TEP seems to be a safe and effective surgical approach in inguinal hernia treatment with acceptable operation times and postoperative results. Intraoperative complications, port-site hernia, and mortality were not seen in any patient. No statistically significant difference was found between both groups in terms of the development of early and late complications. The demographic data between the groups were similar.
The mean follow-up duration was 45 months. Of all patients, 98 had right-sided, 72 left-sided, and eight bilateral hernias. In the study, 178 patients were included. The differences were considered statistically significant if the P value was less than 0.05. All statistical analyses were performed using SPSS 22.0 statistical package software. &0183 &32 Bard wins 3DMax hernia mesh appeal. Group 1 consisted of patients in whom 3D (Bard 3D Max) mesh was used and fixed with symphysis pubis absorbable tucker, while group 2 included patients without mesh fixation. The objective of this study was to evaluate the complications and recurrence rates in patients who underwent laparoscopic inguinal hernia repair with and without mesh fixation.Ī total of 183 patients who underwent total extraperitoneal (TEP) inguinal hernia repair in the general surgery clinic between January 2012 and January 2015 patients operated due to inguinoscrotal hernia and those lost to follow-up were excluded from the study. Different methods and mesh types are used in inguinal hernia repair. If sutures are used to secure the mesh in place, nonabsorbable monofilament sutures are recommended.The most important advantages of laparoscopic hernia repair include less postoperative pain, good cosmetic results, and early return to daily activities.If necessary, additional fasteners and/or sutures should be used. If fixation is used, care should be taken to ensure that the mesh is adequately fixated to the abdominal wall.Do not cut or reshape the Bard 3DMax™mesh as this may affect its effectiveness.An unresolved infection may require removal of the device. Consideration should be given regarding the need to remove the mesh. Bard designs and manufactures many different hernia mesh products, including the Composix E/X Mesh, the Deluxe Mesh, the Soft Mesh, and the 3DMax Mesh. If an infection develops, treat the infection aggressively.
BARD 3D MAX MESH PATCH
The use of any permanent mesh or patch in a contaminated or infected wound could lead to fistula formation and/or extrusion of the prosthesis.Do not use Bard 3DMax™ mesh in infants and children, whereby future growth will be compromised by use of such material.Literature reports that there may be a possibility for adhesion formation when Bard 3DMax™ mesh is placed in direct contact with the bowel or viscera.Patients who received Bard 3DMax™ Mesh without fixation used significantly less narcotic analgesia in the immediate postoperative period than those in whom flat mesh was fixated.īard 3DMax™ mesh is indicated to reinforce soft tissue where weakness exists, e.g., for repair of hernia and chest wall defects. Sealed edge and medial orientation marker are designed to ensure an anatomically correct fit and less wrinkling than conventional flat mesh.Įliminates need for fixation, which saves time and money. Conformability, easy positioning, no fixation, reduced patient painįully contoured mesh designed to conform to the inguinal anatomy.A reinforced edge helps to maintain the curved, three-dimensional shape of the bard 3dmax mesh.The knit construction allows the mesh to be stretched in both directions in order to accommodate and reinforce tissue defects.The three-dimensional, anatomically curved shape, sealed edge and medial orientation marker allow for easier positioning than a conventional flat mesh and also enhance the speed and simplicity of placement. The 3DMax ™ Mesh was developed based on careful and precise anatomical research of the inguinal canal.
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