Abstract:
PURPOSE:We developed a new technique, sutureless mesh fixation, using 2-octyl cyanoacrylate (Dermabond®, a surgical tissue adhesive) for incisional hernia repair. The objective of this article is to introduce the new technique and to examine whether the technique provides sufficient resistance to abdominal pressure. METHODS:We conducted two tests using a porcine model, a traction experiment and artificial pneumoperitoneum test. In the traction experiment, the adherence properties of Dermabond® with mesh and peritoneum were examined using a tissue fragment from a pig. In the artificial pneumoperitoneum test, which used an incisional hernia porcine model, mesh was implanted on the peritoneum in the abdominal cavity with Dermabond®. It was then determined whether sutureless mesh fixation could bear artificial abdominal air pressure. RESULTS:In the traction experiment, Dermabond®, which bonded the mesh to the peritoneum, tolerated pressure up to 2.45 × 103 mmHg. In the artificial pneumoperitoneum test, the mesh was strongly fastened to the peritoneum by means of only Dermabond®, and there was little air circulation even without closing the wound over the mesh. CONCLUSIONS:Sutureless mesh fixation with Dermabond® is technically feasible and promises to provide sufficient resistance to abdominal pressure.
journal_name
Surg Todayjournal_title
Surgery todayauthors
Saito Y,Kubota K,Okada A,Deguchi T,Kuroda J,Nitori N,Kadomura T,Yoshida M,Kitajima Mdoi
10.1007/s00595-015-1161-zsubject
Has Abstractpub_date
2016-01-01 00:00:00pages
123-128issue
1eissn
0941-1291issn
1436-2813pii
10.1007/s00595-015-1161-zjournal_volume
46pub_type
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