Repair of Spigelian hernias with a tentacle shaped implant and highlighting the results of the procedure
The surgical treatment of Spigelian hernias is mainly carried out with prosthetic meshes made of biocompatible material. In prosthetic repair of abdominal protrusions, mesh fixation and overlap of the mesh are source of complications. To avoid these problems, for a fixation free repair of Spigelian hernias has been developed a tentacle shaped implant, that should also assure a broader defect overlap. This study should highlight in a cohort of patients the long-term results of fixation free repair of Spigelian hernias carried out with tentacle mesh.
Study Type
INTERVENTIONAL
Allocation
NA
Purpose
TREATMENT
Masking
NONE
Enrollment
54
Spigelian hernias are repaired through the fixation free placement of a tentacle mesh in preperitoneal sublay thanks the friction exerted by the tentacle straps delivered by a proprietary needle passer crossing trouh the abdominal wall from the preperitoneal space until the subutaneous layer. This procedural approach should also grant a broad overlap of the implant over the hernial defect
Fixation free prosthetic repair of Spigelian hernias with tentacle mesh
Feasibility of fixation free placement of tentacle mesh in Spigelian hernia repair
Time frame: Intraoperative
Granting a broad implant overlap in prosthetic repair of Spigelian hernias with tentacle mesh
Granting a broad overlap over the hernial defect after placement in preperitoneal sublay of tentacle mesh in Spigelian hernia repair with tentacle mesh to reduce risks of recurrence in the long term postop.
Time frame: between 6 and 84 months postop
Intra-operative features
reduction of the operative time length
Time frame: intraoperatively
Postoperative features 1
Postoperative pain assessment with VAS scoring system
Time frame: between 6 and 84 months postop
Postoperative features 2
Assessment of postoperative complications
Time frame: between 6 and 84 months postop
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