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Time Savings and Surgery Task Load Reduction in Open Intraperitoneal Onlay Mesh Fixation Procedure.

Sanjoy Roy1, Jeffrey Hammond2, Jessica Panish1

  • 1Global Health Economics and Market Access, Ethicon, Somerville, NJ, USA.

Thescientificworldjournal
|August 5, 2015
PubMed
Summary

Mechanical fixation significantly reduces surgeon stress and procedure time in open ventral hernia repair. This approach may enhance surgical efficiency and surgeon well-being.

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Area of Science:

  • General Surgery
  • Surgical Innovation
  • Hernia Repair Techniques

Background:

  • Open ventral hernia repair often involves prolonged procedure times.
  • Traditional suture fixation for intraperitoneal onlay mesh (IPOM) can contribute to surgeon stress.
  • Assessing methods to reduce surgeon stress and improve efficiency is crucial.

Purpose of the Study:

  • To evaluate the impact of mechanical fixation versus suture fixation on surgeon stress.
  • To quantify the reduction in procedure time using mechanical fixation for IPOM.
  • To compare surgeon stress levels between mechanical and suture fixation methods in open ventral hernia repair.

Main Methods:

  • Nine surgeons performed 36 open IPOM fixation procedures in a porcine model.
  • Each surgeon completed both mechanical (ETHICON SECURESTRAP™ Open) and suture fixation procedures.
  • Procedure time was recorded, and surgeon stress was measured using the SURG-TLX questionnaire.

Main Results:

  • Mechanical fixation reduced fixation time by 89.1% compared to suture fixation (p < 0.00001).
  • Surgeon stress scores were 55.5% lower with mechanical fixation (p < 0.001).
  • Five of six measured stress sources were significantly lower in the mechanical fixation group.

Conclusions:

  • Mechanical fixation with ETHICON SECURESTRAP™ Open significantly decreases fixation time and surgeon stress.
  • This method offers potential for improved surgical efficiency and operating room performance.
  • Reduced surgeon stress may lead to enhanced quality of life and lower procedural costs.