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Hernia
Published in: Hernia 4/2019

Open Access 01-08-2019 | How-I-Do-It

Tentacle-shaped mesh for fixation-free repair of umbilical hernias

Authors: G. Amato, G. Romano, A. Agrusa, G. L. Canu, E. Gulotta, E. Erdas, P. G. Calò

Published in: Hernia | Issue 4/2019

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Abstract

Purpose

Mesh fixation and broad overlap represent an open issue in umbilical hernia repair. A proprietary-designed implant with tentacle straps at its boundary has been developed to ensure a suture-free repair and a broader coverage of the abdominal wall. The study describes the results of umbilical hernia procedures carried out with the tentacle-shaped implant and the related surgical technique.

Methods

A proprietary tentacle-shaped flat mesh having a central body with integrated radiating arms at its edge was used to repair large umbilical hernias in 62 patients. The implant was placed in preperitoneal sublay. The friction of the straps, crossing the abdominal wall thanks to a special needle passer, was intended to assure adequate grip to hold the implant in place assuring a fixation-free procedure and broad overlap of the hernia defect.

Results

In a mean follow-up of 48 months (range 10–62 months), 4 seromas and 2 ischemia of the navel skin occurred. No infections, hematomas, chronic pain, mesh dislocation, or recurrence has been reported.

Conclusions

The tentacle strap system of the prosthesis effectively ensured an easier implant placement avoiding the need for suturing the mesh. The arms of the implant ensured a proper orientation and stabilization of the mesh in association with a broad defect overlap. The specifically developed surgical procedure showed a quick postoperative recovery, a very low complication rate, and no recurrences even in the long term.
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Metadata
Title
Tentacle-shaped mesh for fixation-free repair of umbilical hernias
Authors
G. Amato
G. Romano
A. Agrusa
G. L. Canu
E. Gulotta
E. Erdas
P. G. Calò
Publication date
01-08-2019
Publisher
Springer Paris
Published in
Hernia / Issue 4/2019
Print ISSN: 1265-4906
Electronic ISSN: 1248-9204
DOI
https://doi.org/10.1007/s10029-019-01950-8

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