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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| Format: | Article |
| Language: | English |
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Wiley
2015-01-01
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| Series: | The Scientific World Journal |
| Online Access: | http://dx.doi.org/10.1155/2015/340246 |
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| author | Sanjoy Roy Jeffrey Hammond Jessica Panish Pullen Shnoda Sandy Savidge Mark Wilson |
| author_facet | Sanjoy Roy Jeffrey Hammond Jessica Panish Pullen Shnoda Sandy Savidge Mark Wilson |
| author_sort | Sanjoy Roy |
| collection | DOAJ |
| 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. |
| format | Article |
| id | doaj-art-113729c6020846cf94b3ed123245a11e |
| institution | Kabale University |
| issn | 2356-6140 1537-744X |
| language | English |
| publishDate | 2015-01-01 |
| publisher | Wiley |
| record_format | Article |
| series | The Scientific World Journal |
| spelling | doaj-art-113729c6020846cf94b3ed123245a11e2025-02-03T06:04:56ZengWileyThe 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 |
| 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 |
| title | 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_short | 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 |
| url | http://dx.doi.org/10.1155/2015/340246 |
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