Biomechanical evaluation of three fixation modalities for preperitoneal inguinal hernia repair: a 24-hour postoperative study in pigs

Gaëtan Guérin, Xavier Bourges, Frédéric Turquier Covidien-Surgical Solutions, Research and Development, Trévoux, France Purpose: Tacks and sutures ensure a strong fixation of meshes, but they can be associated with pain and discomfort. Less inva...

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Autores principales:	Guérin G, Bourges X, Turquier F
Formato:	article
Lenguaje:	EN
Publicado:	Dove Medical Press 2014
Materias:	Medical technology R855-855.5
Acceso en línea:	https://doaj.org/article/479288bb0a3d4d09a0effa12438e2fa1
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spelling	oai:doaj.org-article:479288bb0a3d4d09a0effa12438e2fa12021-12-02T01:03:14ZBiomechanical evaluation of three fixation modalities for preperitoneal inguinal hernia repair: a 24-hour postoperative study in pigs1179-1470https://doaj.org/article/479288bb0a3d4d09a0effa12438e2fa12014-12-01T00:00:00Zhttp://www.dovepress.com/biomechanical-evaluation-of-three-fixation-modalities-for-preperitonea-peer-reviewed-article-MDERhttps://doaj.org/toc/1179-1470 Gaëtan Guérin, Xavier Bourges, Frédéric Turquier Covidien-Surgical Solutions, Research and Development, Trévoux, France Purpose: Tacks and sutures ensure a strong fixation of meshes, but they can be associated with pain and discomfort. Less invasive methods are now available. Three fixation modalities were compared: the ProGrip™ laparoscopic self-fixating mesh; the fibrin glue Tisseel™ with Bard™ Soft Mesh; and the SorbaFix™ absorbable fixation system with Bard™ Soft Mesh. Materials and methods: Meshes (6 cm ×6 cm) were implanted in the preperitoneal space of swine. Samples were explanted 24 hours after surgery. Centered defects were created, and samples (either ten or eleven per fixation type) were loaded in a pressure chamber. For each sample, the pressure, the mesh displacement through the defect, and the measurements of the contact area were recorded. Results: At all pressures tested, the ProGrip™ laparoscopic self-fixating mesh both exhibited a significantly lower displacement through the defect and retained a significantly higher percentage of its initial contact area than either the Bard™ Soft Mesh with Tisseel™ system or the Bard™ Soft Mesh with SorbaFix™ absorbable fixation system. Dislocations occurred with the Bard™ Soft Mesh with Tisseel™ system and with the Bard™ Soft Mesh with SorbaFix™ absorbable fixation system at physiological pressure (<225 mmHg). No dislocation was recorded for the ProGrip™ laparoscopic self-fixating mesh. Conclusion: At 24 hours after implantation, the mechanical fixation of the ProGrip™ laparoscopic self-fixating mesh was found to be significantly better than the fixation of the Tisseel™ system or the SorbaFix™ absorbable fixation system. Keywords: hernia, mesh, fixation, ProGrip™ laparoscopic self-fixating meshGuérin GBourges XTurquier FDove Medical PressarticleMedical technologyR855-855.5ENMedical Devices: Evidence and Research, Vol 2014, Iss default, Pp 437-444 (2014)
institution	DOAJ
collection	DOAJ
language	EN
topic	Medical technology R855-855.5
spellingShingle	Medical technology R855-855.5 Guérin G Bourges X Turquier F Biomechanical evaluation of three fixation modalities for preperitoneal inguinal hernia repair: a 24-hour postoperative study in pigs
description	Gaëtan Guérin, Xavier Bourges, Frédéric Turquier Covidien-Surgical Solutions, Research and Development, Trévoux, France Purpose: Tacks and sutures ensure a strong fixation of meshes, but they can be associated with pain and discomfort. Less invasive methods are now available. Three fixation modalities were compared: the ProGrip™ laparoscopic self-fixating mesh; the fibrin glue Tisseel™ with Bard™ Soft Mesh; and the SorbaFix™ absorbable fixation system with Bard™ Soft Mesh. Materials and methods: Meshes (6 cm ×6 cm) were implanted in the preperitoneal space of swine. Samples were explanted 24 hours after surgery. Centered defects were created, and samples (either ten or eleven per fixation type) were loaded in a pressure chamber. For each sample, the pressure, the mesh displacement through the defect, and the measurements of the contact area were recorded. Results: At all pressures tested, the ProGrip™ laparoscopic self-fixating mesh both exhibited a significantly lower displacement through the defect and retained a significantly higher percentage of its initial contact area than either the Bard™ Soft Mesh with Tisseel™ system or the Bard™ Soft Mesh with SorbaFix™ absorbable fixation system. Dislocations occurred with the Bard™ Soft Mesh with Tisseel™ system and with the Bard™ Soft Mesh with SorbaFix™ absorbable fixation system at physiological pressure (<225 mmHg). No dislocation was recorded for the ProGrip™ laparoscopic self-fixating mesh. Conclusion: At 24 hours after implantation, the mechanical fixation of the ProGrip™ laparoscopic self-fixating mesh was found to be significantly better than the fixation of the Tisseel™ system or the SorbaFix™ absorbable fixation system. Keywords: hernia, mesh, fixation, ProGrip™ laparoscopic self-fixating mesh
format	article
author	Guérin G Bourges X Turquier F
author_facet	Guérin G Bourges X Turquier F
author_sort	Guérin G
title	Biomechanical evaluation of three fixation modalities for preperitoneal inguinal hernia repair: a 24-hour postoperative study in pigs
title_short	Biomechanical evaluation of three fixation modalities for preperitoneal inguinal hernia repair: a 24-hour postoperative study in pigs
title_full	Biomechanical evaluation of three fixation modalities for preperitoneal inguinal hernia repair: a 24-hour postoperative study in pigs
title_fullStr	Biomechanical evaluation of three fixation modalities for preperitoneal inguinal hernia repair: a 24-hour postoperative study in pigs
title_full_unstemmed	Biomechanical evaluation of three fixation modalities for preperitoneal inguinal hernia repair: a 24-hour postoperative study in pigs
title_sort	biomechanical evaluation of three fixation modalities for preperitoneal inguinal hernia repair: a 24-hour postoperative study in pigs
publisher	Dove Medical Press
publishDate	2014
url	https://doaj.org/article/479288bb0a3d4d09a0effa12438e2fa1
work_keys_str_mv	AT guering biomechanicalevaluationofthreefixationmodalitiesforpreperitonealinguinalherniarepaira24hourpostoperativestudyinpigs AT bourgesx biomechanicalevaluationofthreefixationmodalitiesforpreperitonealinguinalherniarepaira24hourpostoperativestudyinpigs AT turquierf biomechanicalevaluationofthreefixationmodalitiesforpreperitonealinguinalherniarepaira24hourpostoperativestudyinpigs
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Biomechanical evaluation of three fixation modalities for preperitoneal inguinal hernia repair: a 24-hour postoperative study in pigs

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