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腹膜前腹股沟疝修补三种固定方式的生物力学评估：猪术后24小时研究

Biomechanical evaluation of three fixation modalities for preperitoneal inguinal hernia repair: a 24-hour postoperative study in pigs.

作者信息

Guérin Gaëtan, Bourges Xavier, Turquier Frédéric

机构信息

Covidien-Surgical Solutions, Research and Development, Trévoux, France.

出版信息

Med Devices (Auckl). 2014 Dec 9;7:437-44. doi: 10.2147/MDER.S71035. eCollection 2014.

DOI:10.2147/MDER.S71035
PMID:25525396
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC4267587/
Abstract

PURPOSE

Tacks and sutures ensure a strong fixation of meshes, but they can be associated with pain and discomfort. Less invasive methods are now available. Three fixation modalities were compared: the ProGrip™ laparoscopic self-fixating mesh; the fibrin glue Tisseel™ with Bard™ Soft Mesh; and the SorbaFix™ absorbable fixation system with Bard™ Soft Mesh.

MATERIALS AND METHODS

Meshes (6 cm ×6 cm) were implanted in the preperitoneal space of swine. Samples were explanted 24 hours after surgery. Centered defects were created, and samples (either ten or eleven per fixation type) were loaded in a pressure chamber. For each sample, the pressure, the mesh displacement through the defect, and the measurements of the contact area were recorded.

RESULTS

At all pressures tested, the ProGrip™ laparoscopic self-fixating mesh both exhibited a significantly lower displacement through the defect and retained a significantly higher percentage of its initial contact area than either the Bard™ Soft Mesh with Tisseel™ system or the Bard™ Soft Mesh with SorbaFix™ absorbable fixation system. Dislocations occurred with the Bard™ Soft Mesh with Tisseel™ system and with the Bard™ Soft Mesh with SorbaFix™ absorbable fixation system at physiological pressure (,225 mmHg). No dislocation was recorded for the ProGrip™ laparoscopic self-fixating mesh.

CONCLUSION

At 24 hours after implantation, the mechanical fixation of the ProGrip™ laparoscopic self-fixating mesh was found to be significantly better than the fixation of the Tisseel™ system or the SorbaFix™ absorbable fixation system.

摘要

目的

钉合器和缝线可确保网片牢固固定，但可能会引起疼痛和不适。现在有了侵入性较小的方法。比较了三种固定方式：ProGrip™腹腔镜自固定网片；含巴德™软质网片的纤维蛋白胶Tisseel™；以及含巴德™软质网片的SorbaFix™可吸收固定系统。

材料与方法

将网片（6厘米×6厘米）植入猪的腹膜前间隙。术后24小时取出样本。制造中心缺损，并将样本（每种固定类型十或十一个）放入压力室。记录每个样本的压力、网片通过缺损的位移以及接触面积的测量值。

结果

在所有测试压力下，ProGrip™腹腔镜自固定网片通过缺损的位移均显著更低，且与含Tisseel™系统的巴德™软质网片或含SorbaFix™可吸收固定系统的巴德™软质网片相比，其初始接触面积保留的百分比显著更高。含Tisseel™系统的巴德™软质网片和含SorbaFix™可吸收固定系统的巴德™软质网片在生理压力（<225 mmHg）下发生了移位。ProGrip™腹腔镜自固定网片未记录到移位情况。

结论

植入后24小时，发现ProGrip™腹腔镜自固定网片的机械固定明显优于Tisseel™系统或SorbaFix™可吸收固定系统的固定。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/2e78/4267587/5a56572c5b26/mder-7-437Fig5.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/2e78/4267587/9083f439b376/mder-7-437Fig1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/2e78/4267587/aa85b0494056/mder-7-437Fig2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/2e78/4267587/d61c58876fbb/mder-7-437Fig3.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/2e78/4267587/2cb1997972a5/mder-7-437Fig4.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/2e78/4267587/5a56572c5b26/mder-7-437Fig5.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/2e78/4267587/9083f439b376/mder-7-437Fig1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/2e78/4267587/aa85b0494056/mder-7-437Fig2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/2e78/4267587/d61c58876fbb/mder-7-437Fig3.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/2e78/4267587/2cb1997972a5/mder-7-437Fig4.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/2e78/4267587/5a56572c5b26/mder-7-437Fig5.jpg

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本文引用的文献

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Br J Surg. 2014 Oct;101(11):1373-82; discussion 1382. doi: 10.1002/bjs.9598. Epub 2014 Aug 21.
2
Lower reoperation rates with the use of fibrin sealant versus tacks for mesh fixation.与使用钉合相比，使用纤维蛋白密封剂进行补片固定的再次手术率更低。
Surg Endosc. 2013 Nov;27(11):4184-91. doi: 10.1007/s00464-013-3018-0. Epub 2013 May 30.
3
Impact of the defect size, the mesh overlap and the fixation depth on ventral hernia repairs: a combined experimental and numerical approach.
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World J Gastrointest Surg. 2020 Jul 27;12(7):307-325. doi: 10.4240/wjgs.v12.i7.307.
缺损大小、网片重叠和固定深度对腹疝修补的影响：联合实验和数值方法。
Hernia. 2013 Oct;17(5):647-55. doi: 10.1007/s10029-013-1050-6. Epub 2013 Mar 2.
4
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