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Assessment of adhesion formation after laparoscopic intraperitoneal implantation of Dynamesh IPOM mesh
INTRODUCTION: Formation of adhesions after laparoscopic hernia repair using the intra-peritoneal onlay mesh (IPOM) procedure can lead to intestinal obstruction or mesh erosion into intestinal lumen. The aims of this study included: measurement of adhesion formation with Dynamesh IPOM after laparosco...
Autores principales: | , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Termedia Publishing House
2013
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3701981/ https://www.ncbi.nlm.nih.gov/pubmed/23847671 http://dx.doi.org/10.5114/aoms.2013.35345 |
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author | Jamry, Andrzej Jałyński, Marek Piskorz, Łukasz Brocki, Marian |
author_facet | Jamry, Andrzej Jałyński, Marek Piskorz, Łukasz Brocki, Marian |
author_sort | Jamry, Andrzej |
collection | PubMed |
description | INTRODUCTION: Formation of adhesions after laparoscopic hernia repair using the intra-peritoneal onlay mesh (IPOM) procedure can lead to intestinal obstruction or mesh erosion into intestinal lumen. The aims of this study included: measurement of adhesion formation with Dynamesh IPOM after laparoscopic intraperitoneal implantation, and assessment of the occurrence of isolated adhesions at the fastening sites of slowly absorbable sutures. MATERIAL AND METHODS: Twelve healthy pigs underwent laparoscopic implantation of 2 Dynamesh IPOM mesh fragments each, one was fastened with PDSII, and the other with Maxon sutures. An assessment of adhesion formation was carried out after 6 weeks and included an evaluation of surface area, hardness according to the Zhulke scale, and index values. The occurrence of isolated adhesions at slowly absorbable suture fixation points was also analyzed. RESULTS: Adhesions were noted in 83.3% of Dynamesh IPOM meshes. Adhesions covered on average 37.7% of the mesh surface with mean hardness 1.46 and index value 78.8. In groups fixed with PDS in comparison to Maxon sutures adhesions covered mean 31.6% vs. 42.5% (p = 0.62) of the mesh surface, mean hardness was 1.67 vs.1.25 (p = 0.34) and index 85.42 vs. 72.02 (p = 0.95). CONCLUSIONS: The Dynamesh IPOM mesh, in spite of its anti-adhesive layer of PVDF, does not prevent the formation of adhesions. Adhesion hardness, surface area, and index values of the Dynamesh IPOM mesh are close to the mean values of these parameters for other commercially available 2-layer meshes. Slowly absorbable sutures used for fastening did not increase the risk of adhesion formation. |
format | Online Article Text |
id | pubmed-3701981 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2013 |
publisher | Termedia Publishing House |
record_format | MEDLINE/PubMed |
spelling | pubmed-37019812013-07-11 Assessment of adhesion formation after laparoscopic intraperitoneal implantation of Dynamesh IPOM mesh Jamry, Andrzej Jałyński, Marek Piskorz, Łukasz Brocki, Marian Arch Med Sci Clinical Research INTRODUCTION: Formation of adhesions after laparoscopic hernia repair using the intra-peritoneal onlay mesh (IPOM) procedure can lead to intestinal obstruction or mesh erosion into intestinal lumen. The aims of this study included: measurement of adhesion formation with Dynamesh IPOM after laparoscopic intraperitoneal implantation, and assessment of the occurrence of isolated adhesions at the fastening sites of slowly absorbable sutures. MATERIAL AND METHODS: Twelve healthy pigs underwent laparoscopic implantation of 2 Dynamesh IPOM mesh fragments each, one was fastened with PDSII, and the other with Maxon sutures. An assessment of adhesion formation was carried out after 6 weeks and included an evaluation of surface area, hardness according to the Zhulke scale, and index values. The occurrence of isolated adhesions at slowly absorbable suture fixation points was also analyzed. RESULTS: Adhesions were noted in 83.3% of Dynamesh IPOM meshes. Adhesions covered on average 37.7% of the mesh surface with mean hardness 1.46 and index value 78.8. In groups fixed with PDS in comparison to Maxon sutures adhesions covered mean 31.6% vs. 42.5% (p = 0.62) of the mesh surface, mean hardness was 1.67 vs.1.25 (p = 0.34) and index 85.42 vs. 72.02 (p = 0.95). CONCLUSIONS: The Dynamesh IPOM mesh, in spite of its anti-adhesive layer of PVDF, does not prevent the formation of adhesions. Adhesion hardness, surface area, and index values of the Dynamesh IPOM mesh are close to the mean values of these parameters for other commercially available 2-layer meshes. Slowly absorbable sutures used for fastening did not increase the risk of adhesion formation. Termedia Publishing House 2013-05-27 2013-06-20 /pmc/articles/PMC3701981/ /pubmed/23847671 http://dx.doi.org/10.5114/aoms.2013.35345 Text en Copyright © 2013 Termedia & Banach http://creativecommons.org/licenses/by-nc-nd/3.0/ This is an Open Access article distributed under the terms of the Creative Commons Attribution-Noncommercial 3.0 Unported License, permitting all non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited. |
spellingShingle | Clinical Research Jamry, Andrzej Jałyński, Marek Piskorz, Łukasz Brocki, Marian Assessment of adhesion formation after laparoscopic intraperitoneal implantation of Dynamesh IPOM mesh |
title | Assessment of adhesion formation after laparoscopic intraperitoneal implantation of Dynamesh IPOM mesh |
title_full | Assessment of adhesion formation after laparoscopic intraperitoneal implantation of Dynamesh IPOM mesh |
title_fullStr | Assessment of adhesion formation after laparoscopic intraperitoneal implantation of Dynamesh IPOM mesh |
title_full_unstemmed | Assessment of adhesion formation after laparoscopic intraperitoneal implantation of Dynamesh IPOM mesh |
title_short | Assessment of adhesion formation after laparoscopic intraperitoneal implantation of Dynamesh IPOM mesh |
title_sort | assessment of adhesion formation after laparoscopic intraperitoneal implantation of dynamesh ipom mesh |
topic | Clinical Research |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3701981/ https://www.ncbi.nlm.nih.gov/pubmed/23847671 http://dx.doi.org/10.5114/aoms.2013.35345 |
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