Repair of recurrent umbilical hernia with Duramesh™, a suturable mesh: Our first application experience

Yıl 2024, , 97 - 99, 31.05.2024

Hüseyin Kılavuz , Feyyaz Güngör , Murat Demir , İdris Kurtuluş

https://doi.org/10.47482/acmr.1469773

Öz

Suture tension due to the structure of the sutures used during closure of laparotomies and the technique applied, or the cutting of the tissue while the stitches are being pulled, predisposes to incisional hernia. It is known that repairs made with the use of mesh provide more successful results in incisional hernia surgery compared to primary closure of the defect with sutures. For this reason, a multifilament suturable mesh was developed to prevent the suture from cutting the tissue due to tension at the stitch and tissue interface. In this case, the approach and early results of a recurrent umbilical hernia case operated on with suture-shaped mesh (Duramesh™), a new product developed for use in incisional hernias and abdominal closure, are presented.

Anahtar Kelimeler

hernia repair, mesh repair, umbilical hernia

Kaynakça

• Van den Dop LM, Sneiders D, Yurtkap Y, Werba A, van Klaveren D, Pierik REGJM et al; PRIMA Trialist Group. Prevention of incisional hernia with prophylactic onlay and sublay mesh reinforcement vs. primary suture only in midline laparotomies (PRIMA): long-term outcomes of a multicentre, double-blind, randomised controlled trial. Lancet Reg Health Eur. 2023; 36:100787.
• Sanders DL, Pawlak MM, Simons MP, Aufenacker T, Balla A, Berger C et al. Midline incisional hernia guidelines: the European Hernia Society. Br J Surg. 2023; 110(12):1732-1768.
• Deerenberg EB, Henriksen NA, Antoniou GA, Antoniou SA, Bramer WM, Fischer Jp et al. Updated guideline for closure of abdominal wall incisions from the European and American Hernia Societies. Br J Surg. 2022; 109(12):1239-1250.
• Dumanian GA. Suturable mesh demonstrates improved outcomes over standard suture in a porcine laparotomy closure model. Plast Reconstr Surg Glob Open. 2021; 9(10):e3879.
• Deerenberg EB, Harlaar JJ, Steyerberg EW, Lont HE, van Doorn HC, Heisterkamp J et al. Small bites versus large bites for closure of abdominal midline incisions (STITCH): a double-blind, multicentre, randomised controlled trial. Lancet. 2015; 386(10000):1254-1260.
• Hackenberger PN, Mittal M, Fronza J, Shapiro M. Duramesh registry study: short-term outcomes using mesh suture for abdominal wall closure. Front Surg. 2024; 10:1321146.
• Bharadwaj SN, Raikar CH, Dumanian GA, Malaisrie SC. Novel mesh suture may resist bone cutting seen with wire-based sternal closures. JTCVS Tech. 2023; 20:130-137.
• Janes LE, Mioton LM, Fracol ME, Ko JH. An In vivo comparison: Novel mesh suture versus traditional suture-based repair in a rabbit tendon model. J Hand Surg Glob Online. 2021;4(1):32-39.
• Yurtkap Y, den Hartog FPJ, van Weteringen W, Jeekel J, Kleinrensink GJ, Lange JF. Evaluation of a new suture material (Duramesh™) by measuring suture tension in small and large bites techniques for laparotomy closure in a porcine model. Hernia. 2020; 24(6):1317-1324.