Comparison of adhesion formation associated with Pro-Tack (US Surgical) versus a new mesh fixation device, Salute (ONUX Medical).
BACKGROUND
We evaluated efficacy and associated adhesion formation of an innovative mesh fixation device versus the helical tack device and analyzed two implantation techniques.


METHODS
Six purpose-bred female hounds were evaluated in this 90-day survival study. Six 4-cm round patches of 1-mm thick DualMesh were fixed to the abdominal wall with either 10 Pro-Tack or 10 Salute constructs in each patch. Zero to 4 additional patches were implanted with only Salute constructs.


RESULTS
Adhesion severity scores were significantly higher for middle left abdominal wall sites versus lower right and upper left sites. The adhesion dissection score was higher for group T (Pro-Tack) versus group S (Salute).


CONCLUSIONS
No significant effects occurred with adhesion extent scores, but group T developed denser adhesions. The second analysis determined that no significant differences existed relevant to secondary Salute placement, although the total score approached significance (p < 0.09). Salute equipment was easier to handle and allowed repositioning of the patch during operation.
LeBlanc
K A
KA
Surgical Specialty Group, Inc., Suite 612, 7777 Hennessy Boulevard, Baton Rouge, LA 70808, USA. docmba2@aol.com
Stout
R W
RW
Kearney
M T
MT
Paulson
D B
DB
D000818:Animals; D003094:Collagen / Q000032:analysis; D004285:Dogs; D004867:Equipment Design; D005260:Female; D005347:Fibroblasts / Q000473:pathology; D005355:Fibrosis; D005549:Foreign-Body Reaction / Q000209:etiology* / Q000473:pathology; D006555:Hernia, Ventral / Q000601:surgery*; D020007:Implants, Experimental / Q000009:adverse effects*; D007249:Inflammation; D012720:Severity of Illness Index; D013525:Surgical Instruments / Q000009:adverse effects*; D013526:Surgical Mesh / Q000009:adverse effects*; D000267:Tissue Adhesions / Q000209:etiology* / Q000473:pathology
D003094:Collagen