Cargando…
Evaluation of the Rebound Hernia Repair Device for Laparoscopic Hernia Repair
BACKGROUND: The characteristics of the ideal type of mesh are still being debated. Mesh shrinkage and fixation have been associated with complications. Avoiding shrinkage and fixation would improve hernia recurrence rates and complications. To our knowledge, this is the first study of a device with...
Autores principales: | , , , , , |
---|---|
Formato: | Texto |
Lenguaje: | English |
Publicado: |
Society of Laparoendoscopic Surgeons
2010
|
Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3021309/ https://www.ncbi.nlm.nih.gov/pubmed/20529534 http://dx.doi.org/10.4293/108680810X12674612014824 |
_version_ | 1782196370491310080 |
---|---|
author | Torres-Villalobos, Gonzalo Sorcic, Laura Ruth, George R. Andrade, Rafael Martin-del-Campo, Luis A. Anderson, J. Kyle |
author_facet | Torres-Villalobos, Gonzalo Sorcic, Laura Ruth, George R. Andrade, Rafael Martin-del-Campo, Luis A. Anderson, J. Kyle |
author_sort | Torres-Villalobos, Gonzalo |
collection | PubMed |
description | BACKGROUND: The characteristics of the ideal type of mesh are still being debated. Mesh shrinkage and fixation have been associated with complications. Avoiding shrinkage and fixation would improve hernia recurrence rates and complications. To our knowledge, this is the first study of a device with a self-expanding frame for laparoscopic hernia repair. METHODS: Six Rebound Hernia Repair Devices were placed laparoscopically in pigs. This device is a condensed polypropylene, super-thin, lightweight, macro-porous mesh with a self-expanding Nitinol frame. The devices were assessed for adhesions, shrinkage, and histological examination. Laboratory and radiologic evaluations were also performed. RESULTS: The handling properties of the devices facilitated their laparoscopic placement. They were easily identified with simple x-rays. The mesh was firmly integrated within the surrounding tissue. One device was associated with 3 small adhesions. The other 5 HRDs had no adhesions. We noted no shrinkage or folding. All devices preserved their original size and shape. CONCLUSIONS: At this evaluation stage, we found that the Rebound Hernia Repair Device may serve for laparoscopic hernia repair and has favorable handling properties. It prevents folding and shrinkage of the mesh. It may eliminate the need for fixation, thus preventing chronic pain. The Nitinol frame also allowed radiologic evaluation for gross movement. Further studies will be needed to evaluate its clinical application. |
format | Text |
id | pubmed-3021309 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2010 |
publisher | Society of Laparoendoscopic Surgeons |
record_format | MEDLINE/PubMed |
spelling | pubmed-30213092011-02-17 Evaluation of the Rebound Hernia Repair Device for Laparoscopic Hernia Repair Torres-Villalobos, Gonzalo Sorcic, Laura Ruth, George R. Andrade, Rafael Martin-del-Campo, Luis A. Anderson, J. Kyle JSLS Scientific Papers BACKGROUND: The characteristics of the ideal type of mesh are still being debated. Mesh shrinkage and fixation have been associated with complications. Avoiding shrinkage and fixation would improve hernia recurrence rates and complications. To our knowledge, this is the first study of a device with a self-expanding frame for laparoscopic hernia repair. METHODS: Six Rebound Hernia Repair Devices were placed laparoscopically in pigs. This device is a condensed polypropylene, super-thin, lightweight, macro-porous mesh with a self-expanding Nitinol frame. The devices were assessed for adhesions, shrinkage, and histological examination. Laboratory and radiologic evaluations were also performed. RESULTS: The handling properties of the devices facilitated their laparoscopic placement. They were easily identified with simple x-rays. The mesh was firmly integrated within the surrounding tissue. One device was associated with 3 small adhesions. The other 5 HRDs had no adhesions. We noted no shrinkage or folding. All devices preserved their original size and shape. CONCLUSIONS: At this evaluation stage, we found that the Rebound Hernia Repair Device may serve for laparoscopic hernia repair and has favorable handling properties. It prevents folding and shrinkage of the mesh. It may eliminate the need for fixation, thus preventing chronic pain. The Nitinol frame also allowed radiologic evaluation for gross movement. Further studies will be needed to evaluate its clinical application. Society of Laparoendoscopic Surgeons 2010 /pmc/articles/PMC3021309/ /pubmed/20529534 http://dx.doi.org/10.4293/108680810X12674612014824 Text en © 2010 by JSLS, Journal of the Society of Laparoendoscopic Surgeons. This is an Open Access article distributed under the terms of the Creative Commons Attribution Non-Commercial No Derivatives License (http://creativecommons.org/licenses/by-nc-nd/3.0/), which permits for noncommercial use, distribution, and reproduction in any medium, provided the original work is properly cited and is not altered in any way. |
spellingShingle | Scientific Papers Torres-Villalobos, Gonzalo Sorcic, Laura Ruth, George R. Andrade, Rafael Martin-del-Campo, Luis A. Anderson, J. Kyle Evaluation of the Rebound Hernia Repair Device for Laparoscopic Hernia Repair |
title | Evaluation of the Rebound Hernia Repair Device for Laparoscopic Hernia Repair |
title_full | Evaluation of the Rebound Hernia Repair Device for Laparoscopic Hernia Repair |
title_fullStr | Evaluation of the Rebound Hernia Repair Device for Laparoscopic Hernia Repair |
title_full_unstemmed | Evaluation of the Rebound Hernia Repair Device for Laparoscopic Hernia Repair |
title_short | Evaluation of the Rebound Hernia Repair Device for Laparoscopic Hernia Repair |
title_sort | evaluation of the rebound hernia repair device for laparoscopic hernia repair |
topic | Scientific Papers |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3021309/ https://www.ncbi.nlm.nih.gov/pubmed/20529534 http://dx.doi.org/10.4293/108680810X12674612014824 |
work_keys_str_mv | AT torresvillalobosgonzalo evaluationofthereboundherniarepairdeviceforlaparoscopicherniarepair AT sorciclaura evaluationofthereboundherniarepairdeviceforlaparoscopicherniarepair AT ruthgeorger evaluationofthereboundherniarepairdeviceforlaparoscopicherniarepair AT andraderafael evaluationofthereboundherniarepairdeviceforlaparoscopicherniarepair AT martindelcampoluisa evaluationofthereboundherniarepairdeviceforlaparoscopicherniarepair AT andersonjkyle evaluationofthereboundherniarepairdeviceforlaparoscopicherniarepair |