Tensile strength and adhesion formation of mesh fixation systems used in laparoscopic incisional hernia repair

Abstract

Suture fixation led to satisfactory attachment of the prosthesis. Additional widespread anchorage of the mesh was achieved with ProTack or AbsorbaTack. The feasibility and retention strength of the I-Clip were poor.

Mesh shrinkage and pain in laparoscopic ventral hernia repair: a randomized clinical trial comparing suture versus tack mesh fixation

“…The results from this study confirm experimental [11,19] and clinical data [9] showing that tensile strength of suture fixation is significantly higher compared with tack fixation. A recent prospective study investigated the outcome between three different fixation methods: nonabsorbable suture, absorbable sutures, and double crown technique [9].…”

Biomechanical evaluation of potential damage to hernia repair materials due to fixation with helical titanium tacks

“…Bard/Davol, Inc., Warwick, RI, USA), I-Clip (Covidien), and SorbaFix (C.R. Bard/Davol, Inc) have been shown to provide more initial fixation strength than fibrin sealants, but it still is unknown whether mesh migration and hernia recurrence occur after the fixation devices are completely resorbed in the setting of a bridged intraperitoneal repair [6,9]. Although fibrin sealants have the potential to decrease the incidence of chronic pain associated with other fixation devices, the fixation strengths achieved by these sealants are very low compared with those of other techniques [6] and could lead to migration of the mesh and hernia recurrence.…”

Novel technique of overlaying a poly-l-lactic acid nanosheet for adhesion prophylaxis and fixation of intraperitoneal onlay polypropylene mesh in a rabbit model

“…These meshes also require fixation to the site of the hernia defect. Therefore, various techniques for fixation of mesh have been used clinically (e.g., sutures, anchors, tacks, and staples), although these surgical maneuvers and fixation elements sometimes cause iatrogenic tissue trauma, leading to chronic pain [2] and tissue adhesion [3].…”