Time Savings and Surgery Task Load Reduction in Open Intraperitoneal Onlay Mesh Fixation Procedure

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 IPO...

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Main Authors: Sanjoy Roy, Jeffrey Hammond, Jessica Panish, Pullen Shnoda, Sandy Savidge, Mark Wilson
Format: Article
Language:English
Published: Hindawi Limited 2015-01-01
Series:The Scientific World Journal
Online Access:http://dx.doi.org/10.1155/2015/340246
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spelling doaj-113729c6020846cf94b3ed123245a11e2020-11-25T01:35:43ZengHindawi LimitedThe Scientific World Journal2356-61401537-744X2015-01-01201510.1155/2015/340246340246Time Savings and Surgery Task Load Reduction in Open Intraperitoneal Onlay Mesh Fixation ProcedureSanjoy Roy0Jeffrey Hammond1Jessica Panish2Pullen Shnoda3Sandy Savidge4Mark Wilson5Global Health Economics and Market Access, Ethicon, Somerville, NJ, USAMedical Affairs, Ethicon, Somerville, NJ, USAGlobal Health Economics and Market Access, Ethicon, Somerville, NJ, USAPreclinical Research, Ethicon, Somerville, NJ, USAPreclinical Research, Ethicon, Somerville, NJ, USACollege of Life and Environmental Sciences, University of Exeter, Exeter, UKBackground. 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 SECURESTRAPTM 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 SECURESTRAPTM 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.http://dx.doi.org/10.1155/2015/340246
collection DOAJ
language English
format Article
sources DOAJ
author Sanjoy Roy
Jeffrey Hammond
Jessica Panish
Pullen Shnoda
Sandy Savidge
Mark Wilson
spellingShingle Sanjoy Roy
Jeffrey Hammond
Jessica Panish
Pullen Shnoda
Sandy Savidge
Mark Wilson
Time Savings and Surgery Task Load Reduction in Open Intraperitoneal Onlay Mesh Fixation Procedure
The Scientific World Journal
author_facet Sanjoy Roy
Jeffrey Hammond
Jessica Panish
Pullen Shnoda
Sandy Savidge
Mark Wilson
author_sort Sanjoy Roy
title Time Savings and Surgery Task Load Reduction in Open Intraperitoneal Onlay Mesh Fixation Procedure
title_short Time Savings and Surgery Task Load Reduction in Open Intraperitoneal Onlay Mesh Fixation Procedure
title_full Time Savings and Surgery Task Load Reduction in Open Intraperitoneal Onlay Mesh Fixation Procedure
title_fullStr Time Savings and Surgery Task Load Reduction in Open Intraperitoneal Onlay Mesh Fixation Procedure
title_full_unstemmed Time Savings and Surgery Task Load Reduction in Open Intraperitoneal Onlay Mesh Fixation Procedure
title_sort time savings and surgery task load reduction in open intraperitoneal onlay mesh fixation procedure
publisher Hindawi Limited
series The Scientific World Journal
issn 2356-6140
1537-744X
publishDate 2015-01-01
description 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 SECURESTRAPTM 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 SECURESTRAPTM 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.
url http://dx.doi.org/10.1155/2015/340246
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