Assessment of usefulness exhibited by different tacks in laparoscopic ventral hernia repair

Abstract

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.

Laparoscopic ventral hernia repair: innovative anatomical closure, mesh insertion without 10-mm transmyofascial port, and atraumatic mesh fixation: a preliminary experience of a new technique

“…However closure of HD is free from any tension because the suture line representing the closed HD is circumferentially splinted by a transfixed prosthesis. This is also supported by the mathematical model of Smietanski et al [14]. Transfixation of prosthesis is usually done by using a suture passer, an instrument that causes more trauma, and can get blunt and break inside abdomen [16].…”

“…It also leaves space for seroma formation [9]. Disconnection of tissue and mesh is a factor for recurrent herniation [14]. Such disconnection is a result of forces exerting on the abdominal wall-mesh interface.…”

“…Such disconnection is a result of forces exerting on the abdominal wall-mesh interface. These forces are directly related to the area of the hernial orifice as per a mathematical model [14]. This model has a limitation on account of being applicable to a flat circle.…”

“…Trocar-site hernias or recurrence can occur within 4 months [14] to over 10 years [15]. A follow-up of 3 years has been recommended by Le Blanc [7].…”

Mathematical study of a tissue‐implant connection in a ventral hernia repair in a context of the system's parameters

“…E has been specified in a one-dimentional stretching test and p ∆ has been measured on a roentgen photos of a patient after an operation. A cable with a small overhang is considered so L 0 is 5% bigger than l. Finally H 0 is taken as about 10% of a tearing force experimentally measured for the fascia and the Dual Mesh connection made by the Protac tacks, which is equal to 9.05N (see [2]). …”