Evidence map›Paper›PMID 21594698›Full record

ArticleHernia : the journal of hernias and abdominal wall surgery2011

Evaluation of absorbable and permanent mesh fixation devices: adhesion formation and mechanical strength.

J F Byrd, N Agee, R Z Swan, K N Lau, J J Heath, I H Mckillop, D Sindram, J B Martinie, D A Iannitti

Registry-linked trialAbstract readComparative StudyEvaluation Study
PubMed Publisher
In one paragraph

Article in Hernia : the journal of hernias and abdominal wall surgery, 2011. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT02233569 (COMPARISON OF TWO DIFFERENT CONCEPTS OF MESH AND FIXATION TECHNIQUE IN THE LAPAROSCOPIC OPERATIONS FOR VENTRAL AND INCISIONAL HERNIA - A RANDOMIZED CONTROLLED MONOCENTER TRIAL.), which is not on this map. Cited by 8 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
8citing papers in PubMed, 1 pooled it
2.7field-weighted citation impact, top 11% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

NCT02233569 naterminatednot on this mapstarted 2012, after this paper: background citation

Comparison of two different concepts of mesh and fixation technique in the laparoscopic operations for ventral and incisional hernia - a randomized controlled monocenter trial.

TypeinterventionalSponsorPolish Hernia Study GroupRan2012 to 2014Enrolled50ConditionsHernia, Abdominal, Hernia,VentralArmsIntraperitoneal onlay mesh (IPOM) repair with the use of Phisiomesh implant and Securestrap fixation device., Intraperitoneal onlay mesh (IPOM) repair with the use of Ventralight ST implant with SorbaFix fixation device., Ventralight ST implant, ETHICON PHYSIOMESH®
3 · Its place in the literature

Who cites it

8 citing papers in PubMed, 1 synthesis or guideline pooled it, 28 citations in OpenAlex.

  1. Guideline
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  3. Article
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  5. Mesh & Prosthesis.Hernia : the journal of hernias and abdominal wall surgery · 2015
    Article
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

9 authors at 1 institution in 1 country.

J F ByrdSection of Hepatopancreatobiliary Surgery, Department of General Surgery, Carolinas Medical Center, Morehead Medical Plaza, Suite 300, 1000 Blythe Blvd., Charlotte, NC 28203, USA.
N Agee
R Z Swan
K N Lau
J J Heath
I H Mckillop
D Sindram
J B Martinie
D A Iannitti
Carolinas Medical Center · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeLaparoscopic ventral hernia repair is commonly performed with mesh prostheses; however, there is no standard for fixation devices used to secure mesh to the abdominal wall. This study is a functional comparison of novel, screw-type absorbable and permanent fixation devices with a traditional titanium fixation device.

methodsFifteen pigs each underwent the laparoscopic placement of two 11 × 14-cm mesh prostheses and were randomized for mesh fixation with either titanium spiral tacks (TS), absorbable screw-type fasteners (SF), or permanent screw-type fasteners (PF) (n = 10 mesh prostheses for each fixation group). Adhesions were assessed laparoscopically at 4 weeks. The fixation devices were also embedded in porcine abdominal rectus muscle for ex vivo mechanical testing along with partial thickness polypropylene suture (PR) as a control group (n = 40 for each group). Maximum pull-off forces were measured. All statistical tests were two-tailed, and a P-value < 0.05 was considered to be significant.

resultsThe mean tenacity adhesion scores were 1.40 ± 0.52 (PF), 1.7 ± 0.82 (SF), and 2.6 ± 1.07 (TS). Adhesions in the PF group were significantly less tenacious compared with the TS group (P = 0.01). Quantitative adhesion scores were not significantly different among groups. The maximum pull-off forces, measured in Newtons, were 28.61 N ± 4.89 N (TS), 22.71 N ± 7.86 N (SF), 16.98 N ± 7.59 N (PF), and 20.83 N ± 6.25 N (PR). The pull-off force in the TS group was higher than all of the other groups (P < 0.001). The SF group also had a higher pull-off force compared with the PF group (P < 0.001).

conclusionsThe screw-type absorbable and permanent fixation devices provided adequate fixation and were associated with decreased adhesions in this porcine model.

Indexed as

Surgical MeshAnalysis of VarianceAnimalsEquipment DesignFemaleHernia, VentralHerniorrhaphyLaparoscopyMaterials TestingProsthesis RetentionSwineTissue Adhesions

Identifiers

PMID21594698
OpenAlexW2057689148

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.