Publications by authors named "Kathrin Mika"
Background: The atraumatic fixation of meshes by fibrin sealant (FS) has been established for both open and laparoscopic techniques of hernia repair. This study was performed to evaluate the use of FS in hernia mesh fixation with different polymerization speed (thrombin concentrations), using commercial hernia meshes, and in two techniques, transabdominal preperitoneal mesh placement (TAPP) and intraperitoneal mesh placement (IPOM).
Materials And Methods: A median laparotomy was performed in a pig model and hernia meshes were placed in IPOM and TAPP techniques.
Article Synopsis
- The study investigates the use of intra-peritoneal onlay mesh (IPOM) repair via transgastric access (TGA) to maintain abdominal wall integrity in NOTES procedures, potentially reducing post-operative pain and complications.
- The experiment involved creating abdominal wall defects in pigs and fixing titanized polypropylene meshes with transfascial sutures and fibrin sealant, confirming successful integration without issues like shrinkage or inflammation.
- Results indicate that IPOM repair in a NOTES hybrid procedure is practical and may offer benefits in minimizing surgical trauma to the abdominal wall.