Outcomes of various techniques of mesh prosthesis fixation in laparoscopic hernia repair

Thermo/Pressure-Sensitive Self-Fixation Surgical Meshes: The Role of Adhesive Hydrogels in Interface Attachment

“…Inception of hernias, protrusions of organs or tissues outside the cavity in which they are normally housed, is one of the most common disease treated at hospitals and causes one of the most common performed surgery worldwide. , Unfortunately, some complications after surgery such as hernia recurrence, postoperative seroma, and complications related to different prosthetic material and surgical procedures vary considerably . Among the problems associated with the prosthetic material, the formation of peritoneal adhesions between the abdominal viscera and the mesh is a cause for concern. − Therefore, they are the main reasons for why the implantation of a mesh often requires the use of fixation tools to secure it and to avoid displacement or shrinkages. − There are three main options for fixating flat implanted meshes: tissue glue, tacks (or microhooks), and sutures. All of them must ensure good adherence to the tissue to avoid movements of the implanted mesh. , Many authors are exploring alternative methods to promote the mesh self-adhesion to abdominal wall, but preventing nondesirable attachment to viscera. − Pascual and co-workers, for example, have recently compared the in vivo implantation of three commercial PP meshes with bioadhesive hydrogel coatings .…”