In vivo performance of intraperitoneal onlay mesh after ventral hernia repair

Izabela Lubowiecka; Agnieszka Tomaszewska; Katarzyna Szepietowska; Czesław Kazimierz Szymczak; Maciej Śmietański

doi:10.1016/j.clinbiomech.2020.105076

In vivo performance of intraperitoneal onlay mesh after ventral hernia repair

Abstract

Background: Ventral hernia repair needs to be improved since recurrence, postoperative pain and other complications are still reported in many patients. The behavior of implants in vivo is not sufficiently understood to design a surgical mesh mechanically compatible with the human abdominal wall. Methods: This analysis was based on radiological pictures of patients who underwent laparoscopic ventral hernia repair. The pictures show the trunk of the patient at rest in a standing position and under side bending. The change in the distance between different tacks due to trunk movement was analyzed, which allowed us to determine the in vivo elongation of the mesh incorporated into the abdominal wall. Findings: The relative elongations of the surgical mesh varied from a few percent to greater than 100% in two cases. The median of the median relative elongations obtained for all patients is 9.5%, and the median of the maximum relative elongations for all patients is 32.6%. The maximum elongation occurs between tacks that are next to each other. Trunk movement causes implant deformation, and this study provides quantitative information regarding changes in the distance between fasteners. Interpretation: The physiological movement of the human abdomen must be regarded as a very important factor in mesh deformation and should be considered in surgical practice to reduce the hernia recurrence rate and postoperative pain.

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Authors (5)

Izabela Lubowiecka dr hab. inż.
Agnieszka Tomaszewska dr hab. inż.
Katarzyna Szepietowska dr inż.
Czesław Kazimierz Szymczak (formerly: Czesław Szymczak) prof. dr hab. inż.
Maciej Śmietański

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Articles

Type:

artykuły w czasopismach

Published in:

CLINICAL BIOMECHANICS no. 78,
ISSN: 0268-0033

Language:

English

Publication year:

2020

Bibliographic description:

Lubowiecka I., Tomaszewska A., Szepietowska K., Szymczak C., Śmietański M.: In vivo performance of intraperitoneal onlay mesh after ventral hernia repair// CLINICAL BIOMECHANICS -Vol. 78, (2020), s.105076-

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