title: [Designing a surgical device for harvesting autologous fascia lata grafts as a minimal invasive procedure].
abstract: OBJECTIVE
  Fascia lata is used in different shapes and sizes as a graft material in surgical procedures. The conventional method of harvesting a fascia lata graft is through a long skin incision on the lateral aspect of the thigh. Minimal invasive procedures have been established to reduce the disadvantages of an extensive surgical approach for obtaining the autotransplant. However, they do not facilitate to suture the remaining fascia after harvesting the transplant and therefore bear the risk of a symptomatic herniation of the muscle belly. The aim of this study was to design a surgical device to harvest a fascia lata graft and close the resulting fascia defect as a minimal invasive procedure.
  
  
  METHODS
  The prototype was tested in 11 human cadaver specimens. It was introduced subcutanously via two small skin incisions. The device contained a special fixation- and working mechanism which enabled the fascial closure using a continuous suture. After the harvest procedure, both the transplant and the sutured fascia lata were examined.
  
  
  RESULTS
  The experiments demonstrated the suitability of this method for minimal invasive harvesting of fascia lata. The removed transplants complied in all experiments with the expected dimensions. The continuous suture of the femoral fascia ran with accurate gaps between the sutures and constant tension without dehiscence. Neither the transplant nor the tissue in the region of harvest have shown unduly macroscopic damage due to the use of the device.
  
  
  CONCLUSIONS
  The designed prototype can be used for harvesting a fascia lata graft and repairing the resulting defect minimal invasively. Clinical implementation seems possible. However, improvements could be made mainly concerning the handling of the device.
authors.affiliation: Ortopedklinik, Södra Alvsborg Sjukhus, 50182 Borås, Schweden. rolf.hartmann@vgregion.se
authors.forename: Rolf
authors.initials: R
authors.lastname: Hartmann
authors.forename: Wolfgang
authors.initials: W
authors.lastname: Köller
authors.forename: Rudolf
authors.initials: R
authors.lastname: Ascherl
authors.forename: Martin
authors.initials: M
authors.lastname: Russlies
mesh_terms: D002102:Cadaver; D004867:Equipment Design; D019544:Equipment Failure Analysis; D005206:Fascia Lata / Q000601:surgery / Q000637:transplantation*; D006801:Humans; D019060:Minimally Invasive Surgical Procedures / Q000295:instrumentation*; D010865:Pilot Projects; D013536:Suture Techniques / Q000295:instrumentation*; D014182:Transplantation, Autologous / Q000295:instrumentation* / Q000379:methods