ArticleHernia : the journal of hernias and abdominal wall surgery2017
Mesh shrinkage depends on mesh properties and anchoring device: an experimental long-term study in sheep.
Article in Hernia : the journal of hernias and abdominal wall surgery, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 17 papers.
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Who cites it
17 citing papers in PubMed.
- Extended validation of the mesh integration (MINT) index: a 1-year porcine study.Surgical endoscopy · 2026Article
- Validating the mesh integration (MINT) index: a 3-month porcine study.Surgical endoscopy · 2026Article
- Analysis of mesh-related factors associated with recurrence and treatment outcomes after laparoscopic inguinal hernia repair.Surgical endoscopy · 2025Article
- Transabdominal pre-peritoneal hernia repair: risk of operation for recurrence depends on choice of both mesh and fixation device. A study from the Danish Hernia Database.Hernia : the journal of hernias and abdominal wall surgery · 2025Article
- Assessment of mesh shrinkage using fibroblast-populated collagen matrices: a proof of concept for in vitro hernia mesh testing.Hernia : the journal of hernias and abdominal wall surgery · 2024Article
- Abdominal wall hernia repair: from prosthetic meshes to smart materials.Materials today. Bio · 2023Review
- Prospective cohort study on mesh shrinkage measured with MRI after robot-assisted minimal invasive retrorectus ventral hernia repair using an iron-oxide-loaded polyvinylidene fluoride mesh.Surgical endoscopy · 2023Observational
- Mesh erosion into the rectum after laparoscopic posterior rectopexy: A case report.International journal of surgery case reports · 2022Article
- Safety and efficacy of absorbable and non-absorbable fixation systems for intraperitoneal mesh fixation: an experimental study in swine.Hernia : the journal of hernias and abdominal wall surgery · 2022Article
- Association of Mesh and Fixation Options with Reoperation Risk after Laparoscopic Groin Hernia Surgery: A Swedish Hernia Registry Study of 25,190 Totally Extraperitoneal and Transabdominal Preperitoneal Repairs.Journal of the American College of Surgeons · 2022Article
- The Myopectineal Orifice: A Study of Thai Cadavers.Frontiers in surgery · 2022Article
- Prospective ultrasonographic follow-up of transvaginal lightweight meshes: a 1-year multicenter study.International urogynecology journal · 2021Observational
- Comment to: A simplified surgical technique for recurrent inguinal hernia repair following total extraperitoneal patch plastic. Knyazeva P, Alesina PF, Stadelmeier P, et al.Hernia : the journal of hernias and abdominal wall surgery · 2018Article
- Prospective cohort study on mesh shrinkage measured with MRI after laparoscopic ventral hernia repair with an intraperitoneal iron oxide-loaded PVDF mesh.Surgical endoscopy · 2018Observational
- Adding sutures to tack fixation of mesh does not lower the re-operation rate after laparoscopic ventral hernia repair: a nationwide cohort study.Langenbeck's archives of surgery · 2018Article
- An easier Lichtenstein hernioplasty.Hernia : the journal of hernias and abdominal wall surgery · 2018Article
- Intraluminal mesh migration causing enteroenteric and enterocutaneous fistula: a case and discussion of the 'mesh problem'.BMJ case reports · 2018Article
Corrections and comments
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Authors and funding
6 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
purposeThe choice of mesh and anchoring device in laparoscopic ventral hernia repair is controversial. Clinically important long-term properties of mesh and anchoring device such as mesh shrinkage have been sparsely investigated. Furthermore, the effect of various anchoring devices on mesh properties has never been examined.
methodsIn 20 sheep, using laparoscopy, we inserted three PhysiomeshTM (large pore, lightweight) and three VentralightTMST (small pore, mediumweight), anchored with ProTackTM, SecurestrapTM or GlubranTM, respectively. After 6 and 12 months, 10 sheep at each time-point, we euthanized the animals, harvested the meshes with fascia, and measured the exact size and area of the mesh, expressing mesh shrinkage as a percentage of the initial area.
resultsThe shrinkage of PhysiomeshTM was 35.7 %, 23.8 % and 17.7 % when anchored with ProtackTM, GlubranTM or SecurestrapTM, respectively. Shrinkage with ProtackTM was significantly higher than with either GlubranTM or SecurestrapTM, respectively (p<0.01 and p<0.01). The shrinkage of VentralightTMST was 19.3 %, 22.2 % and 19.6 % when anchored with ProtackTM, GlubranTM and SecurestrapTM, respectively (p>0.05 for all pairwise comparisons). Overall shrinkage of PhysiomeshTM anchored with ProtackTM was significantly higher for all comparisons (p<0.01).
conclusionOur results suggest that mesh shrinkage in sheep takes place within 6 months after implantation. A significant interaction between mesh and type of anchoring indicates that shrinkage may depend on both mesh properties and anchoring device. The results of the current study imply that the combined effect of mesh and anchoring device should be evaluated in future studies.
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Registered trials
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