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Application of a New Mesh Fixation Method in Laparoscopic Incisional Hernia Repair
Published on: December 23, 2022
Trans-fascial laparoscopic mesh fixation: a procedural comparison using the standard suture passer versus iMESH
R Elazary1, M Abu-Gazala, A Schlager
1Department of Surgery, Hadassah-Hebrew University Medical Center, Campus Ein-Kerem, PO Box 12000, 91120, Jerusalem, Israel. ramelazary@hadassah.org.il
Hernia : the Journal of Hernias and Abdominal Wall Surgery
|January 25, 2011
Summary
The iMESH Stitcher™ significantly reduces procedure time and difficulty for laparoscopic incisional hernia repair. This new device simplifies trans-fascial mesh fixation compared to traditional suture passers.
Area of Science:
- Minimally Invasive Surgery
- Surgical Devices
- Hernia Repair
Background:
- Laparoscopic mesh repair is a common incisional hernia treatment.
- Current fixation methods involve tacks and trans-fascial sutures.
- The iMESH Stitcher™ is a novel device designed to streamline mesh fixation.
Purpose of the Study:
- To compare the efficacy and procedure time of the iMESH Stitcher™ versus standard suture passers for trans-fascial mesh fixation.
- To evaluate the technical ease and time efficiency of the iMESH Stitcher™.
Main Methods:
- A porcine model was used to simulate internal abdominal wall mesh placement.
- Surgical residents and medical students performed mesh fixations using both techniques.
- Procedural time and subjective difficulty scores were recorded for each method.
Main Results:
- iMESH Stitcher™ fixation time averaged 15-17 seconds, compared to 44-47 seconds for the suture passer.
- Subjective difficulty scores were significantly lower for the iMESH Stitcher™ (2.9) versus the suture passer (6.1).
- The iMESH Stitcher™ demonstrated a substantial reduction in both time and perceived difficulty.
Conclusions:
- Trans-fascial fixation using the iMESH Stitcher™ is significantly faster than the standard suture passer method.
- The iMESH Stitcher™ simplifies the trans-fascial fixation procedure.
- The device has the potential to reduce technical challenges in laparoscopic hernia repair.
