Assessment of usefulness exhibited by different tacks in laparoscopic ventral hernia repair
Laparoscopic ventral hernia repair is becoming a popular technique with good results and fast postoperative recovery. The mesh is placed directly under the peritoneum and anchored with transabdominal sutures and tacks. However, the ideal size of the mesh covering the hernia orifice is know, nor the...
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| Veröffentlicht in: | Surgical endoscopy 2007-06, Vol.21 (6), p.925-928 |
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| creator | SMIETANSKI, M BIGDA, J IWAN, K KOŁODZIEJCZYK, M KRAJEWSKI, J SMIETANSKA, I. A GUMIELA, P BURY, K BIELECKI, S SLEDZINSKI, Z |
| description | Laparoscopic ventral hernia repair is becoming a popular technique with good results and fast postoperative recovery. The mesh is placed directly under the peritoneum and anchored with transabdominal sutures and tacks. However, the ideal size of the mesh covering the hernia orifice is know, nor the ideal type or amount of tacks has to be described.
To assess the forces acting on a single tack, a mathematical model of the ventral hernia was created. The force was described in reference to the surface of the hernia orifice and the pressure in the abdominal cavity. The following different types of mesh were examined in vitro: Proceed (knitted mesh), Dual Mesh (expanded polytetrafluoroethylene [ePTFE] flat mesh), and Shelhigh (biologic flat mesh). The following different tacks also were examined: Protac, Anchor, and EMS. A pig model was used to measure the forces needed to destroy the connection between mesh and tissue and to describe the place of destruction (mesh, tissue, or tack) and the force needed.
The force acting on a single tack proportionally depends on the surface of the hernia orifice and the pressure in the abdominal cavity. The force needed to disconnect the tissue and mesh reached 8.97 +/- 0.11 N for ProTac, 2.67 +/- 0.22 N for Anchor, and 6.67 +/- 1.32 N for EMS. These values do not allow the mesh to be held in the right position when the orifice exceeds 10 cm for Protac and EMS. The disconnection of the EMS and Protac junction damages the tissue. Anchor tacks are insufficient to hold the mesh and stay in the tissue
In the case of small hernias (diameter |
| doi_str_mv | 10.1007/s00464-006-9055-1 |
| format | Article |
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To assess the forces acting on a single tack, a mathematical model of the ventral hernia was created. The force was described in reference to the surface of the hernia orifice and the pressure in the abdominal cavity. The following different types of mesh were examined in vitro: Proceed (knitted mesh), Dual Mesh (expanded polytetrafluoroethylene [ePTFE] flat mesh), and Shelhigh (biologic flat mesh). The following different tacks also were examined: Protac, Anchor, and EMS. A pig model was used to measure the forces needed to destroy the connection between mesh and tissue and to describe the place of destruction (mesh, tissue, or tack) and the force needed.
The force acting on a single tack proportionally depends on the surface of the hernia orifice and the pressure in the abdominal cavity. The force needed to disconnect the tissue and mesh reached 8.97 +/- 0.11 N for ProTac, 2.67 +/- 0.22 N for Anchor, and 6.67 +/- 1.32 N for EMS. These values do not allow the mesh to be held in the right position when the orifice exceeds 10 cm for Protac and EMS. The disconnection of the EMS and Protac junction damages the tissue. Anchor tacks are insufficient to hold the mesh and stay in the tissue
In the case of small hernias (diameter<10 cm) EMS or ProTac used alone are not enough to hold the mesh. Anchor is not recommended alone in any hernia.</description><identifier>ISSN: 0930-2794</identifier><identifier>EISSN: 1432-2218</identifier><identifier>DOI: 10.1007/s00464-006-9055-1</identifier><identifier>PMID: 17242988</identifier><identifier>CODEN: SUREEX</identifier><language>eng</language><publisher>New York, NY: Springer</publisher><subject>Abdomen ; Animals ; Biological and medical sciences ; Biomechanical Phenomena ; Digestive system. Abdomen ; Endoscopy ; Hernia, Ventral - surgery ; Hernias ; Investigative techniques, diagnostic techniques (general aspects) ; Laparoscopy ; Mathematical models ; Medical sciences ; Models, Animal ; Models, Biological ; Surgical Mesh ; Sutures ; Swine</subject><ispartof>Surgical endoscopy, 2007-06, Vol.21 (6), p.925-928</ispartof><rights>2007 INIST-CNRS</rights><rights>Springer Science+Business Media, LLC 2007</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c325t-d6560dc07671833e09daff0b18146418650f02399acbcd37dbcd2c1407b15bdc3</citedby><cites>FETCH-LOGICAL-c325t-d6560dc07671833e09daff0b18146418650f02399acbcd37dbcd2c1407b15bdc3</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><link.rule.ids>314,776,780,27901,27902</link.rule.ids><backlink>$$Uhttp://pascal-francis.inist.fr/vibad/index.php?action=getRecordDetail&idt=18847660$$DView record in Pascal Francis$$Hfree_for_read</backlink><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/17242988$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>SMIETANSKI, M</creatorcontrib><creatorcontrib>BIGDA, J</creatorcontrib><creatorcontrib>IWAN, K</creatorcontrib><creatorcontrib>KOŁODZIEJCZYK, M</creatorcontrib><creatorcontrib>KRAJEWSKI, J</creatorcontrib><creatorcontrib>SMIETANSKA, I. A</creatorcontrib><creatorcontrib>GUMIELA, P</creatorcontrib><creatorcontrib>BURY, K</creatorcontrib><creatorcontrib>BIELECKI, S</creatorcontrib><creatorcontrib>SLEDZINSKI, Z</creatorcontrib><title>Assessment of usefulness exhibited by different tacks in laparoscopic ventral hernia repair</title><title>Surgical endoscopy</title><addtitle>Surg Endosc</addtitle><description>Laparoscopic ventral hernia repair is becoming a popular technique with good results and fast postoperative recovery. The mesh is placed directly under the peritoneum and anchored with transabdominal sutures and tacks. However, the ideal size of the mesh covering the hernia orifice is know, nor the ideal type or amount of tacks has to be described.
To assess the forces acting on a single tack, a mathematical model of the ventral hernia was created. The force was described in reference to the surface of the hernia orifice and the pressure in the abdominal cavity. The following different types of mesh were examined in vitro: Proceed (knitted mesh), Dual Mesh (expanded polytetrafluoroethylene [ePTFE] flat mesh), and Shelhigh (biologic flat mesh). The following different tacks also were examined: Protac, Anchor, and EMS. A pig model was used to measure the forces needed to destroy the connection between mesh and tissue and to describe the place of destruction (mesh, tissue, or tack) and the force needed.
The force acting on a single tack proportionally depends on the surface of the hernia orifice and the pressure in the abdominal cavity. The force needed to disconnect the tissue and mesh reached 8.97 +/- 0.11 N for ProTac, 2.67 +/- 0.22 N for Anchor, and 6.67 +/- 1.32 N for EMS. These values do not allow the mesh to be held in the right position when the orifice exceeds 10 cm for Protac and EMS. The disconnection of the EMS and Protac junction damages the tissue. Anchor tacks are insufficient to hold the mesh and stay in the tissue
In the case of small hernias (diameter<10 cm) EMS or ProTac used alone are not enough to hold the mesh. Anchor is not recommended alone in any hernia.</description><subject>Abdomen</subject><subject>Animals</subject><subject>Biological and medical sciences</subject><subject>Biomechanical Phenomena</subject><subject>Digestive system. Abdomen</subject><subject>Endoscopy</subject><subject>Hernia, Ventral - surgery</subject><subject>Hernias</subject><subject>Investigative techniques, diagnostic techniques (general aspects)</subject><subject>Laparoscopy</subject><subject>Mathematical models</subject><subject>Medical sciences</subject><subject>Models, Animal</subject><subject>Models, Biological</subject><subject>Surgical Mesh</subject><subject>Sutures</subject><subject>Swine</subject><issn>0930-2794</issn><issn>1432-2218</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2007</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><sourceid>BENPR</sourceid><recordid>eNpFkE1LxDAQhoMoun78AC8SBI_VmaRpm6OIXyB40ZOHkOaDzdpta9KK_nuz7IKXBDLPOzN5CDlHuEaA-iYBlFVZAFSFBCEK3CMLLDkrGMNmnyxAcihYLcsjcpzSCjIuURySI6xZyWTTLMjHbUoupbXrJzp4Oifn567PL9T9LEMbJmdp-0tt8N7FDTRp85lo6GmnRx2HZIYxGPqdS1F3dOliHzSNbtQhnpIDr7vkznb3CXl_uH-7eypeXh-f725fCsOZmApbiQqsgbqqseHcgbTae2ixwfw7bCoBHhiXUpvWWF7bfDKDJdQtitYafkIut33HOHzNLk1qNcyxzyMVQymQl0xkCLeQyUun6LwaY1jr-KsQ1Mam2tpU2aba2FSYMxe7xnO7dvY_sdOXgasdoJPRnY-6NyH9c01T1lUF_A9YGH12</recordid><startdate>20070601</startdate><enddate>20070601</enddate><creator>SMIETANSKI, M</creator><creator>BIGDA, J</creator><creator>IWAN, K</creator><creator>KOŁODZIEJCZYK, M</creator><creator>KRAJEWSKI, J</creator><creator>SMIETANSKA, I. 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Abdomen</topic><topic>Endoscopy</topic><topic>Hernia, Ventral - surgery</topic><topic>Hernias</topic><topic>Investigative techniques, diagnostic techniques (general aspects)</topic><topic>Laparoscopy</topic><topic>Mathematical models</topic><topic>Medical sciences</topic><topic>Models, Animal</topic><topic>Models, Biological</topic><topic>Surgical Mesh</topic><topic>Sutures</topic><topic>Swine</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>SMIETANSKI, M</creatorcontrib><creatorcontrib>BIGDA, J</creatorcontrib><creatorcontrib>IWAN, K</creatorcontrib><creatorcontrib>KOŁODZIEJCZYK, M</creatorcontrib><creatorcontrib>KRAJEWSKI, J</creatorcontrib><creatorcontrib>SMIETANSKA, I. A</creatorcontrib><creatorcontrib>GUMIELA, P</creatorcontrib><creatorcontrib>BURY, K</creatorcontrib><creatorcontrib>BIELECKI, S</creatorcontrib><creatorcontrib>SLEDZINSKI, Z</creatorcontrib><collection>Pascal-Francis</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>ProQuest Central (Corporate)</collection><collection>Nursing & Allied Health Database</collection><collection>Health & Medical Collection</collection><collection>ProQuest Central (purchase pre-March 2016)</collection><collection>Medical Database (Alumni Edition)</collection><collection>ProQuest Pharma Collection</collection><collection>Hospital Premium Collection</collection><collection>Hospital Premium Collection (Alumni Edition)</collection><collection>ProQuest Central (Alumni) (purchase pre-March 2016)</collection><collection>ProQuest Central (Alumni Edition)</collection><collection>ProQuest Central UK/Ireland</collection><collection>ProQuest Central</collection><collection>ProQuest One Community College</collection><collection>Health Research Premium Collection</collection><collection>Health Research Premium Collection (Alumni)</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>Nursing & Allied Health Database (Alumni Edition)</collection><collection>Health & Medical Collection (Alumni Edition)</collection><collection>Medical Database</collection><collection>Nursing & Allied Health Premium</collection><collection>ProQuest One Academic Eastern Edition (DO NOT USE)</collection><collection>ProQuest One Academic</collection><collection>ProQuest One Academic UKI Edition</collection><collection>ProQuest Central China</collection><jtitle>Surgical endoscopy</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>SMIETANSKI, M</au><au>BIGDA, J</au><au>IWAN, K</au><au>KOŁODZIEJCZYK, M</au><au>KRAJEWSKI, J</au><au>SMIETANSKA, I. A</au><au>GUMIELA, P</au><au>BURY, K</au><au>BIELECKI, S</au><au>SLEDZINSKI, Z</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Assessment of usefulness exhibited by different tacks in laparoscopic ventral hernia repair</atitle><jtitle>Surgical endoscopy</jtitle><addtitle>Surg Endosc</addtitle><date>2007-06-01</date><risdate>2007</risdate><volume>21</volume><issue>6</issue><spage>925</spage><epage>928</epage><pages>925-928</pages><issn>0930-2794</issn><eissn>1432-2218</eissn><coden>SUREEX</coden><abstract>Laparoscopic ventral hernia repair is becoming a popular technique with good results and fast postoperative recovery. The mesh is placed directly under the peritoneum and anchored with transabdominal sutures and tacks. However, the ideal size of the mesh covering the hernia orifice is know, nor the ideal type or amount of tacks has to be described.
To assess the forces acting on a single tack, a mathematical model of the ventral hernia was created. The force was described in reference to the surface of the hernia orifice and the pressure in the abdominal cavity. The following different types of mesh were examined in vitro: Proceed (knitted mesh), Dual Mesh (expanded polytetrafluoroethylene [ePTFE] flat mesh), and Shelhigh (biologic flat mesh). The following different tacks also were examined: Protac, Anchor, and EMS. A pig model was used to measure the forces needed to destroy the connection between mesh and tissue and to describe the place of destruction (mesh, tissue, or tack) and the force needed.
The force acting on a single tack proportionally depends on the surface of the hernia orifice and the pressure in the abdominal cavity. The force needed to disconnect the tissue and mesh reached 8.97 +/- 0.11 N for ProTac, 2.67 +/- 0.22 N for Anchor, and 6.67 +/- 1.32 N for EMS. These values do not allow the mesh to be held in the right position when the orifice exceeds 10 cm for Protac and EMS. The disconnection of the EMS and Protac junction damages the tissue. Anchor tacks are insufficient to hold the mesh and stay in the tissue
In the case of small hernias (diameter<10 cm) EMS or ProTac used alone are not enough to hold the mesh. Anchor is not recommended alone in any hernia.</abstract><cop>New York, NY</cop><pub>Springer</pub><pmid>17242988</pmid><doi>10.1007/s00464-006-9055-1</doi><tpages>4</tpages></addata></record> |
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| subjects | Abdomen Animals Biological and medical sciences Biomechanical Phenomena Digestive system. Abdomen Endoscopy Hernia, Ventral - surgery Hernias Investigative techniques, diagnostic techniques (general aspects) Laparoscopy Mathematical models Medical sciences Models, Animal Models, Biological Surgical Mesh Sutures Swine |
| title | Assessment of usefulness exhibited by different tacks in laparoscopic ventral hernia repair |
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