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- Title
Comparison of adhesion formation associated with Pro-Tack (US Surgical) versus a new mesh fixation device, Salute (ONUX Medical).
- Authors
LeBlanc, K. A.; Stout, R. W.; Kearney, M. T.; Paulson, D. B.
- Abstract
<bold>Background: </bold>We evaluated efficacy and associated adhesion formation of an innovative mesh fixation device versus the helical tack device and analyzed two implantation techniques.<bold>Methods: </bold>Six purpose-bred female hounds were evaluated in this 90-day survival study. Six 4-cm round patches of 1-mm thick DualMesh were fixed to the abdominal wall with either 10 Pro-Tack or 10 Salute constructs in each patch. Zero to 4 additional patches were implanted with only Salute constructs.<bold>Results: </bold>Adhesion severity scores were significantly higher for middle left abdominal wall sites versus lower right and upper left sites. The adhesion dissection score was higher for group T (Pro-Tack) versus group S (Salute).<bold>Conclusion: </bold>No significant effects occurred with adhesion extent scores, but group T developed denser adhesions. The second analysis determined that no significant differences existed relevant to secondary Salute placement, although the total score approached significance (p < 0.09). Salute equipment was easier to handle and allowed repositioning of the patch during operation.
- Subjects
LAPAROSCOPIC surgery; ENDOSCOPIC surgery; VENTRAL hernia; DISSECTION; SURGICAL instruments; SURGERY; HERNIA surgery; TISSUE adhesions; ANIMAL experimentation; COLLAGEN; COMPARATIVE studies; DOGS; FIBROBLASTS; INFLAMMATION; RESEARCH methodology; MEDICAL cooperation; RESEARCH; PRODUCT design; EVALUATION research; FIBROSIS; FOREIGN body reaction; SEVERITY of illness index; SURGICAL meshes
- Publication
Surgical Endoscopy & Other Interventional Techniques, 2003, Vol 17, Issue 9, p1409
- ISSN
1866-6817
- Publication type
journal article
- DOI
10.1007/s00464-002-8632-1