• Skip to primary navigation
  • Skip to main content
  • Skip to footer

SAGES

Reimagining surgical care for a healthier world

  • Home
    • Search
    • SAGES Home
    • SAGES Foundation Home
  • About
    • Who is SAGES?
    • SAGES Mission Statement
    • Advocacy
    • Strategic Plan, 2020-2023
    • Committees
      • Request to Join a SAGES Committee
      • SAGES Board of Governors
      • Officers and Representatives of the Society
      • Committee Chairs and Co-Chairs
      • Full Committee Rosters
      • SAGES Past Presidents
    • Donate to the SAGES Foundation
    • SAGES Store
    • Awards
      • George Berci Award
      • Pioneer in Surgical Endoscopy
      • Excellence In Clinical Care
      • International Ambassador
      • IRCAD Visiting Fellowship
      • Social Justice and Health Equity
      • Excellence in Community Surgery
      • Distinguished Service
      • Early Career Researcher
      • Researcher in Training
      • Jeff Ponsky Master Educator
      • Excellence in Medical Leadership
      • Barbara Berci Memorial Award
      • Brandeis Scholarship
      • Advocacy Summit
      • RAFT Annual Meeting Abstract Contest and Awards
    • “Unofficial” Logo Products
  • Meetings
    • NBT Innovation Weekend
    • SAGES Annual Meeting
      • 2024 Scientific Session Call For Abstracts
      • 2024 Emerging Technology Call For Abstracts
    • CME Claim Form
    • Industry
      • Advertising Opportunities
      • Exhibit Opportunities
      • Sponsorship Opportunities
    • Future Meetings
    • Related Meetings Calendar
  • Join SAGES!
    • Membership Benefits
    • Membership Applications
      • Active Membership
      • Affiliate Membership
      • Associate Active Membership
      • Candidate Membership
      • International Membership
      • Medical Student Membership
    • Member News
      • Member Spotlight
      • Give the Gift of SAGES Membership
  • Patients
    • Healthy Sooner – Patient Information for Minimally Invasive Surgery
    • Patient Information Brochures
    • Choosing Wisely – An Initiative of the ABIM Foundation
    • All in the Recovery: Colorectal Cancer Alliance
    • Find a SAGES Member
  • Publications
    • SAGES Stories Podcast
    • SAGES Clinical / Practice / Training Guidelines, Statements, and Standards of Practice
    • Patient Information Brochures
    • TAVAC – Technology and Value Assessments
    • Surgical Endoscopy and Other Journal Information
    • SAGES Manuals
    • SCOPE – The SAGES Newsletter
    • COVID-19 Annoucements
    • Troubleshooting Guides
  • Education
    • OpiVoid.org
    • SAGES.TV Video Library
    • Safe Cholecystectomy Program
      • Safe Cholecystectomy Didactic Modules
    • Masters Program
      • SAGES Facebook Program Collaboratives
      • Acute Care Surgery
      • Bariatric
      • Biliary
      • Colorectal
      • Flexible Endoscopy (upper or lower)
      • Foregut
      • Hernia
      • Robotics
    • Educational Opportunities
    • HPB/Solid Organ Program
    • Courses for Residents
      • Advanced Courses
      • Basic Courses
    • Fellows Career Development Course
    • Robotics Fellows Course
    • MIS Fellows Course
    • Facebook Livestreams
    • Free Webinars For Residents
    • SMART Enhanced Recovery Program
    • SAGES OR SAFETY Video
    • SAGES at Cine-Med
      • SAGES Top 21 MIS Procedures
      • SAGES Pearls
      • SAGES Flexible Endoscopy 101
      • SAGES Tips & Tricks of the Top 21
  • Opportunities
    • NEW-Area of Concentrated Training Seal (ACT)-Advanced Flexible Endoscopy
    • SAGES Fellowship Certification for Advanced GI MIS and Comprehensive Flexible Endoscopy
    • Multi-Society Foregut Fellowship Certification
    • SAGES Research Opportunities
    • Fundamentals of Laparoscopic Surgery
    • Fundamentals of Endoscopic Surgery
    • Fundamental Use of Surgical Energy
    • Job Board
    • SAGES Go Global: Global Affairs and Humanitarian Efforts
  • Search
    • Search All SAGES Content
    • Search SAGES Guidelines
    • Search the Video Library
    • Search the Image Library
    • Search the Abstracts Archive
  • OWLS
  • Log In

A Prospective Randomized Trial Comparing the Rebound Hernia Repair Device and Lightweight Mesh for Laparoscopic Inguinal Hernia: an Interim Analysis

John S Roth, MD, Jeff Hazey, MD, Daniel Davenport, PhD, Vimal Narula, MD, Rebecca Dettorre, MD, Ambar Banarjee, MD, William Cavatassi, MD, Emily Albright, MD. Univerisity of Kentucky, Ohio State University

Background: Laparoscopic inguinal hernia repair requires placement of a synthetic mesh in the properitoneal space. Fixation of the mesh to the abdominal wall with tacks is frequently performed to facilitate mesh placement and prevent mesh migration. The Rebound Hernia Repair Device (ReboundHRD) is a lightweight polypropylene mesh with a Nitinol frame that may be utilized in laparoscopic hernia repair and does not require fixation with tacks. This study compares the early results of laparoscopic inguinal hernia repair with the ReboundHRD and the same lightweight polypropylene mesh without the Nitinol frame (LWM).

Methods: A multicenter prospective randomized trial of laparoscopic inguinal hernia repair with Rebound HRD and lightweight polypropylene mesh was performed. Randomization occurred in a 2:1 ratio (ReboundHRD:LWMesh). Preoperative demographic information, health questionaires, pain scales and quality of life information was obtained. Operative details and times were recorded. Postoperative questionaires, pain scales, and blinded physical examinations were performed.

Results: 19 patients underwent hernia repair (13ReboundHRD, 6LWM). Bilateral hernias were repaired in 62% ReboundHRD and 33%LWM. Mesh fixation with tacks was utilized in 8% Rebound HRD and 100% LWM. There were no differences in patient age (48±10 vs. 45±18, p=.64), BMI ( 25±3.2 vs 24±1.5 , p=0.49), preoperative working status (77% vs. 67%), or preoperative pain scales (15±17 mm. vs. 34±32mm , p=.10). Total OR time was similar (55±19min. vs. 62±26min, p=0.51). Operative time per side was not signficantly different (38±16 min. vs. 52±32 min, p= 0.21). Total mesh Deployment time was reduced with ReboundHRD (6±2.7min. vs. 11±4.0 min, p=.005). Mesh deployment time per side was reduced with Rebound HRD (4.3±2.7min vs. 8.3±3.1min, p=.011). Postop pain at 7 days was similar (17±16mm vs. 21±28mm, p=.69). There were no infections, Seromas occurred in 3 Rebound HRD and 1 LWM, p=1.0. There were no differences in postoperative tenderness (0 vs. 1, NS), induration (0 vs. 0, NS) and return to work at 7 days (70% vs. 100%, p=.51).

Conclusions: Laparoscopic Inguinal Hernia Repair with the Rebound HRD reduces mesh deployment time. Short term outcomes following hernia repair are similar between Rebound HRD and lightweight mesh with tack fixation. Long term follow up to two years is ongoing.


Session: Poster
Program Number: P330
View Poster

337

Share this:

  • Twitter
  • Facebook
  • LinkedIn
  • Pinterest
  • WhatsApp
  • Reddit

Related

Hours & Info

11300 West Olympic Blvd, Suite 600
Los Angeles, CA 90064
1-310-437-0544
[email protected]
Monday - Friday
8am to 5pm Pacific Time

Find Us Around the Web!

  • Facebook
  • Twitter
  • YouTube

Important Links

SAGES 2023 Meeting Information

Healthy Sooner: Patient Information

SAGES Guidelines, Statements, & Standards of Practice

SAGES Manuals

 

  • taTME Study Info
  • Foundation
  • SAGES.TV
  • MyCME
  • Educational Activities

Copyright © 2023 Society of American Gastrointestinal and Endoscopic Surgeons