Tentacle Mesh for Fixation-Free Spigelian Hernia Repair: Mini-Invasive Approach Granting Broad Defect Overlap
Abstract
:1. Introduction
2. Material and Methods
2.1. The Device
2.2. Procedural Steps
2.3. Follow-Up Protocol
3. Results
4. Discussion
5. Conclusions
- (a)
- Simplified mini-invasive procedure with a fully fixation-free implant deployment;
- (b)
- Wide overlap of the hernia defect ensuring a broad coverage of the posterior abdominal wall;
- (c)
- Short duration of the surgical procedure with the absence of intraoperative complications;
- (d)
- Minimal pain allowing for an outpatient system procedure and quick return to daily activities;
- (e)
- Negligible rate of postoperative complications; no chronic pain;
- (f)
- Easy postoperative US detection of the implant elements in light of recurrence prediction.
Author Contributions
Funding
Institutional Review Board Statement
Informed Consent Statement
Data Availability Statement
Conflicts of Interest
References
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Patient Characteristics | Hernia Types |
---|---|
Number of patients: 54 (24 male–30 female) | Primary Spigelian hernia: 48 (7 incarcerated) |
Mean BMI: 27.40 (24–31) | Recurrent Spigelian hernia: 6 (2 multi-recurrent–1 incarcerated) |
Mean age: 64 years (53–76) | Mean hernia defect size: 2.5 cm (1.5–3 cm) |
Procedure Details | |
---|---|
Anesthesia | Local: 45 General: 9 |
Mean mesh overlap | 6 cm (5–7 cm) |
Time needed for mesh placement and strap positioning | Mean: 6 min (range 4–8 min) |
Hospital stay | |
Uncomplicated patients: 46 | 1 day |
Patients with incarcerated hernias: 8 | 2 days |
Postoperative Complications Mean Follow-Up Length: 64 Months (6–84 Months) | |
---|---|
Wound infection | 0 (0%) |
Seroma | 4 |
Recurrence | 0 (0%) |
Total complication rate | 7.41% |
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Amato, G.; Agrusa, A.; Buscemi, S.; Di Buono, G.; Calò, P.G.; Vella, R.; Romano, G.; Barletta, G.; Cassata, G.; Cicero, L.; et al. Tentacle Mesh for Fixation-Free Spigelian Hernia Repair: Mini-Invasive Approach Granting Broad Defect Overlap. J. Clin. Med. 2023, 12, 3866. https://doi.org/10.3390/jcm12123866
Amato G, Agrusa A, Buscemi S, Di Buono G, Calò PG, Vella R, Romano G, Barletta G, Cassata G, Cicero L, et al. Tentacle Mesh for Fixation-Free Spigelian Hernia Repair: Mini-Invasive Approach Granting Broad Defect Overlap. Journal of Clinical Medicine. 2023; 12(12):3866. https://doi.org/10.3390/jcm12123866
Chicago/Turabian StyleAmato, Giuseppe, Antonino Agrusa, Salvatore Buscemi, Giuseppe Di Buono, Pietro Giorgio Calò, Roberta Vella, Giorgio Romano, Gabriele Barletta, Giovanni Cassata, Luca Cicero, and et al. 2023. "Tentacle Mesh for Fixation-Free Spigelian Hernia Repair: Mini-Invasive Approach Granting Broad Defect Overlap" Journal of Clinical Medicine 12, no. 12: 3866. https://doi.org/10.3390/jcm12123866
APA StyleAmato, G., Agrusa, A., Buscemi, S., Di Buono, G., Calò, P. G., Vella, R., Romano, G., Barletta, G., Cassata, G., Cicero, L., & Romano, G. (2023). Tentacle Mesh for Fixation-Free Spigelian Hernia Repair: Mini-Invasive Approach Granting Broad Defect Overlap. Journal of Clinical Medicine, 12(12), 3866. https://doi.org/10.3390/jcm12123866