Effects of suture tecnique on mesh shrinkage
Summary: Objective: Polypropylene meshes are one of the most frequently used patches in inguinal hernia repairs. This material was proved to be not completely inert, and may cause inflammatory responses like foreign body reactions. One of the physical results of these inflammatory reactions against...
| Main Authors: | , , , , |
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| Format: | Article |
| Language: | English |
| Published: |
Elsevier
2019-01-01
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| Series: | Asian Journal of Surgery |
| Online Access: | http://www.sciencedirect.com/science/article/pii/S1015958417304724 |
| _version_ | 1819040913635147776 |
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| author | Okan Demiray Dogan Gonullu Mehmet Lari Gedik Aysenur Akyildiz Igdem Ferda Nihat Koksoy |
| author_facet | Okan Demiray Dogan Gonullu Mehmet Lari Gedik Aysenur Akyildiz Igdem Ferda Nihat Koksoy |
| author_sort | Okan Demiray |
| collection | DOAJ |
| description | Summary: Objective: Polypropylene meshes are one of the most frequently used patches in inguinal hernia repairs. This material was proved to be not completely inert, and may cause inflammatory responses like foreign body reactions. One of the physical results of these inflammatory reactions against the mesh is mesh shrinkage which is responsible for recurrence and pain. In this study, we aimed to investigate the effects of the suture technique on mesh shrinkage. Methods: 36 animals were used for the study. Subjects were divided into 3 groups. In the first group the mesh (onlay) was not fixated by any means. In the second group, mesh was placed on the abdomen wall, after which the mesh was fixated with interrupted suturing. In the third group, continuous suturing was applied after the placement of the mesh. Mesh shrinkage was measured macroscopically, and the mesh site reaction was evaluated microscopically. At the end of the second month, 18 subjects were sacrificed again to conduct the same procedure. Results and Conclusion: When meshes are used for hernia repairs, shrinkage may be observed in meshes placed on fascia. In the first group without mesh fixation, mesh shrinkage was more significant in the second month compared to the first month. The amount of shrinkage of without fixation group was found to significantly differ during the second month from interrupted and continuous suture groups. Even though statistically not significant, fixation of the mesh with interrupted sutures seems to be more advantageous compared to fixation with continuous sutures. Keywords: mesh shrinkage, suture technique, hernia repair |
| first_indexed | 2024-12-21T09:16:39Z |
| format | Article |
| id | doaj.art-9aa2dff19bef4707a1a385cac6158d50 |
| institution | Directory Open Access Journal |
| issn | 1015-9584 |
| language | English |
| last_indexed | 2024-12-21T09:16:39Z |
| publishDate | 2019-01-01 |
| publisher | Elsevier |
| record_format | Article |
| series | Asian Journal of Surgery |
| spelling | doaj.art-9aa2dff19bef4707a1a385cac6158d502022-12-21T19:09:09ZengElsevierAsian Journal of Surgery1015-95842019-01-01421224227Effects of suture tecnique on mesh shrinkageOkan Demiray0Dogan Gonullu1Mehmet Lari Gedik2Aysenur Akyildiz Igdem3Ferda Nihat Koksoy4Taksim Gaziosmanpasa Training and Research Hospital, General Surgery Clinic, Istanbul, Turkey; Corresponding author. Taksim Gaziosmanpasa Research and Teaching Hospital, General Surgery Clinic Karayollari mah, No:133 Gaziosmanpasa, 34210, Istanbul, Turkey.Taksim Gaziosmanpasa Training and Research Hospital, General Surgery Clinic, Istanbul, TurkeyOrdu Fatsa State Hospital, General Surgery Department, Ordu, Istanbul, TurkeyTaksim Gaziosmanpasa Training and Research Hospital, Pathology Clinic, Istanbul, TurkeyTaksim Gaziosmanpasa Training and Research Hospital, General Surgery Clinic, Istanbul, TurkeySummary: Objective: Polypropylene meshes are one of the most frequently used patches in inguinal hernia repairs. This material was proved to be not completely inert, and may cause inflammatory responses like foreign body reactions. One of the physical results of these inflammatory reactions against the mesh is mesh shrinkage which is responsible for recurrence and pain. In this study, we aimed to investigate the effects of the suture technique on mesh shrinkage. Methods: 36 animals were used for the study. Subjects were divided into 3 groups. In the first group the mesh (onlay) was not fixated by any means. In the second group, mesh was placed on the abdomen wall, after which the mesh was fixated with interrupted suturing. In the third group, continuous suturing was applied after the placement of the mesh. Mesh shrinkage was measured macroscopically, and the mesh site reaction was evaluated microscopically. At the end of the second month, 18 subjects were sacrificed again to conduct the same procedure. Results and Conclusion: When meshes are used for hernia repairs, shrinkage may be observed in meshes placed on fascia. In the first group without mesh fixation, mesh shrinkage was more significant in the second month compared to the first month. The amount of shrinkage of without fixation group was found to significantly differ during the second month from interrupted and continuous suture groups. Even though statistically not significant, fixation of the mesh with interrupted sutures seems to be more advantageous compared to fixation with continuous sutures. Keywords: mesh shrinkage, suture technique, hernia repairhttp://www.sciencedirect.com/science/article/pii/S1015958417304724 |
| spellingShingle | Okan Demiray Dogan Gonullu Mehmet Lari Gedik Aysenur Akyildiz Igdem Ferda Nihat Koksoy Effects of suture tecnique on mesh shrinkage Asian Journal of Surgery |
| title | Effects of suture tecnique on mesh shrinkage |
| title_full | Effects of suture tecnique on mesh shrinkage |
| title_fullStr | Effects of suture tecnique on mesh shrinkage |
| title_full_unstemmed | Effects of suture tecnique on mesh shrinkage |
| title_short | Effects of suture tecnique on mesh shrinkage |
| title_sort | effects of suture tecnique on mesh shrinkage |
| url | http://www.sciencedirect.com/science/article/pii/S1015958417304724 |
| work_keys_str_mv | AT okandemiray effectsofsuturetecniqueonmeshshrinkage AT dogangonullu effectsofsuturetecniqueonmeshshrinkage AT mehmetlarigedik effectsofsuturetecniqueonmeshshrinkage AT aysenurakyildizigdem effectsofsuturetecniqueonmeshshrinkage AT ferdanihatkoksoy effectsofsuturetecniqueonmeshshrinkage |