Lightweight polypropylene mesh fixation in laparoscopic incisional hernia repair. Issue 5 (September 2013)

• Record Type: Journal Article
• Authors: Cavallaro, Giuseppe; Campanile, Fabio Cesare; Rizzello, Mario; Greco, Francesco; Iorio, Olga; Iossa, Angelo; Silecchia, Gianfranco
• Is Part Of: Minimally invasive therapy & allied technologies. Volume 22:Issue 5(2013)
• Page Start: 283
• Page End: 287
• Publication Date: 2013-09
• Subjects: Abdominal surgery -- general surgery -- laparoscopic instruments -- minimally invasive surgery -- minimally invasive procedures; Endoscopy -- Periodicals; Interventional radiology -- Periodicals; Endoscopic surgery -- Periodicals; 617.05
• DOI: 10.3109/13645706.2013.808228
• Languages: English
• ISSNs: 1364-5706

Abstract

Abstract: Introduction : The choice of the mesh and fixation methods in laparoscopic incisional hernia repair is a crucial issue in preventing complications and recurrence. The authors report a series of 40 consecutive laparoscopic incisional hernia repairs, focusing on the use of lightweight polypropylene mesh and on the way of mesh fixation.Material and methods : Forty laparoscopic incisional hernia repairs performed consecutively in 38 patients (16 males, 22 females) were retrospectively evaluated. Patients were divided into two groups depending on tacks used: Titanium tacks vs absorbable tacks.Results : All patients received totally laparoscopic incisional hernia repair by the use of lightweight polypropylene mesh. No major post-operative complications were reported. Post-operative pain (evaluated by VNS) was higher in Group A (titanium tacks, p < 0.05). No differences in follow-up as well as in recurrence incidence (one case in both groups, <6 months time interval) were reported.Conclusions : Securestrap™ absorbable tacks are safe and effective and easy to use and did not increase the risk of mesh dislocation compared with non-absorbable tacks. The specific design well fits the lightweight polypropylene mesh Physiomesh™. Further evaluations in larger randomized studies are needed to confirm these preliminary data.