Amato G, Romano G, Agrusa A, Canu G L, Gulotta E, Erdas E, Calò P G
Postgraduate School of General Surgery, University of Cagliari, Cittadella Universitaria di Monserrato, 09042, Monserrato - Cagliari, Italy.
Department of General Surgery and Urgency, University of Palermo, Palermo, Italy.
Hernia. 2019 Aug;23(4):801-807. doi: 10.1007/s10029-019-01950-8. Epub 2019 Apr 12.
Mesh fixation and broad overlap represent an open issue in umbilical hernia repair. A proprietary-designed implant with tentacle straps at its boundary has been developed to ensure a suture-free repair and a broader coverage of the abdominal wall. The study describes the results of umbilical hernia procedures carried out with the tentacle-shaped implant and the related surgical technique.
A proprietary tentacle-shaped flat mesh having a central body with integrated radiating arms at its edge was used to repair large umbilical hernias in 62 patients. The implant was placed in preperitoneal sublay. The friction of the straps, crossing the abdominal wall thanks to a special needle passer, was intended to assure adequate grip to hold the implant in place assuring a fixation-free procedure and broad overlap of the hernia defect.
In a mean follow-up of 48 months (range 10-62 months), 4 seromas and 2 ischemia of the navel skin occurred. No infections, hematomas, chronic pain, mesh dislocation, or recurrence has been reported.
The tentacle strap system of the prosthesis effectively ensured an easier implant placement avoiding the need for suturing the mesh. The arms of the implant ensured a proper orientation and stabilization of the mesh in association with a broad defect overlap. The specifically developed surgical procedure showed a quick postoperative recovery, a very low complication rate, and no recurrences even in the long term.
在脐疝修补术中，补片固定和广泛重叠仍是一个未解决的问题。已研发出一种专利设计的植入物，其边缘带有触手状束带，以确保无缝合修补以及对腹壁更广泛的覆盖。本研究描述了使用触手状植入物进行脐疝手术的结果及相关手术技术。
使用一种专利的触手状扁平补片，其中心主体边缘带有一体式放射状臂，用于修复62例大型脐疝患者。将植入物置于腹膜前间隙。借助一种特殊的穿针器，束带穿过腹壁，其摩擦力旨在确保对植入物有足够的抓地力，从而在无需固定的情况下将植入物固定到位，并使疝缺损得到广泛重叠覆盖。
平均随访48个月（范围10 - 62个月），发生4例血清肿和2例脐部皮肤缺血。未报告感染、血肿、慢性疼痛、补片移位或复发情况。
假体的触手状束带系统有效地确保了植入物更容易放置，无需缝合补片。植入物的臂确保了补片在正确的方向上稳定，同时疝缺损得到广泛重叠覆盖。专门研发的手术方法显示术后恢复快，并发症发生率极低，即使长期也无复发。
