{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,7,30]],"date-time":"2025-07-30T14:05:19Z","timestamp":1753884319518,"version":"3.41.2"},"reference-count":38,"publisher":"Wiley","issue":"1","license":[{"start":{"date-parts":[[2015,7,9]],"date-time":"2015-07-09T00:00:00Z","timestamp":1436400000000},"content-version":"vor","delay-in-days":189,"URL":"http:\/\/creativecommons.org\/licenses\/by\/3.0\/"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["The Scientific World Journal"],"published-print":{"date-parts":[[2015,1]]},"abstract":"<jats:p><jats:italic>Background.<\/jats:italic> This study assessed the reduction in surgeon stress associated with savings in procedure time for mechanical fixation of an intraperitoneal onlay mesh (IPOM) compared to a traditional suture fixation in open ventral hernia repair. <jats:italic>Study Design<\/jats:italic>. Nine general surgeons performed 36 open IPOM fixation procedures in porcine model. Each surgeon conducted two mechanical (using ETHICON SECURESTRAP<jats:sup>TM<\/jats:sup> Open) and two suture fixation procedures. Fixation time was measured using a stopwatch, and related surgeon stress was assessed using the validated SURG\u2010TLX questionnaire. T\u2010tests were used to compare between\u2010group differences, and a two\u2010sided 95% confidence interval for the difference in stress levels was established using nonparametric methodology. <jats:italic>Results<\/jats:italic>. The mechanical fixation group demonstrated an 89.1% mean reduction in fixation time, as compared to the suture group (<jats:italic>p<\/jats:italic> &lt; 0.00001). Surgeon stress scores measured using SURG\u2010TLX were 55.5% lower in the mechanical compared to the suture fixation group (<jats:italic>p<\/jats:italic> &lt; 0.001). Scores in five of the six sources of stress were significantly lower for mechanical fixation. <jats:italic>Conclusions<\/jats:italic>. Mechanical fixation with ETHICON SECURESTRAP<jats:sup>TM<\/jats:sup> Open demonstrated a significant reduction in fixation time and surgeon stress, which may translate into improved operating efficiency, improved performance, improved surgeon quality of life, and reduced overall costs of the procedure.<\/jats:p>","DOI":"10.1155\/2015\/340246","type":"journal-article","created":{"date-parts":[[2015,7,9]],"date-time":"2015-07-09T23:26:53Z","timestamp":1436484413000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":4,"title":["Time Savings and Surgery Task Load Reduction in Open Intraperitoneal Onlay Mesh Fixation Procedure"],"prefix":"10.1155","volume":"2015","author":[{"given":"Sanjoy","family":"Roy","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Jeffrey","family":"Hammond","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Jessica","family":"Panish","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Pullen","family":"Shnoda","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Sandy","family":"Savidge","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Mark","family":"Wilson","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2015,7,9]]},"reference":[{"key":"e_1_2_7_1_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.surg.2009.10.007"},{"key":"e_1_2_7_2_2","doi-asserted-by":"publisher","DOI":"10.1097\/sla.0b013e3181b3b2be"},{"key":"e_1_2_7_3_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.amjsurg.2005.08.034"},{"key":"e_1_2_7_4_2","doi-asserted-by":"publisher","DOI":"10.1001\/archsurg.2008.575"},{"key":"e_1_2_7_5_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.amjsurg.2008.02.009"},{"key":"e_1_2_7_6_2","doi-asserted-by":"publisher","DOI":"10.1007\/s00268-011-1141-4"},{"key":"e_1_2_7_7_2","doi-asserted-by":"publisher","DOI":"10.1177\/155335060501200112"},{"key":"e_1_2_7_8_2","first-page":"207","volume-title":"Multiple-Task Performance","author":"Eggemeier F. 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