Antibacterial polypropylene mesh fixation with a cyanoacrylate adhesive improves its response to infection

Surgery ◽  
2021 ◽  
Author(s):  
Bárbara Pérez-Köhler ◽  
Selma Benito-Martínez ◽  
Francisca García-Moreno ◽  
Marta Rodríguez ◽  
Gemma Pascual ◽  
...  
Keyword(s):  
Polypropylene Mesh ◽  
Mesh Fixation ◽  
Cyanoacrylate Adhesive

Lightweight polypropylene mesh fixation in laparoscopic incisional hernia repair

2013 ◽  
Vol 22 (5) ◽  
pp. 283-287 ◽  
Author(s):  
Giuseppe Cavallaro ◽  
Fabio Cesare Campanile ◽  
Mario Rizzello ◽  
Francesco Greco ◽  
Olga Iorio ◽  
...  
Keyword(s):  
Incisional Hernia ◽  
Hernia Repair ◽  
Polypropylene Mesh ◽  
Mesh Fixation ◽  
Incisional Hernia Repair ◽  
Laparoscopic Incisional Hernia Repair ◽  
Lightweight Polypropylene Mesh

Biomechanical and Histologic Evaluation of LifeMesh™: A Novel Self-Fixating Mesh Adhesive

2018 ◽  
Vol 84 (4) ◽  
pp. 520-525 ◽  
Author(s):  
Charles P. Shahan ◽  
Nathaniel N. Stoikes ◽  
Esra Roan ◽  
James Tatum ◽  
David L. Webb ◽  
...  
Keyword(s):  
Polypropylene Mesh ◽  
Inflammatory Responses ◽  
Mesh Fixation ◽  
Interfacial Strength ◽  
Total Surface Area ◽  
Fixation Strength ◽  
Swine Model ◽  
Time Points ◽  
Lap Shear ◽  
Control Samples

Mesh fixation with the use of adhesives results in an immediate and total surface area adhesion of the mesh, removing the need for penetrating fixation points. The purpose of this study was to evaluate LifeMesh™, a prototype mesh adhesive technology which coats polypropylene mesh. The strength of the interface between mesh and tissue, inflammatory responses, and histology were measured at varying time points in a swine model, and these results were compared with sutures. Twenty Mongrel swine underwent implantation of LifeMesh™ and one piece of bare polypropylene mesh secured with suture (control). One additional piece of either LifeMesh™ or control was used for histopathologic evaluation. The implants were retrieved at 3, 7, and 14 days. Only 3- and 7-day specimens underwent lap shear testing. On Day 3, LifeMesh™ samples showed considerably less contraction than sutured samples. The interfacial strength of Day 3 LifeMesh™ samples was similar to that of sutured samples. At seven days, LifeMesh™ samples continued to show significantly less contraction than sutured samples. The strength of fixation at seven days was greater in the control samples. The histologic findings were similar in LifeMesh™ and control samples. LifeMesh™ showed significantly less contraction than sutured samples at all measured time points. Although fixation strength was similar at three days, the interfacial strength of LifeMesh™ remained unchanged, whereas sutured controls increased by day 7. With histologic equivalence, considerably less contraction, and similar early fixation strength, LifeMesh™ is a viable mesh fixation technology.

Superiority of Roeder’s Knot for Fascial Mesh Fixation in a Cadaveric Model

2017 ◽  
Vol 24 (4) ◽  
pp. 365-368 ◽  
Author(s):  
Medhat Fanous ◽  
Jeremy Warren ◽  
William Cobb
Keyword(s):  
Abdominal Wall ◽  
Polypropylene Mesh ◽  
Mesh Fixation ◽  
Body Habitus ◽  
Vertical Distance ◽  
Fresh Frozen ◽  
Subcutaneous Flap ◽  
Cadaveric Model

Objective. This study compares the use of Roeder’s knot (1:3:1, 1 hitch, 3 winds, and 1 locking hitch) to the surgeon’s knot regarding the security of the knot and predictability of its position. Method. A polypropylene mesh was secured to the undersurface of the abdominal wall of a fresh frozen cadaver using tacks. Eight standardized transfascial sutures were performed. Four of them were secured with surgeon’s knot and the remaining 4 were tied with Roeder’s knot. A Mosquito hemostat was placed between the mesh and the stitch loop and the distance between its jaws was measured. We then created subcutaneous flap and measured the vertical distance between the knot and the anterior sheath. Results. When surgeon’s knot was used, the distance between the mesh and the stitch loop ranged between 4 and 6 mm. This distance could not be measured when Roeder’s knot was used due to inability to place hemostat between the mesh and the stitch loop. The vertical length between the anterior sheath and the surgeon knot ranged between 3 and 13 mm while remaining consistent at 2 mm when Roeder’s knot was applied. Conclusions. This study shows that Roeder’s knot is superior to the regular sliding knot in securing the mesh to the abdominal wall. It can be tightened appropriately and leads to less variation when used properly. It has many other applications that stem from its ability to be advanced with different degrees of tightness based on body habitus and the operative requirements.

scholarly journals P117 INFLUENCE OF THE MESH FIXATION METHOD ON THE RESULTS OF OPEN INGUINAL HERNIA REPAIR

2021 ◽  
Vol 108 (Supplement_8) ◽  
Author(s):  
Maria Navid ◽  
Andrey Protasov ◽  
Ilgar Guseinov ◽  
Dmitriy Titarov ◽  
Mikhail Podolskiy ◽  
...  
Keyword(s):  
Quality Of Life ◽  
Inguinal Hernia ◽  
Hernia Repair ◽  
Inguinal Hernia Repair ◽  
Polypropylene Mesh ◽  
Mesh Fixation ◽  
Fixation Method ◽  
Wound Complications ◽  
Sf 36

Abstract Aim Study of postoperative outcomes after Liechtenstein inguinal hernia repair using self-gripping mesh and polypropylene mesh with suture fixation. Material and Methods Medical records of 289 open inguinal hernia repairs were analyzed: 176 – with sutured polypropylene mesh and 113 – using self-gripping mesh. To assess the quality of life we have used EuraHS Qol and SF-36. Statistical analysis was performed using SPSS. Results There were no significant differences in wound complications (such as swelling, seroma, hematoma, orchitis) between these groups (p > 0,05). The duration of operation was significantly shorter with self-gripping mesh compared to sutured mesh (42,2 min. sd = 23,42 vs 58,5 min. sd = 16,70; p < 0.001). Pain on the first and 6th days after implantation self-gripping mesh was present significantly less frequently in comparison with sutured mesh (χ2 (1, N = 289) =7.925, p = 0.005 and χ2 (1, N = 289) =24.740, p < 0.001). NSAIDs intake time was less in self-gripping mesh group (3.01±1,07 vs 4.43±1,75 days; U = 11723, p < 0.001). We have found no significant differences in both groups for all quality-of-life indicators EuraHS (p = 0.234) and SF-36 (p = 0.190). Conclusions Self-gripping mesh has comparable outcomes with sutured polypropylene mesh regarding the frequency of wound complications and quality of life on long-term follow-up. However, self-gripping mesh is associated with reduced operation time, pain in the short-term postoperative period, and taking NSAIDs compared to sutured mesh.

scholarly journals The Role of Fibrin Glue Polypropylene Mesh Fixation in Open Inguinal Hernia Repair

2014 ◽  
Vol 68 (2) ◽  
pp. 90 ◽  
Author(s):  
Amer Odobasic ◽  
Goran Krdzalic ◽  
Mirsad Hodzic ◽  
Sefik Hasukic ◽  
Aida Sehanovic ◽  
...  
Keyword(s):  
Inguinal Hernia ◽  
Hernia Repair ◽  
Inguinal Hernia Repair ◽  
Fibrin Glue ◽  
Polypropylene Mesh ◽  
Mesh Fixation ◽  
Open Inguinal Hernia Repair

scholarly journals A comparative study of three-dimensional mesh (3D mesh) and polypropylene mesh in laparoscopic inguinal hernia repairs in adults

2017 ◽  
Vol 5 (1) ◽  
pp. 174
Author(s):  
Tajamul Rashid ◽  
Farooq Ahmad Reshi ◽  
Iqbal Saleem Mir ◽  
Suhail Nazir Bhat ◽  
Irfan Nazir ◽  
...  
Keyword(s):  
Inguinal Hernia ◽  
Hospital Stay ◽  
Polypropylene Mesh ◽  
Groin Pain ◽  
Mesh Fixation ◽  
P Value ◽  
Chronic Groin Pain ◽  
Fixation Time ◽  
3D Mesh ◽  
Laparoscopic Inguinal Hernia

Background: Polypropylene mesh gives risk of recurrence, owing to overall decrease in the size of mesh and increased subjective foreign body feeling from contracture and scarring. An anatomically contoured 3D mesh for laparoscopic inguinal hernia repair often requires no fixation, with minimal risk of postoperative pain and recurrence rate.Methods: This was a prospective comparative study conducted over a period of 2.5 years. The study enrolled 60 patients, 30 patients in each group. The end points of the study were mesh fixation time, post-operative pain, seroma formation, hospital stay, chronic groin pain, sensory impairment, and cost and affordability. Follow up period was 18 months.Results: The mesh fixation time was less in 3D mesh, 10.6±4.31 minutes (p value- 0.0002). The incidence of severe immediate postoperative pain was higher in polypropylene mesh 10% (p value of 0.612). The postoperative seroma was less in 3D mesh, 3.3% (p value of 1.00). The mean hospital stay was shorter in 3D, 1.7±0.69 days (p value–0.005). Postoperative sensory impairment was more in polypropylene mesh, 6.6% (p value-1.00). The incidence of chronic groin pain was less in 3D (p value- 0.612). We found a higher recurrence rate at 18 months in both groups (p-value-1.00).Conclusions: The use of three-dimensional mesh for laparoscopic inguinal hernia repair is a safe and viable option. It offers many advantages in terms of less fixation time, shorter hospital stays, decreased chronic groin pain and morbidity. Elimination of tacks and shorter hospital stay may reduce the cost of 3D mesh.

Mesh Repair for Midline Ventral Hernia Without Lateral Fixation of the Mesh

2011 ◽  
Vol 77 (6) ◽  
pp. 743-746
Author(s):  
Gary Kubalak
Keyword(s):  
Ventral Hernia ◽  
Polypropylene Mesh ◽  
Open Repair ◽  
Mesh Fixation ◽  
Rectus Sheath ◽  
Muscle Layer ◽  
Current Standard ◽  
Heavy Weight ◽  
Posterior Rectus Sheath ◽  
Lateral Fixation

The Rives-Stoppa repair is the current standard of care for the open treatment of midline ventral hernia. Transfascial, lateral fixation of the mesh has always been considered an important part of this technique. I reviewed cases of patients with a primary or recurrent midline, ventral hernia who had an open repair using the Rives-Stoppa technique with the exception of mesh fixation. Heavy weight polypropylene mesh was sutured to the midline of the posterior rectus sheath with two to three interrupted stitches. Multiple metal clips were attached to the periphery of the mesh for later identification. Physical exams and CT scans were done on all patients postoperatively to assess the integrity of the repair. From November 2008 to January 2010 13 patients had an open repair using a modified Rives-Stoppa technique. All patients had an intact repair based on physical exam and a contiguous rectus abdominis muscle layer based on CT evaluation. Lateral fixation of heavy weight polypropylene mesh is not necessary when performing a retro-muscular repair using the Rives-Stoppa technique.

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