Surgical meshes, in particular those used to repair hernias, have been in use since 1891. Since then, research in the area has expanded, given the vast number of post-surgery complications such as infection, fibrosis, adhesions, mesh rejection, and hernia recurrence. Researchers have focused on the analysis and implementation of a wide range of materials: meshes with different fiber size and porosity, a variety of manufacturing methods, and certainly a variety of surgical and implantation procedures. Currently, surface modification methods and development of nanofiber based systems are actively being explored as areas of opportunity to retain material strength and increase biocompatibility of available meshes. This review summarizes the history of surgical meshes and presents an overview of commercial surgical meshes, their properties, manufacturing methods, and observed biological response, as well as the requirements for an ideal surgical mesh and potential manufacturing methods.

In this work, we use the rule of mixtures to develop an equivalent material model in which the total strain energy density is split into the isotropic part related to the matrix component and the anisotropic energy contribution related to the fiber effects. For the isotropic energy part, we select the amended non-Gaussian strain energy density model, while the energy fiber effects are added by considering the equivalent anisotropic volumetric fraction contribution, as well as the isotropized representation form of the eight-chain energy model that accounts for the material anisotropic effects. Furthermore, our proposed material model uses a phenomenological non-monotonous softening function that predicts stress softening effects and has an energy term, derived from the pseudo-elasticity theory, that accounts for residual strain deformations. The model’s theoretical predictions are compared with experimental data collected from human vaginal tissues, mice skin, poly(glycolide-co-caprolactone) (PGC25 3-0) and polypropylene suture materials and tracheal and brain human tissues. In all cases examined here, our equivalent material model closely follows stress-softening and residual strain effects exhibited by experimental data.

In this paper the authors modified an available material model to account the stress softening and permanent set effects exhibit by human vaginal tissue during simple uniaxial tests. The preliminary model is based on four material parameter values i.e., the stress-like material constants, the stress softening and the permanent set effect material parameter constants. To assess the accuracy of the proposed model, the authors compared theoretical predictions with available simple uniaxial experimental data. It is shown that the proposed modifications describe well experimental data with 99% of accuracy.

This work focuses on the formulation of a constitutive equation to predict Mullins and residual strain effects of buna-N, silicone, and neoprene rubber strings subjected to small transverse vibrations. The nonmonotone behavior exhibited by experimental data is captured by the proposed material model through the inclusion of a phenomenological non-monotonous softening function that depends on the strain intensity between loading and unloading cycles. It is shown that theoretical predictions compare well with uniaxial experimental data collected from transverse vibration tests.

No abstract