The Feasibility of FS Mesh Fixation by a Transgastric Approach—An Important Benefit in Future NOTES Procedures?
Background Preserving the integrity of the abdominal wall is a major benefit in NOTES procedures. It may result in a decrease of postoperative (postOP) pain, infection, and port site hernia. This experimental study on intra-peritoneal onlay mesh (IPOM) repair was designed to apply meshes by a transg...
Gespeichert in:
Veröffentlicht in: | The Journal of surgical research 2011-11, Vol.171 (1), p.80-86 |
---|---|
Hauptverfasser: | , , , , , , , |
Format: | Artikel |
Sprache: | eng |
Schlagworte: | |
Online-Zugang: | Volltext |
Tags: |
Tag hinzufügen
Keine Tags, Fügen Sie den ersten Tag hinzu!
|
container_end_page | 86 |
---|---|
container_issue | 1 |
container_start_page | 80 |
container_title | The Journal of surgical research |
container_volume | 171 |
creator | Fortelny, René H., M.D Petter-Puchner, Alexander H., M.D Gruber-Blum, Simone, M.D Mika, Kathrin, M.D Brand, Julian, C.M Keibl, Claudia, Vet Glaser, Karl S., M.D Redl, Heinz, Ph.D |
description | Background Preserving the integrity of the abdominal wall is a major benefit in NOTES procedures. It may result in a decrease of postoperative (postOP) pain, infection, and port site hernia. This experimental study on intra-peritoneal onlay mesh (IPOM) repair was designed to apply meshes by a transgastric access (TGA) and to use a combination of transfascial sutures and fibrin sealant as fixation. Materials and Methods Four abdominal wall defects were created by TGA under laparoscopic control in five nonsurvival and three survival pigs (4, 11, and 22 d observation period). Titanized polypropylene meshes were fixed transfascially by four polypropylene sutures using a “suture passer” device. Meshes were additionally fixed with 0.2 mL of fibrin sealant (FS) by an endoscopic application. TGA was closed with endoclips in the nonsurvival model and with laparoscopic suturing in survival pigs. Results The three survival pigs were euthanized on the d 4, 11, and 22 postOP. The macroscopic evaluation revealed excellent integration of the meshes without signs of shrinkage, dislocation, or inflammation. Histology confirmed macroscopic findings. Conclusions Our findings confirm that IPOM repair of ventral hernia in an experimental NOTES hybrid procedure is feasible. This study also demonstrates the technical feasibility and the potential advantages of FS mesh fixation to further reduce trauma to the abdominal wall following the key principles of the NOTES approach. |
doi_str_mv | 10.1016/j.jss.2010.01.006 |
format | Article |
fullrecord | <record><control><sourceid>proquest_cross</sourceid><recordid>TN_cdi_proquest_miscellaneous_898841376</recordid><sourceformat>XML</sourceformat><sourcesystem>PC</sourcesystem><els_id>S0022480410000338</els_id><sourcerecordid>898841376</sourcerecordid><originalsourceid>FETCH-LOGICAL-c437t-5ed57726a847dde8661efbeb80acd776f8f3381e74b6da203476e1df12268b533</originalsourceid><addsrcrecordid>eNp9kt-KEzEUh4Mobl19AG8kN-LV1PyZSVIEl7rs6MLqCq3XIZM5YzNOM90kI_bOh_AJfRJTWhW88Coc-M7Jj48fQk8pmVNCxct-3sc4ZyTPhM4JEffQjJJFVSgh-X00I4SxolSkPEOPYuxJnheSP0RnjJQVXTA2Q3frDeAaTHSNG1za47HD9Qq_h7jBtftmkhs9bvbY4HUwPn42MQVn8XK3C6Oxm5_ffyw9vt7uxpCMT_gNeOhcws7jekpTAPzhdn21wh_DaKHNc7x4jB50Zojw5PSeo0_11fryXXFz-_b6cnlT2JLLVFTQVlIyYVQp2xaUEBS6BhpFjG2lFJ3qOFcUZNmI1jDCSymAth1lTKim4vwcvTjezUnvJohJb120MAzGwzhFrRZKlZRLkUl6JG0YYwzQ6V1wWxP2mhJ9EK17nUXrg2hNqM6i886z0_Wp2UL7Z-O32Qw8PwEmWjN02Z518S9XSkpzgsy9OnKQXXx1EHS0Dny25QLYpNvR_TfG63-27eC8yx9-gT3EfpyCz5I11ZFpoleHRhwKQXMXSPbHfwGfr7BC</addsrcrecordid><sourcetype>Aggregation Database</sourcetype><iscdi>true</iscdi><recordtype>article</recordtype><pqid>898841376</pqid></control><display><type>article</type><title>The Feasibility of FS Mesh Fixation by a Transgastric Approach—An Important Benefit in Future NOTES Procedures?</title><source>MEDLINE</source><source>Access via ScienceDirect (Elsevier)</source><creator>Fortelny, René H., M.D ; Petter-Puchner, Alexander H., M.D ; Gruber-Blum, Simone, M.D ; Mika, Kathrin, M.D ; Brand, Julian, C.M ; Keibl, Claudia, Vet ; Glaser, Karl S., M.D ; Redl, Heinz, Ph.D</creator><creatorcontrib>Fortelny, René H., M.D ; Petter-Puchner, Alexander H., M.D ; Gruber-Blum, Simone, M.D ; Mika, Kathrin, M.D ; Brand, Julian, C.M ; Keibl, Claudia, Vet ; Glaser, Karl S., M.D ; Redl, Heinz, Ph.D</creatorcontrib><description>Background Preserving the integrity of the abdominal wall is a major benefit in NOTES procedures. It may result in a decrease of postoperative (postOP) pain, infection, and port site hernia. This experimental study on intra-peritoneal onlay mesh (IPOM) repair was designed to apply meshes by a transgastric access (TGA) and to use a combination of transfascial sutures and fibrin sealant as fixation. Materials and Methods Four abdominal wall defects were created by TGA under laparoscopic control in five nonsurvival and three survival pigs (4, 11, and 22 d observation period). Titanized polypropylene meshes were fixed transfascially by four polypropylene sutures using a “suture passer” device. Meshes were additionally fixed with 0.2 mL of fibrin sealant (FS) by an endoscopic application. TGA was closed with endoclips in the nonsurvival model and with laparoscopic suturing in survival pigs. Results The three survival pigs were euthanized on the d 4, 11, and 22 postOP. The macroscopic evaluation revealed excellent integration of the meshes without signs of shrinkage, dislocation, or inflammation. Histology confirmed macroscopic findings. Conclusions Our findings confirm that IPOM repair of ventral hernia in an experimental NOTES hybrid procedure is feasible. This study also demonstrates the technical feasibility and the potential advantages of FS mesh fixation to further reduce trauma to the abdominal wall following the key principles of the NOTES approach.</description><identifier>ISSN: 0022-4804</identifier><identifier>EISSN: 1095-8673</identifier><identifier>DOI: 10.1016/j.jss.2010.01.006</identifier><identifier>PMID: 20451922</identifier><identifier>CODEN: JSGRA2</identifier><language>eng</language><publisher>New York, NY: Elsevier Inc</publisher><subject>Abdominal Wound Closure Techniques ; Animals ; Biological and medical sciences ; Endoscopy - methods ; Fasciotomy ; Feasibility Studies ; fibrin sealant ; Fibrin Tissue Adhesive - pharmacology ; General aspects ; Hernia, Ventral - surgery ; Inflammation - pathology ; Inflammation - prevention & control ; Medical sciences ; Postoperative Complications - pathology ; Postoperative Complications - prevention & control ; reduction of perforating fixation devices ; Stomach ; Surgery ; Surgical Mesh ; Sus scrofa ; Suture Techniques ; Tissue Adhesions - pathology ; Tissue Adhesions - prevention & control ; Tissue Adhesives - pharmacology ; transgastric access</subject><ispartof>The Journal of surgical research, 2011-11, Vol.171 (1), p.80-86</ispartof><rights>Elsevier Inc.</rights><rights>2011 Elsevier Inc.</rights><rights>2015 INIST-CNRS</rights><rights>Copyright © 2011 Elsevier Inc. All rights reserved.</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c437t-5ed57726a847dde8661efbeb80acd776f8f3381e74b6da203476e1df12268b533</citedby><cites>FETCH-LOGICAL-c437t-5ed57726a847dde8661efbeb80acd776f8f3381e74b6da203476e1df12268b533</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktohtml>$$Uhttps://dx.doi.org/10.1016/j.jss.2010.01.006$$EHTML$$P50$$Gelsevier$$H</linktohtml><link.rule.ids>314,780,784,3550,27924,27925,45995</link.rule.ids><backlink>$$Uhttp://pascal-francis.inist.fr/vibad/index.php?action=getRecordDetail&idt=24711988$$DView record in Pascal Francis$$Hfree_for_read</backlink><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/20451922$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Fortelny, René H., M.D</creatorcontrib><creatorcontrib>Petter-Puchner, Alexander H., M.D</creatorcontrib><creatorcontrib>Gruber-Blum, Simone, M.D</creatorcontrib><creatorcontrib>Mika, Kathrin, M.D</creatorcontrib><creatorcontrib>Brand, Julian, C.M</creatorcontrib><creatorcontrib>Keibl, Claudia, Vet</creatorcontrib><creatorcontrib>Glaser, Karl S., M.D</creatorcontrib><creatorcontrib>Redl, Heinz, Ph.D</creatorcontrib><title>The Feasibility of FS Mesh Fixation by a Transgastric Approach—An Important Benefit in Future NOTES Procedures?</title><title>The Journal of surgical research</title><addtitle>J Surg Res</addtitle><description>Background Preserving the integrity of the abdominal wall is a major benefit in NOTES procedures. It may result in a decrease of postoperative (postOP) pain, infection, and port site hernia. This experimental study on intra-peritoneal onlay mesh (IPOM) repair was designed to apply meshes by a transgastric access (TGA) and to use a combination of transfascial sutures and fibrin sealant as fixation. Materials and Methods Four abdominal wall defects were created by TGA under laparoscopic control in five nonsurvival and three survival pigs (4, 11, and 22 d observation period). Titanized polypropylene meshes were fixed transfascially by four polypropylene sutures using a “suture passer” device. Meshes were additionally fixed with 0.2 mL of fibrin sealant (FS) by an endoscopic application. TGA was closed with endoclips in the nonsurvival model and with laparoscopic suturing in survival pigs. Results The three survival pigs were euthanized on the d 4, 11, and 22 postOP. The macroscopic evaluation revealed excellent integration of the meshes without signs of shrinkage, dislocation, or inflammation. Histology confirmed macroscopic findings. Conclusions Our findings confirm that IPOM repair of ventral hernia in an experimental NOTES hybrid procedure is feasible. This study also demonstrates the technical feasibility and the potential advantages of FS mesh fixation to further reduce trauma to the abdominal wall following the key principles of the NOTES approach.</description><subject>Abdominal Wound Closure Techniques</subject><subject>Animals</subject><subject>Biological and medical sciences</subject><subject>Endoscopy - methods</subject><subject>Fasciotomy</subject><subject>Feasibility Studies</subject><subject>fibrin sealant</subject><subject>Fibrin Tissue Adhesive - pharmacology</subject><subject>General aspects</subject><subject>Hernia, Ventral - surgery</subject><subject>Inflammation - pathology</subject><subject>Inflammation - prevention & control</subject><subject>Medical sciences</subject><subject>Postoperative Complications - pathology</subject><subject>Postoperative Complications - prevention & control</subject><subject>reduction of perforating fixation devices</subject><subject>Stomach</subject><subject>Surgery</subject><subject>Surgical Mesh</subject><subject>Sus scrofa</subject><subject>Suture Techniques</subject><subject>Tissue Adhesions - pathology</subject><subject>Tissue Adhesions - prevention & control</subject><subject>Tissue Adhesives - pharmacology</subject><subject>transgastric access</subject><issn>0022-4804</issn><issn>1095-8673</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2011</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNp9kt-KEzEUh4Mobl19AG8kN-LV1PyZSVIEl7rs6MLqCq3XIZM5YzNOM90kI_bOh_AJfRJTWhW88Coc-M7Jj48fQk8pmVNCxct-3sc4ZyTPhM4JEffQjJJFVSgh-X00I4SxolSkPEOPYuxJnheSP0RnjJQVXTA2Q3frDeAaTHSNG1za47HD9Qq_h7jBtftmkhs9bvbY4HUwPn42MQVn8XK3C6Oxm5_ffyw9vt7uxpCMT_gNeOhcws7jekpTAPzhdn21wh_DaKHNc7x4jB50Zojw5PSeo0_11fryXXFz-_b6cnlT2JLLVFTQVlIyYVQp2xaUEBS6BhpFjG2lFJ3qOFcUZNmI1jDCSymAth1lTKim4vwcvTjezUnvJohJb120MAzGwzhFrRZKlZRLkUl6JG0YYwzQ6V1wWxP2mhJ9EK17nUXrg2hNqM6i886z0_Wp2UL7Z-O32Qw8PwEmWjN02Z518S9XSkpzgsy9OnKQXXx1EHS0Dny25QLYpNvR_TfG63-27eC8yx9-gT3EfpyCz5I11ZFpoleHRhwKQXMXSPbHfwGfr7BC</recordid><startdate>20111101</startdate><enddate>20111101</enddate><creator>Fortelny, René H., M.D</creator><creator>Petter-Puchner, Alexander H., M.D</creator><creator>Gruber-Blum, Simone, M.D</creator><creator>Mika, Kathrin, M.D</creator><creator>Brand, Julian, C.M</creator><creator>Keibl, Claudia, Vet</creator><creator>Glaser, Karl S., M.D</creator><creator>Redl, Heinz, Ph.D</creator><general>Elsevier Inc</general><general>Elsevier</general><scope>IQODW</scope><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope></search><sort><creationdate>20111101</creationdate><title>The Feasibility of FS Mesh Fixation by a Transgastric Approach—An Important Benefit in Future NOTES Procedures?</title><author>Fortelny, René H., M.D ; Petter-Puchner, Alexander H., M.D ; Gruber-Blum, Simone, M.D ; Mika, Kathrin, M.D ; Brand, Julian, C.M ; Keibl, Claudia, Vet ; Glaser, Karl S., M.D ; Redl, Heinz, Ph.D</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c437t-5ed57726a847dde8661efbeb80acd776f8f3381e74b6da203476e1df12268b533</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2011</creationdate><topic>Abdominal Wound Closure Techniques</topic><topic>Animals</topic><topic>Biological and medical sciences</topic><topic>Endoscopy - methods</topic><topic>Fasciotomy</topic><topic>Feasibility Studies</topic><topic>fibrin sealant</topic><topic>Fibrin Tissue Adhesive - pharmacology</topic><topic>General aspects</topic><topic>Hernia, Ventral - surgery</topic><topic>Inflammation - pathology</topic><topic>Inflammation - prevention & control</topic><topic>Medical sciences</topic><topic>Postoperative Complications - pathology</topic><topic>Postoperative Complications - prevention & control</topic><topic>reduction of perforating fixation devices</topic><topic>Stomach</topic><topic>Surgery</topic><topic>Surgical Mesh</topic><topic>Sus scrofa</topic><topic>Suture Techniques</topic><topic>Tissue Adhesions - pathology</topic><topic>Tissue Adhesions - prevention & control</topic><topic>Tissue Adhesives - pharmacology</topic><topic>transgastric access</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Fortelny, René H., M.D</creatorcontrib><creatorcontrib>Petter-Puchner, Alexander H., M.D</creatorcontrib><creatorcontrib>Gruber-Blum, Simone, M.D</creatorcontrib><creatorcontrib>Mika, Kathrin, M.D</creatorcontrib><creatorcontrib>Brand, Julian, C.M</creatorcontrib><creatorcontrib>Keibl, Claudia, Vet</creatorcontrib><creatorcontrib>Glaser, Karl S., M.D</creatorcontrib><creatorcontrib>Redl, Heinz, Ph.D</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>MEDLINE - Academic</collection><jtitle>The Journal of surgical research</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Fortelny, René H., M.D</au><au>Petter-Puchner, Alexander H., M.D</au><au>Gruber-Blum, Simone, M.D</au><au>Mika, Kathrin, M.D</au><au>Brand, Julian, C.M</au><au>Keibl, Claudia, Vet</au><au>Glaser, Karl S., M.D</au><au>Redl, Heinz, Ph.D</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>The Feasibility of FS Mesh Fixation by a Transgastric Approach—An Important Benefit in Future NOTES Procedures?</atitle><jtitle>The Journal of surgical research</jtitle><addtitle>J Surg Res</addtitle><date>2011-11-01</date><risdate>2011</risdate><volume>171</volume><issue>1</issue><spage>80</spage><epage>86</epage><pages>80-86</pages><issn>0022-4804</issn><eissn>1095-8673</eissn><coden>JSGRA2</coden><abstract>Background Preserving the integrity of the abdominal wall is a major benefit in NOTES procedures. It may result in a decrease of postoperative (postOP) pain, infection, and port site hernia. This experimental study on intra-peritoneal onlay mesh (IPOM) repair was designed to apply meshes by a transgastric access (TGA) and to use a combination of transfascial sutures and fibrin sealant as fixation. Materials and Methods Four abdominal wall defects were created by TGA under laparoscopic control in five nonsurvival and three survival pigs (4, 11, and 22 d observation period). Titanized polypropylene meshes were fixed transfascially by four polypropylene sutures using a “suture passer” device. Meshes were additionally fixed with 0.2 mL of fibrin sealant (FS) by an endoscopic application. TGA was closed with endoclips in the nonsurvival model and with laparoscopic suturing in survival pigs. Results The three survival pigs were euthanized on the d 4, 11, and 22 postOP. The macroscopic evaluation revealed excellent integration of the meshes without signs of shrinkage, dislocation, or inflammation. Histology confirmed macroscopic findings. Conclusions Our findings confirm that IPOM repair of ventral hernia in an experimental NOTES hybrid procedure is feasible. This study also demonstrates the technical feasibility and the potential advantages of FS mesh fixation to further reduce trauma to the abdominal wall following the key principles of the NOTES approach.</abstract><cop>New York, NY</cop><pub>Elsevier Inc</pub><pmid>20451922</pmid><doi>10.1016/j.jss.2010.01.006</doi><tpages>7</tpages></addata></record> |
fulltext | fulltext |
identifier | ISSN: 0022-4804 |
ispartof | The Journal of surgical research, 2011-11, Vol.171 (1), p.80-86 |
issn | 0022-4804 1095-8673 |
language | eng |
recordid | cdi_proquest_miscellaneous_898841376 |
source | MEDLINE; Access via ScienceDirect (Elsevier) |
subjects | Abdominal Wound Closure Techniques Animals Biological and medical sciences Endoscopy - methods Fasciotomy Feasibility Studies fibrin sealant Fibrin Tissue Adhesive - pharmacology General aspects Hernia, Ventral - surgery Inflammation - pathology Inflammation - prevention & control Medical sciences Postoperative Complications - pathology Postoperative Complications - prevention & control reduction of perforating fixation devices Stomach Surgery Surgical Mesh Sus scrofa Suture Techniques Tissue Adhesions - pathology Tissue Adhesions - prevention & control Tissue Adhesives - pharmacology transgastric access |
title | The Feasibility of FS Mesh Fixation by a Transgastric Approach—An Important Benefit in Future NOTES Procedures? |
url | https://sfx.bib-bvb.de/sfx_tum?ctx_ver=Z39.88-2004&ctx_enc=info:ofi/enc:UTF-8&ctx_tim=2024-12-25T16%3A25%3A35IST&url_ver=Z39.88-2004&url_ctx_fmt=infofi/fmt:kev:mtx:ctx&rfr_id=info:sid/primo.exlibrisgroup.com:primo3-Article-proquest_cross&rft_val_fmt=info:ofi/fmt:kev:mtx:journal&rft.genre=article&rft.atitle=The%20Feasibility%20of%20FS%20Mesh%20Fixation%20by%20a%20Transgastric%20Approach%E2%80%94An%20Important%20Benefit%20in%20Future%20NOTES%20Procedures?&rft.jtitle=The%20Journal%20of%20surgical%20research&rft.au=Fortelny,%20Ren%C3%A9%20H.,%20M.D&rft.date=2011-11-01&rft.volume=171&rft.issue=1&rft.spage=80&rft.epage=86&rft.pages=80-86&rft.issn=0022-4804&rft.eissn=1095-8673&rft.coden=JSGRA2&rft_id=info:doi/10.1016/j.jss.2010.01.006&rft_dat=%3Cproquest_cross%3E898841376%3C/proquest_cross%3E%3Curl%3E%3C/url%3E&disable_directlink=true&sfx.directlink=off&sfx.report_link=0&rft_id=info:oai/&rft_pqid=898841376&rft_id=info:pmid/20451922&rft_els_id=S0022480410000338&rfr_iscdi=true |