Evaluation of the Rebound Hernia Repair Device for Laparoscopic Hernia Repair

Background: The characteristics of the ideal type of mesh are still being debated. Mesh shrinkage and fixation have been associated with complications. Avoiding shrinkage and fixation would improve hernia recurrence rates and complications. To our knowledge, this is the first study of a device with a self-expanding frame for laparo-scopic hernia repair. Methods: Six Rebound Hernia Repair Devices were placed laparoscopically in pigs. This device is a con-densed polypropylene, super-thin, lightweight, macro-porous mesh with a self-expanding Nitinol frame. The devices were assessed for adhesions, shrinkage, and his-tological examination. Laboratory and radiologic evalua-tions were also performed. Results: The handling properties of the devices facilitated their laparoscopic placement. They were easily identified with simple x-rays. The mesh was firmly integrated within the surrounding tissue. One device was associated with 3 small adhesions. The other 5 HRDs had no adhesions. We noted no shrinkage or folding. All devices preserved their original size and shape. Conclusions: At this evaluation stage, we found that the Rebound Hernia Repair Device may serve for laparo-scopic hernia repair and has favorable handling proper-ties. It prevents folding and shrinkage of the mesh. It may eliminate the need for fixation, thus preventing chronic pain. The Nitinol frame also allowed radiologic evaluation for gross movement. Further studies will be needed to evaluate its clinical application