Three-year follow-up of the grip concept: an open, prospective, observational registry study on biomechanically calculated abdominal wall repair for complex incisional hernias.
Abdominal wall reconstruction
Biomechanically stable incisional hernia repair
CRIP
Complex incisional hernia
Computerized tomography with Valsalva maneuver
GRIP
Journal
Hernia : the journal of hernias and abdominal wall surgery
ISSN: 1248-9204
Titre abrégé: Hernia
Pays: France
ID NLM: 9715168
Informations de publication
Date de publication:
18 May 2024
18 May 2024
Historique:
received:
14
01
2024
accepted:
28
04
2024
medline:
18
5
2024
pubmed:
18
5
2024
entrez:
18
5
2024
Statut:
aheadofprint
Résumé
We studied the effectiveness of biomechanically calculated abdominal wall reconstructions for incisional hernias of varying complexity in an open, prospective observational registry trial. From July 1st, 2017 to December 31st, 2020, four hospitals affiliated with the University of Heidelberg recruited 198 patients with complex incisional hernias. Hernias were repaired using biomechanically calculated reconstructions and materials classified on their gripping force towards cyclic load. This approach determines the required strength preoperatively based on the hernia size, using the Critical Resistance to Impacts related to Pressure. The surgeon is supported in reliably determining the Gained Resistance, which is based on the mesh-defect-area-ratio, as well as other mesh and suture factors, and the tissue stability. Tissue stability is defined as a maximum distension of 1.5 cm upon a Valsalva maneuver. In complex cases, a CT scan of the abdomen can be used to assess unstable tissue areas both at rest and during Valsalva's maneuver. Larger and stronger gripping meshes were required for more complex cases to achieve a durable repair, especially for larger hernia sizes. To achieve durable repairs, the number of fixation points increased while the mesh-defect area ratio decreased. Performing these repairs required more operating room time. The complication rate remained low. Less than 1% of recurrences and low pain levels were observed after 3 years. Biomechanical stability, defined as the resistance to cyclic load, is crucial in preventing postoperative complications, including recurrences and chronic pain.
Identifiants
pubmed: 38761301
doi: 10.1007/s10029-024-03064-2
pii: 10.1007/s10029-024-03064-2
doi:
Types de publication
Journal Article
Langues
eng
Sous-ensembles de citation
IM
Subventions
Organisme : Heidelberger Stiftung Chirurgie
ID : 2021/444
Informations de copyright
© 2024. The Author(s).
Références
Deerenberg EB, Henriksen NA, Antoniou GA, Antoniou SA, Bramer WM, Fischer JP, Fortelny RH, Gök H, Harris HW, Hope W, Horne CM, Jensen TK, Köckerling F, Kretschmer A, López-Cano M, Malcher F, Shao JM, Slieker JC, de Smet GHJ, Stabilini C, Torkington J, Muysoms FE (2022) Updated guideline for closure of abdominal wall incisions from the European and American Hernia Societies. Br J Surg 109:1239–1250. https://doi.org/10.1093/bjs/znac302
doi: 10.1093/bjs/znac302
pubmed: 36026550
pmcid: 10364727
Hoffmann H, Köckerling F, Adolf D, Mayer F, Weyhe D, Reinpold W, Fortelny R, Kirchhoff P (2021) Analysis of 4,015 recurrent incisional hernia repairs from the Herniamed registry: risk factors and outcomes. Hernia 25:61–75. https://doi.org/10.1007/s10029-020-02263-x
doi: 10.1007/s10029-020-02263-x
pubmed: 32671683
Lesch C, Nessel R, Adolf D, Hukauf M, Köckerling F, Kallinowski F, STRONGHOLD, Herniamed-Collaborators GROUP; Willms A, Schwab R, Zarras K, (2024) STRONGHOLD first-year results of biomechanically calculated abdominal wall repair: a propensity score matching. Hernia 28:63–73. https://doi.org/10.1007/s10029-023-02897-7
doi: 10.1007/s10029-023-02897-7
pubmed: 37815731
Kallinowski F, Ludwig Y, Löffler T, Vollmer M, Lösel PD, Voß S, Görich J, Heuveline V, Nessel R (2021) Biomechanics applied to incisional hernia repair - Considering the critical and the gained resistance towards impacts related to pressure. Clin Biomech (Bristol, Avon) 82:105253. https://doi.org/10.1016/j.clinbiomech.2020.105253
doi: 10.1016/j.clinbiomech.2020.105253
pubmed: 33401197
Nessel R, Löffler T, Rinn J, Lösel P, Voss S, Heuveline V, Vollmer M, Görich J, Ludwig YM, Al-Hileh L, Kallinowski F (2021) Primary and recurrent repair of incisional hernia based on biomechanical considerations to avoid mesh-related complications. Front Surg 8:764470. https://doi.org/10.3389/fsurg.2021.764470
doi: 10.3389/fsurg.2021.764470
pubmed: 34977141
pmcid: 8714753
Herniamed Qualitätssicherungsstudie. Datenschutzrechtliche Aufklärung und Einwilligung inkl. Information gem. Art.13 DS-GVO und Information über die wesentlichen Inhalte der Vereinbarung über die gemeinsame Verantwortlichkeit nach Art. 26 Abs. 2 S.2 der DS-GVO (2022). Available at https://www.herniamed.de/sites/default/files/Einwilligungserklaerung.pdf
Kallinowski F, Nessel R, Gorich J, Grimm A, Loffler T (2020) CT Abdomen with Valsalva’s maneuver facilitates grip-based incisional hernia repair. J Abdom Wall Reconstr. 2:1006
Relle JJ, Voß S, Raschidi R, Nessel R, Görich J, Wielpütz MO, Löffler T, Heuveline V, Kallinowski F, Lösel PD (2023) HEDI: First-Time Clinical Application and Results of a Biomechanical Evaluation and Visualisation Tool for Incisional Hernia Repair. Preprint at arXiv.2307.01502
doi: 10.48550/arXiv.2307.01502
Kallinowski F, Harder F, Gutjahr D, Raschidi R, Silva TG, Vollmer M, Nessel R (2018) Assessing the GRIP of ventral hernia repair: How to securely fasten dis classified meshes. Front Surg 4:78. https://doi.org/10.3389/fsurg.2017.00078
doi: 10.3389/fsurg.2017.00078
pubmed: 29404336
pmcid: 5780431
Deeken CR, Lake SP (2017) Mechanical properties of the abdominal wall and biomaterials utilized for hernia repair. J Mech Behav Biomed Mater 74:411–427. https://doi.org/10.1016/j.jmbbm.2017.05.008
doi: 10.1016/j.jmbbm.2017.05.008
pubmed: 28692907
Karrech A, Ahmad H, Hamdorf JM (2023) Biomechanical stability of hernia-damaged abdominal walls. Sci Rep 13:4936. https://doi.org/10.1038/s41598-023-31674-w
doi: 10.1038/s41598-023-31674-w
pubmed: 36973304
pmcid: 10043288
Kallinowski F, Ludwig Y, Gutjahr D, Gerhard C, Schulte-Hörmann H, Krimmel L, Lesch C, Uhr K, Lösel P, Voß S, Heuveline V, Vollmer M, Görich J, Nessel R (2021) Biomechanical influences on mesh-related complications in incisional hernia repair. Front Surg 8:763957. https://doi.org/10.3389/fsurg.2021.763957
doi: 10.3389/fsurg.2021.763957
pubmed: 34778367
pmcid: 8586217
Münster S, Jawerth LM, Leslie BA, Weitz JI, Fabry B, Weitz DA (2013) Strain history dependence of the nonlinear stress response of fibrin and collagen networks. Proc Natl Acad Sci USA 110:12197–12202. https://doi.org/10.1073/pnas.1222787110
doi: 10.1073/pnas.1222787110
pubmed: 23754380
pmcid: 3725119
Ristaniemi A, Torniainen J, Stenroth L, Finnilä MAJ, Paakkonen T, Töyräs J, Korhonen RK (2020) Comparison of water, hydroxyproline, uronic acid and elastin contents of bovine knee ligaments and patellar tendon and their relationships with biomechanical properties. J Mech Behav Biomed Mater 104:103639. https://doi.org/10.1016/j.jmbbm.2020.103639
doi: 10.1016/j.jmbbm.2020.103639
pubmed: 32174397
Nessel R, Lesch C, Vollmer M, Kallinowsk F (2023) Biomechanical principles of a permanently durable abdominal wall reconstruction: current status and potential future development. Mini-invasive Surg 7:21. https://doi.org/10.20517/2574-1225.2023.21
doi: 10.20517/2574-1225.2023.21
Chittajallu SNSH, Richhariya A, Tse KM, Chinthapenta V (2022) A Review on damage and rupture modelling for soft tissues. Bioengineering 9:26. https://doi.org/10.3390/bioengineering9010026
doi: 10.3390/bioengineering9010026
pubmed: 35049735
pmcid: 8773318
Aly OE (2023) Addressing parastomal herniation through biomechanical simulation. Hernia 27:565–573. https://doi.org/10.1007/s10029-022-02704-9
doi: 10.1007/s10029-022-02704-9
pubmed: 36348226
Roth JS, Anthone GJ, Selzer DJ, Poulose BK, Bittner JG, Hope WW, Dunn RM, Martindale RG, Goldblatt MI, Earle DB, Romanelli JR, Mancini GJ, Greenberg JA, Linn JG, Parra-Davila E, Sandler BJ, Deeken CR, Voeller GR (2018) Prospective evaluation of poly-4-hydroxybutyrate mesh in CDC class I/high-risk ventral and incisional hernia repair: 18-month follow-up. Surg Endosc 32:1929–1936. https://doi.org/10.1007/s00464-017-5886-1
doi: 10.1007/s00464-017-5886-1
pubmed: 29063307
Petersson P, Montgomery A, Petersson U (2020) Modified peritoneal flap hernioplasty versus retromuscular technique for incisional hernia repair: a retrospective Cohort study. Scand J Surg 109:279–288. https://doi.org/10.1177/1457496919863943
doi: 10.1177/1457496919863943
pubmed: 31328662
Katzen M, Ayuso SA, Sacco J, Ku D, Scarola GT, Kercher KW, Colavita PD, Augenstein VA, Heniford BT (2023) Outcomes of biologic versus synthetic mesh in CDC class 3 and 4 open abdominal wall reconstruction. Surg Endosc 37:3073–3083. https://doi.org/10.1007/s00464-022-09486-2
doi: 10.1007/s00464-022-09486-2
pubmed: 35925400
Saul D, Menger MM, Ehnert S, Nüssler AK, Histing T, Laschke MW (2023) Bone healing gone wrong: pathological fracture healing and non-unions-overview of basic and clinical aspects and systematic review of risk factors. Bioengineering (Basel) 10:85. https://doi.org/10.3390/bioengineering10010085
doi: 10.3390/bioengineering10010085
pubmed: 36671657
Kallinowski F (2022) Biomechanics of mesh repair of the herniated abdominal wall: requires some knowledge of stochastic processes. https://websurg.com/doi/lt03en24558 . Accessed 16 Mar 2022
Franz MG (2008) The biology of hernia formation. Surg Clin North Am 88(1–15):vii. https://doi.org/10.1016/j.suc.2007.10.007
doi: 10.1016/j.suc.2007.10.007
pubmed: 18267158
Köckerling F, Koch A, Lorenz R, Schug-Pass C, Stechemesser B, Reinpold W (2015) How long do we need to follow-up our hernia patients to find the real recurrence rate? Front Surg 2:24. https://doi.org/10.3389/fsurg.2015.00024
doi: 10.3389/fsurg.2015.00024
pubmed: 26137464
pmcid: 4468742
Zamkowski M, Tomaszewska A, Lubowiecka I, Śmietański M (2023) Biomechanical causes for failure of the Physiomesh/Securestrap system. Sci Rep 13: 17504. https/doi.org/ https://doi.org/10.1038/s41598-023-44940-8