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
|