title: Modified Mayo Technique for Ventral Hernia Repair: An Experimental Study.
abstract: BACKGROUND
  To reduce the rate of recurrence of incisional hernia repair associated with open anatomic techniques, we present an experimental study, focusing on two different sutures, with the aim to apply clinically in a revised version of the Mayo technique.
  
  
  METHODS
  Thirteen biological tissue samples from adult pig central brawn and upper and lower fasciae were measured using two techniques defined as "unbroken suture thread" and "separated suture stitches" to test the breaking resistance of the two types of suture.
  
  
  RESULTS
  The t test results show that the two sets can be considered as different populations. The mean tensile stress max is greater (with reduced deviation) for the specimens of the set sutured with unbroken thread technique. Student's t-test performed on values obtained for each set of samples indicated that the unbroken thread suture technique corresponds to higher ultimate failure strength.
  
  
  CONCLUSIONS
  Considering these results, a modified Mayo technique with continuous closure could be suggested. Of course a valid clinical study is required to better clarify this experimental hypothesis.
authors.forename: A
authors.initials: A
authors.lastname: Toro
authors.forename: G
authors.initials: G
authors.lastname: Stella
authors.forename: A
authors.initials: A
authors.lastname: Gueli
authors.forename: M
authors.initials: M
authors.lastname: Mannino
authors.forename: F
authors.initials: F
authors.lastname: Palermo
authors.forename: G
authors.initials: G
authors.lastname: Burrafato
authors.forename: I
authors.initials: I
authors.lastname: Di Carlo
mesh_terms: D000328:Adult; D000818:Animals; D006555:Hernia, Ventral / Q000601:surgery*; D059685:Herniorrhaphy / Q000379:methods*; D006801:Humans; D007558:Italy; D008432:Mathematical Computing; D012008:Recurrence; D013526:Surgical Mesh; D034421:Sus scrofa; D013536:Suture Techniques; D013537:Sutures; D013718:Tensile Strength; D016896:Treatment Outcome