ArticleAnnals of medicine and surgery (2012)2019
Increasing hernia size requires higher GRIP values for a biomechanically stable ventral hernia repair.
Article in Annals of medicine and surgery (2012), 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 9 papers.
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Who cites it
9 citing papers in PubMed.
- Hybrid parastomal endoscopic repair (HyPER): a retrospective case series of 200 patients treated over ten years at a single center.Surgical endoscopy · 2026Article
- STRONGHOLD first-year results of biomechanically calculated abdominal wall repair: a propensity score matching.Hernia : the journal of hernias and abdominal wall surgery · 2024Article
- Biomechanical causes for failure of the Physiomesh/Securestrap system.Scientific reports · 2023Article
- Robotic hernia repair III. English version : Robotic incisional hernia repair with transversus abdominis release (r‑TAR). Video report and results of a cohort study.Der Chirurg; Zeitschrift fur alle Gebiete der operativen Medizen · 2021Review
- [Robotic hernia repair : Part III: Robotic incisional hernia repair with transversus abdominis release (r-TAR). Video report and results of a cohort study].Der Chirurg; Zeitschrift fur alle Gebiete der operativen Medizen · 2021Review
- Subxiphoid top-down endoscopic totally preperitoneal approach (eTPA) for midline ventral hernia repair.Langenbeck's archives of surgery · 2021Article
- Biomechanical Influences on Mesh-Related Complications in Incisional Hernia Repair.Frontiers in surgery · 2021Article
- The Grip Concept of Incisional Hernia Repair-Dynamic Bench Test, CT Abdomen With Valsalva and 1-Year Clinical Results.Frontiers in surgery · 2021Article
- [Preoperative conditioning and surgical strategies for treatment of complex abdominal wall hernias].Der Chirurg; Zeitschrift fur alle Gebiete der operativen Medizen · 2020Review
Corrections and comments
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Authors and funding
5 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundIncreasing hernia sizes lead to higher recurrence rates after ventral hernia repair. A better grip might reduce the failure rates. MATERIAL AND
methodsA biomechanical model delivering dynamic intermittent strain (DIS) was used to assess grip values at various hernia orifices. The model consists of a water-filled aluminium cylinder covered with tissues derived from pig bellies which are punched with a central defect varying in diameter. DIS was applied mimicking coughs lasting for up to 2 s with peak pressures between 180 and 220 mmHg and a plateau phase of 0.1 s. Ventral hernia repair was simulated with hernia meshes in the sublay position secured by tacks, glue or sutures as needed to achieve certain grip values. Grip was calculated taking into account the mesh: defect area ratio and the fixation strength. Data were assessed using non-parametric statistics.
resultsUsing a mesh classified as highly stable upon DIS testing (DIS class A) a reduced overlap without fixation led to early slippage (p < 0.001). With the application of 16 fixation points, transmural sutures were better than tacks with Securestrap
conclusionThe experimental work reported here demonstrates for the first time that higher grip values should be reached when repairing larger ventral hernias.
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