Tension measurements in abdominal wall hernia repair: Concept and clinical applications

Tension has always been and remains an important concept in hernia repair. Revolutionary techniques in the field of hernia repair have generally aimed to reduce tension and thereby reduce recurrence rates. Despite the uniformly agreed upon idea that tension is an important part of hernia repair, lit...

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Main Authors: Paul L Tenzel, Jordan A Bilezikian, Frederic E Eckhauser, William W Hope
Format: Article
Language:English
Published: Wolters Kluwer Medknow Publications 2019-01-01
Series:International Journal of Abdominal Wall and Hernia Surgery
Subjects:
Online Access:http://www.herniasurgeryjournal.org/article.asp?issn=2589-8736;year=2019;volume=2;issue=4;spage=119;epage=124;aulast=Tenzel
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author Paul L Tenzel
Jordan A Bilezikian
Frederic E Eckhauser
William W Hope
author_facet Paul L Tenzel
Jordan A Bilezikian
Frederic E Eckhauser
William W Hope
author_sort Paul L Tenzel
collection DOAJ
description Tension has always been and remains an important concept in hernia repair. Revolutionary techniques in the field of hernia repair have generally aimed to reduce tension and thereby reduce recurrence rates. Despite the uniformly agreed upon idea that tension is an important part of hernia repair, little is known about this subject in ventral and incisional hernias. We reviewed all published journal articles related to abdominal wall tension. Articles were organized into basic science and clinical reports, and results were evaluated for type and technique of tension measurement and implications for clinical practice. Several cadaveric and clinical studies relate to the measurement of abdominal wall tension. Despite similar methods of measuring, there is no uniformly agreed upon device or measurement. Abdominal wall tension has not been correlated with hernia width, and abdominal wall tension measurement has shown to be a useful adjunct intraoperatively. Abdominal wall tension measurements likely have a role in both the research and clinical practice of hernia surgery.
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spelling doaj.art-77dff2516b9847d79862fec3556097622022-12-21T17:56:27ZengWolters Kluwer Medknow PublicationsInternational Journal of Abdominal Wall and Hernia Surgery2589-80782019-01-012411912410.4103/ijawhs.ijawhs_37_19Tension measurements in abdominal wall hernia repair: Concept and clinical applicationsPaul L TenzelJordan A BilezikianFrederic E EckhauserWilliam W HopeTension has always been and remains an important concept in hernia repair. Revolutionary techniques in the field of hernia repair have generally aimed to reduce tension and thereby reduce recurrence rates. Despite the uniformly agreed upon idea that tension is an important part of hernia repair, little is known about this subject in ventral and incisional hernias. We reviewed all published journal articles related to abdominal wall tension. Articles were organized into basic science and clinical reports, and results were evaluated for type and technique of tension measurement and implications for clinical practice. Several cadaveric and clinical studies relate to the measurement of abdominal wall tension. Despite similar methods of measuring, there is no uniformly agreed upon device or measurement. Abdominal wall tension has not been correlated with hernia width, and abdominal wall tension measurement has shown to be a useful adjunct intraoperatively. Abdominal wall tension measurements likely have a role in both the research and clinical practice of hernia surgery.http://www.herniasurgeryjournal.org/article.asp?issn=2589-8736;year=2019;volume=2;issue=4;spage=119;epage=124;aulast=Tenzelabdominalherniameasurementstension
spellingShingle Paul L Tenzel
Jordan A Bilezikian
Frederic E Eckhauser
William W Hope
Tension measurements in abdominal wall hernia repair: Concept and clinical applications
International Journal of Abdominal Wall and Hernia Surgery
abdominal
hernia
measurements
tension
title Tension measurements in abdominal wall hernia repair: Concept and clinical applications
title_full Tension measurements in abdominal wall hernia repair: Concept and clinical applications
title_fullStr Tension measurements in abdominal wall hernia repair: Concept and clinical applications
title_full_unstemmed Tension measurements in abdominal wall hernia repair: Concept and clinical applications
title_short Tension measurements in abdominal wall hernia repair: Concept and clinical applications
title_sort tension measurements in abdominal wall hernia repair concept and clinical applications
topic abdominal
hernia
measurements
tension
url http://www.herniasurgeryjournal.org/article.asp?issn=2589-8736;year=2019;volume=2;issue=4;spage=119;epage=124;aulast=Tenzel
work_keys_str_mv AT paulltenzel tensionmeasurementsinabdominalwallherniarepairconceptandclinicalapplications
AT jordanabilezikian tensionmeasurementsinabdominalwallherniarepairconceptandclinicalapplications
AT fredericeeckhauser tensionmeasurementsinabdominalwallherniarepairconceptandclinicalapplications
AT williamwhope tensionmeasurementsinabdominalwallherniarepairconceptandclinicalapplications