Preoperative total parenteral nutrition is not associated with mucosal atrophy or bacterial translocation in humans

✍ Scribed by R. W. Parks; B. J. Rowlands; K. R. Gardiner; J. MacFie

• Publisher: John Wiley and Sons
• Year: 1996
• Tongue: English
• Weight: 281 KB
• Volume: 83
• Category: Article
• ISSN: 0007-1323
• DOI: 10.1002/bjs.1800830539

✦ Synopsis

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secure the other end of the 210 polyglactin suture, as in vitro studies have shown that neither single, nor double, crossed nor looped ligaclips provide adequate fixation of 210 polyglactin suture', and they are not designed to do so (personal communication, Ethicon, Edinburgh, UK).

Mesh migration following laparoscopic hernia repair has been implicated in the aetiology of recurrence*, and this may be attributed to the use of too small a mesh, or inadequate mesh hation' 4, particularly at the medial end. The low recurrence rate in the series described (one recurrence in 53 patients), despite what appears to be inadequate mesh fixation, may be attributable to the large size of the mesh, and it calls into question whether the mesh needs to be secured at all.