Fixation free incisional hernia repair with a newly designed mesh with integrated bands

2012

Introdution: Implant fixation and how to ensure adequate mesh overlap are key issues in abdominal hernia repair. A newly developed technique for ventral and incisional hernia repair using a proprietary implant with incorporated straps makes fixation unnecessary through tissue friction. This new implant allows for a broader coverage of the abdominal wall and results in simplified repair. Midterm follow- up in a cohort of patients indicates a decrease in postoperative com- plications and no recurrences to date. Matcrial and methods: A lightweight, large porous polypropylene mesh with a central body and eight radiating arms was used to repair ventral or incisional hernia. The implant was place…

New mesh shape and improved implantation procedure to simplify and standardize open ventral hernia repair: a preliminary report.

2010

Introduction Issues in ventral hernia repair are represented by the need for mesh fixation and how to assure a sufficient mesh overlap of the defect. Aiming to resolve these problems, this study describes a modified technique for ventral and incisional hernia repair based upon a newly developed mesh with a special design. This new type of implant allows broader coverage of the abdominal wall and results in tension- and fixation-free repair. Materials and methods A unique geometrically shaped mesh consisting of a large central body and radiating arms was used to repair ventral or incisional hernia. The mesh was intended not to be point-fixated. The friction of the straps passing through the …

Innervation der subperitonealen Beckenetage: Möglichkeiten zur Optimierung der Rektumchirurgie

2006

Einleitung: Bei totaler mesorektaler Exzision (TME) soll die Rate postoperativer urogenitaler Funktionsstorungen durch genauere topographische Kenntnisse von Faszien- und Nervenverlaufen weiter abgesenkt werden. Methodik: An 10 anatomischen Korperspenden wurden makroskopische Praparationen, schnittanatomische Studien, histologische und immunhistochemische Untersuchungen sowie Morphometrien durchgefuhrt. Es wurden Faszienverhaltnisse und Nervenverlaufe analysiert. Ergebnisse: Die neurovaskularen Bundel zeigen als Auslaufer des Plexus hypo gastricus inferior die Hochste Dichte von Nervengewebe. Am lateralen Rand der Denonvilliers-Faszie treten sie unter der Fascia pelvis parietalis hervor. Za…

Fixation free open ventral hernia repair using a new mesh with integrated placement straps

2011