Randomized clinical trial of mesh fixation with “double crown” versus “sutures and tackers” in laparoscopic ventral hernia repair

Muysoms, Filip; Mijnsbrugge, G. Vander; Pletinckx, Pieter; Boldo, E.; Jacobs, I.; Michiels, Maarten; Ceulemans, R.

doi:10.1007/s10029-013-1084-9

Cited by 94 publications

(69 citation statements)

References 30 publications

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“…A more recent RCT evaluated another variant of fixation with regard to postoperative pain (VAS): (titanium) helical tack in double-crown technique versus a combination of (titanium) helical tacks and transfascial sutures. The prevalence of abdominal pain after 3 months was significantly lower in patients with helical tacks in double-crown technique (8.3% vs 31.4%) (32). These studies were monocentric trials from very different regions and it remains unknown whether one of the fixation technique causes less pain than the others.…”

Section: Outcomes Of the Surgical Techniquesmentioning

confidence: 99%

The Treatment of Incisional Hernia

Dietz

Menzel

Lock

et al. 2018

Deutsches Ärzteblatt International

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SummaryBackground: A meta-analysis of studies from multiple countries has shown that the incidence of incisional hernia varies from 4% to 10% depending on the type of operation. No epidemiological surveys have been conducted so far. The worst possible complication of an incisional hernia if it is not treated surgically is incarceration. In this article, we present the main surgical methods of treating this condition. We also evaluate the available randomized and controlled trials (RCTs) in which open and laparoscopic techniques were compared and analyze the patients' quality of life.

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Section: Outcomes Of the Surgical Techniquesmentioning

confidence: 99%

The Treatment of Incisional Hernia

Dietz

Menzel

Lock

et al. 2018

Deutsches Ärzteblatt International

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“…Ventral hernia is a common medical problem researched by surgeons and engineers for many years, but question about the main factors influencing hernia repair efficiency still remains open (Muysoms et al, 2013). This problem refers to primary hernias as well as to incisional ones.…”

Section: Introductionmentioning

confidence: 99%

“…Laparoscopic ventral hernia repair is believed to be superior to an open operation (Qadri et al, 2010), however the best treating scheme is not specified for the time being, and such problems as recurrences or chronic pain happen (Sommer and Friis-Andersen, 2013). It is believed that the success of ventral hernia repair depends mainly on selection of an appropriate implant and its fixation (Muysoms et al, 2013). In the authors' opinion, mathematical modelling and simulations can provide information about the best course of the treatment, and then, a combination of medical and mechanical knowledge may lead to an increase in hernia treatment efficiency.…”

Section: Introductionmentioning

confidence: 99%

A preliminary study on the optimal choice of an implant and its orientation in ventral hernia repair

Lubowiecka

Szepietowska

Szymczak

et al. 2016

jtam

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This paper addresses the problem of ventral hernia repair. The main goals are to find an optimal surgical mesh for hernia repair and to define its optimal orientation in the abdominal wall to minimise the maximum force at the tissue-implant juncture. The optimal mesh is chosen from a set of orthotropic meshes with different stiffness ratios for typical hernia placement in the abdominal area. The implant is subjected to an anisotropic displacement field, different for the selected hernia placements. The assumed displacement fields correspond to regular human activity. Proper implantation of the mesh may determine the success of hernia repair and/or the postoperative comfort of patients. The proposed solution is based on FEM simulations of different surgical meshes behaviour. In typical hernia placements, the optimal orientation of the stiffer direction of the implant is perpendicular to the spine. However, the presented results show some cases that an oblique direction may be the optimum one.

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“…21 Here, result of this study also didn't find any shortfall in surgical outcome of these tack only mesh fixation after comparing with result of any other case series reported earlier in respect of LVHR. 22,23 At last, as reported earlier also, one thing is absolutely true that LVHR is a better way of repair for abdominal ventral hernia with less morbidity and recurrence in comparison to open technique.…”

Section: Discussionmentioning

confidence: 63%