Time Savings and Surgery Task Load Reduction in Open Intraperitoneal Onlay Mesh Fixation Procedure.

Abstract

BACKGROUND:

This study assessed the reduction in surgeon stress associated with savings in procedure time for mechanical fixation of an intraperitoneal onlay mesh (IPOM) compared to a traditional suture fixation in open ventral hernia repair.

STUDY DESIGN:

Nine general surgeons performed 36 open IPOM fixation procedures in porcine model. Each surgeon conducted two mechanical (using ETHICON SECURESTRAP ™ Open) and two suture fixation procedures. Fixation time was measured using a stopwatch, and related surgeon stress was assessed using the validated SURG-TLX questionnaire. T-tests were used to compare between-group differences, and a two-sided 95% confidence interval for the difference in stress levels was established using nonparametric methodology.

RESULTS:

The mechanical fixation group demonstrated an 89.1% mean reduction in fixation time, as compared to the suture group (p < 0.00001). Surgeon stress scores measured using SURG-TLX were 55.5% lower in the mechanical compared to the suture fixation group (p < 0.001). Scores in five of the six sources of stress were significantly lower for mechanical fixation.

CONCLUSIONS:

Mechanical fixation with ETHICON SECURESTRAP ™ Open demonstrated a significant reduction in fixation time and surgeon stress, which may translate into improved operating efficiency, improved performance, improved surgeon quality of life, and reduced overall costs of the procedure.

• Authors: Sanjoy Roy, Jeffrey Hammond, Jessica Panish, Pullen Shnoda, Sandy Savidge, Mark Wilson
• Journal: TheScientificWorldJournal (ScientificWorldJournal) Vol. 2015 Pg. 340246 ( 2015) ISSN: 1537-744X [Electronic] United States
• PMID: 26240834 (Publication Type: Journal Article)

Topics

• Animals
• Female
• Peritoneum (surgery)
• Surgical Mesh
• Sus scrofa
• Suture Techniques
• Time Factors