips to attach to tissue of the pubic bone and inguinal ligament in the most immediate area of the hernia space. The post Self-Gripping Hernia Mesh Technique Evolving appeared first on InsideSurgery Medical Information Blog.
AbstractBackgroundIncisional hernia repair requires detailed anatomic knowledge. Regarding median subxiphoidal hernias, the proper preparation of the fatty triangle is challenging. To foster proficiency-based training, a cost-efficient model for open median retromuscular mesh repair resembling the human body was developed, including the main anatomical structures related to the procedure. The aim is to create and validate a high-fidelity model on open retromuscular mesh repair suitable for"training before doing".Materials and methodsDifferent types of fabrics for imitation of connective tissue and 2-component sil...
CONCLUSIONS: Early-onset hernia mesh infection is mostly caused by St.aureus through exogenous contamination, whereas its late-onset counterpart might be a result of hematogenous or contact spread of intestinal flora. PMID: 31690215 [PubMed - as supplied by publisher]
ConclusionsWe discuss the two concepts of effective porosity and biofilm and propose potential measures to reduce mesh-related complications. This includes choosing mesh with superior mesh construct and technical nuances in implanting mesh to improve effective porosity. Furthermore, measures to reduce bacterial biofilm and its consequences are suggested.
ConclusionDirect defect closure has proven to be effective in reducing recurrence and seroma formation post-operatively in patients undergoing laparoscopic inguinal hernia repair. Randomized controlled trials will be required to further evaluate these outcomes.
Conditions: Hernia; Inguinal Hernia; Femoral Hernia; Groin Hernia Interventions: Device: LiquiBand FIX8®; Device: AbsorbaTack™ Sponsor: Advanced Medical Solutions Ltd. Not yet recruiting
This article describes the role of imaging in diagnosis of complications in general ventral hernia surgery setting.
CONCLUSION: The results for laparoscopic ventral hernia repair, using a relatively new non-woven randomly oriented polypropylene microfiber mesh, are good with long-term follow up completed in the majority of patients. More experience with this type of mesh could generate evidence for the benefits of this mesh material in laparoscopic ventral hernia repair. PMID: 30865784 [PubMed - as supplied by publisher]
In conclusion, 40 patients developed symptoms of a systemic illness after a mesh operation. All patients fulfilled the diagnostic criteria for ASIA. One quarter of the patients had an immunodeficiency, whereas in approximately half of the patients, an autoimmune disease developed. We postulate that PP mesh implants may increase the risk of developing (auto)immune diseases by acting as an adjuvant.