A novel auxiliary fixation technique of meshes in intraperitoneal onlay mesh procedures for incisional hernia repair

IntroductionMesh fixation is an important step in incisional hernia repair. Weak fixation possibly results in postoperative pain, and even hernia recurrence. We innovated an auxiliary fixation approach, the magnet attraction technique (MAT), to achieve better mesh fixation. The purpose of this study...

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Main Authors: Kunjie Zhang, Jiayu Lin, Lianjin Qin, Leqi Li, Changjun Xia, Jianfang Li
Format: Article
Language:English
Published: Frontiers Media S.A. 2023-06-01
Series:Frontiers in Surgery
Subjects:
Online Access:https://www.frontiersin.org/articles/10.3389/fsurg.2023.1201992/full
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author Kunjie Zhang
Jiayu Lin
Jiayu Lin
Lianjin Qin
Leqi Li
Changjun Xia
Jianfang Li
author_facet Kunjie Zhang
Jiayu Lin
Jiayu Lin
Lianjin Qin
Leqi Li
Changjun Xia
Jianfang Li
author_sort Kunjie Zhang
collection DOAJ
description IntroductionMesh fixation is an important step in incisional hernia repair. Weak fixation possibly results in postoperative pain, and even hernia recurrence. We innovated an auxiliary fixation approach, the magnet attraction technique (MAT), to achieve better mesh fixation. The purpose of this study was to evaluate the effect of MAT in intraperitoneal onlay mesh (IPOM) procedures for incisional hernia repair.MethodsHistorical patient records were analyzed according to the clinical data of 16 patients with incisional hernias. Among them, 5 patients have undergone IPOM repair procedures in combination with MAT to assist in mesh fixation. As a control, 11 patients treated with IPOM and mesh fixation via conventional suspension were included. The clinical data collected include patients' basic characteristics, intraoperative and postoperative conditions, and follow-up results in both groups.ResultsCompared with patients in the control group, patients in the MAT group were found to suffer from a larger hernia ring diameter and longer surgical duration, but shorter hospitalization length on average. And most importantly, no complication has been reported in the MAT group.ConclusionMAT in IPOM operation was regarded as a feasible and safe technique for patients suffering from incisional hernias.
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spelling doaj.art-5db03bdd1f8945bc88d39be003e3decf2023-06-23T17:38:25ZengFrontiers Media S.A.Frontiers in Surgery2296-875X2023-06-011010.3389/fsurg.2023.12019921201992A novel auxiliary fixation technique of meshes in intraperitoneal onlay mesh procedures for incisional hernia repairKunjie Zhang0Jiayu Lin1Jiayu Lin2Lianjin Qin3Leqi Li4Changjun Xia5Jianfang Li6Department of General Surgery, The First Affiliated Hospital of Henan University of Traditional Chinese Medicine, Zhengzhou, ChinaDepartment of Obstetrics and Gynaecology, Li Ka Shing Faculty of Medicine, The University of Hong Kong, Kong Kong S.A.R., ChinaShenzhen Key Laboratory of Fertility Regulation, Reproductive Medicine Center, The University of Hong Kong-Shenzhen Hospital, Shenzhen, ChinaDepartment of Ventral Hernia Surgery, The First People’s Hospital of Huzhou, Huzhou, ChinaDepartment of General Surgery, Henan Hongli Hospital, Xinxiang, ChinaDepartment of General Surgery, The First Affiliated Hospital of Henan University of Traditional Chinese Medicine, Zhengzhou, ChinaDepartment of Hernia and Abdominal Wall Surgery, The First People's Hospital of Xiaoshan District in Hangzhou, Hangzhou, ChinaIntroductionMesh fixation is an important step in incisional hernia repair. Weak fixation possibly results in postoperative pain, and even hernia recurrence. We innovated an auxiliary fixation approach, the magnet attraction technique (MAT), to achieve better mesh fixation. The purpose of this study was to evaluate the effect of MAT in intraperitoneal onlay mesh (IPOM) procedures for incisional hernia repair.MethodsHistorical patient records were analyzed according to the clinical data of 16 patients with incisional hernias. Among them, 5 patients have undergone IPOM repair procedures in combination with MAT to assist in mesh fixation. As a control, 11 patients treated with IPOM and mesh fixation via conventional suspension were included. The clinical data collected include patients' basic characteristics, intraoperative and postoperative conditions, and follow-up results in both groups.ResultsCompared with patients in the control group, patients in the MAT group were found to suffer from a larger hernia ring diameter and longer surgical duration, but shorter hospitalization length on average. And most importantly, no complication has been reported in the MAT group.ConclusionMAT in IPOM operation was regarded as a feasible and safe technique for patients suffering from incisional hernias.https://www.frontiersin.org/articles/10.3389/fsurg.2023.1201992/fullmagnet attractionincisional herniaintraperitoneal onlay meshlaparoscopyfixation
spellingShingle Kunjie Zhang
Jiayu Lin
Jiayu Lin
Lianjin Qin
Leqi Li
Changjun Xia
Jianfang Li
A novel auxiliary fixation technique of meshes in intraperitoneal onlay mesh procedures for incisional hernia repair
Frontiers in Surgery
magnet attraction
incisional hernia
intraperitoneal onlay mesh
laparoscopy
fixation
title A novel auxiliary fixation technique of meshes in intraperitoneal onlay mesh procedures for incisional hernia repair
title_full A novel auxiliary fixation technique of meshes in intraperitoneal onlay mesh procedures for incisional hernia repair
title_fullStr A novel auxiliary fixation technique of meshes in intraperitoneal onlay mesh procedures for incisional hernia repair
title_full_unstemmed A novel auxiliary fixation technique of meshes in intraperitoneal onlay mesh procedures for incisional hernia repair
title_short A novel auxiliary fixation technique of meshes in intraperitoneal onlay mesh procedures for incisional hernia repair
title_sort novel auxiliary fixation technique of meshes in intraperitoneal onlay mesh procedures for incisional hernia repair
topic magnet attraction
incisional hernia
intraperitoneal onlay mesh
laparoscopy
fixation
url https://www.frontiersin.org/articles/10.3389/fsurg.2023.1201992/full
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