BURSTING STRENGTH EVALUATION - COMPARISON OF 0-PROLENE SUTURES AND ENDOSCOPIC STAPLES IN AN EXPERIMENTAL PROSTHETIC PATCH REPAIR OF ABDOMINAL-WALL DEFECT

被引：5

作者：

DION, YM

CHARARA, J

GUIDOIN, R

机构：

[1] Department of Surgery, Laval University, Saint-François d'Assise Hospital, Quebec City, G1L 3L5, Quebec

[2] Quebec Biomaterials Institute, Saint-François d'Assise Hospital, Quebec City, G1L 3L5, Quebec

来源：

SURGICAL ENDOSCOPY-ULTRASOUND AND INTERVENTIONAL TECHNIQUES | 1994年 / 8卷 / 07期

关键词：

ABDOMINAL WALL DEFECT; BURSTING STRENGTH; POLYPROPYLENE MESH; ENDOSCOPIC STAPLES;

D O I：

10.1007/BF00593449

中图分类号：

R61 [外科手术学];

学科分类号：

摘要：

Recently, titanium staples have been designed to stabilize a small prosthetic mesh used for laparoscopic herniorrhaphy. Unlike the giant prosthesis employed by Stoppa, the small mesh must be fixed to the surrounding musculo-aponeurotic defect. The strength of these titanium staples has never been evaluated and was compared to 0-Prolene sutures. In an ex vivo study, we evaluated the maximal stress (bursting strength [BS]) a repair performed with 0-Prolene sutures or staples can bear. Bilateral abdominal-wall defects were created in 16 piglets. A Prolene mesh was fixed preperitoneally on one side of the abdomen with 0-Prolene sutures and on the other side with the Endopath EMS stapler or the Endo Hernia stapler. The mean BS of meshes attached with 0-Prolene was 1,461.7 mmHg. The mean BS of meshes fixed with Endopath EMS staples was 885.5 mmHg and that of meshes fixed with Endo Hernia staples was 665.2 mmHg. A repair with 0-Prolene sutures is stronger (P < 0.05) than one with staples (Endopath EMS or Endo Hernia). Also, repair with an Endopath EMS stapler has a significantly higher BS (P < 0.05) than one with the Endo Hernia stapler. In the second part of the study, evaluation of the longitudinal tensile strength also showed that 0-Prolene sutures are stronger (P < 0.05) than staples. Endopath EMS staples are stronger (P < 0.05) than Endo Hernia staples.

引用

页码：812 / 816

页数：5

共 24 条

[1]

Bassini E., Nuovo metodo per la cura radicale dellernia inguinale, (1889)

[2]

Bendavid R., New techniques in hernia repair, World J Surg, 13, pp. 522-531, (1989)

[3]

Grew N.D., Intraabdominal pressure response to loads applied to the torso in normal subjects, Spine, 5, 2, pp. 149-154, (1980)

[4]

Hemborg B., Moritz U., Hamberg J., Holtrom E., Lowing H., Akesson I., Intra-abdominal pressure and trunk muscle activity during lifting, Scand J Rehab Med, 17, pp. 15-24, (1985)

[5]

Lazorthes F., Browne A.F., Cure de hernie inguinale selon la technique de Shouldice, J Chir, 121, 12, pp. 765-770, (1984)

[6]

Lichtenstein I.L., Shulman A.G., Amid P.K., Montllor M.M., The tension free hernioplasty, Am J Surg, 157, 2, pp. 188-193, (1989)

[7]

McVay C.B., Chapp J.D., Inguinal and femoral hernioplasty. Evaluation of a basic concept, Ann Surg, 148, pp. 499-512, (1958)

[8]

Nacheon A.L., Andersson G.B.J., Schultz A.B., Valsalva manuever biomechanics. Effects on lumbar trunk loads of elevated intraabdominal pressures, Spine, 11, 5, pp. 476-479, (1986)

[9]

Nyhus L.M., The recurrent groin hernia: therapeutic solutions, World J Surg, 13, pp. 541-544, (1989)

[10]

Nyhus L.M., Klein, Rogers F.B., Inguinal hernia, Curr Probl Surg, 28, 6, pp. 401-450, (1991)

← 1 2 3 →