With a 13 percent global prevalence, migraine headaches are the most commonly diagnosed and treated neurologic disorder. 1 The economic burden of migraines reaches $20 billion annually, stemming from missed work and medical treatment. 2 The notion that migraines occur and propagate from insults to peripheral nerves has been discussed for centuries. 3 Surgical intervention to cauterize vasculature to treat migraines has a rich history that began with the famous physician Al-Zahrawi in the tenth and eleventh centuries. 3 More recently, migraine surgery has made strides in part because of the discovery that migraines can be triggered at specific sites of peripheral nerve compression across the head and neck. [4][5][6] Furthermore, the
Summary:
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.
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