From The Ohio State University College of Medicine; the Department of Plastic and Reconstructive Surgery, The Ohio State University; and the Department of Plastic and Reconstructive Surgery, Nationwide Children's Hospital.
Plast Reconstr Surg. 2021 Feb 1;147(2):484-491. doi: 10.1097/PRS.0000000000007584.
Ventral hernias have numerous causes, ranging from sequelae of surgical procedures to congenital deformities. Patients suffering from these hernias experience a reduced quality of life through pain, associated complications, and physical disfigurement. Therefore, it is important to provide these patients with a steadfast repair that restores functionality and native anatomy. To do this, techniques and materials for abdominal wall reconstruction have advanced throughout the decades, leading to durable surgical repairs. At the cornerstone of this lies the use of mesh. When providing abdominal wall reconstruction, a surgeon must make many decisions with regard to mesh use. Along with the type of mesh and plane of placement of mesh, a surgeon must decide on the method of mesh fixation. Fixation of mesh provides an equal distribution of tension and a more robust tissue-mesh interface, which promotes integration. There exist numerous modalities for mesh fixation, each with its own benefits and drawbacks. This Special Topic article aims to compare and contrast methods of mesh fixation in terms of strength of fixation, clinical outcomes, and cost-effectiveness. Methods included in this review are suture, tack, fibrin glue, mesh strip, and self-adhering modes of fixation.
腹壁疝的病因众多，包括手术后遗症、先天性畸形等。这些疝患者会因疼痛、相关并发症和身体畸形而降低生活质量。因此，为这些患者提供功能恢复和解剖结构恢复的可靠修复非常重要。为此，几十年来，腹壁重建技术和材料不断发展，从而实现了持久的手术修复。其中的基石是使用网片。在进行腹壁重建时，外科医生必须就网片的使用做出许多决策。除了网片的类型和放置平面外，外科医生还必须决定网片固定的方法。网片的固定可以使张力均匀分布，并形成更牢固的组织-网片界面，从而促进融合。网片固定有许多方法，每种方法都有其优缺点。本专题文章旨在比较和对比网片固定的方法，包括固定强度、临床结果和成本效益。本综述纳入的方法包括缝合、钉、纤维蛋白胶、网片条带和自粘固定方式。
