Evaluation of Composite Mesh for Ventral Hernia Repair

Abstract

Composite mesh was associated with minimal intraabdominal adhesions, progressive in-growth of host tissue, and complete degradation of an internal polydioxanone ring that was of assistance in mesh positioning.

Evaluation of the ability of Acinetobacter baumannii to form biofilms on six different biomedical relevant surfaces

“…Mesh prosthetics are often composed of polypropylene (Byrd et al . ) and porcelain is commonly used in many implants and dental crowns (Schroder et al . ; Ren and Zhang ).…”

“…Polycarbonate, a durable, low-cost plastic that can undergo autoclave sterilization is found in a variety of medical devices including urinary catheters, gastrointestinal tubes and cardiopulmonary bypass circuits, blood oxygenators and flood filters used in the bypass circuit (Duty et al 2013). Mesh prosthetics are often composed of polypropylene (Byrd et al 2011) and porcelain is commonly used in many implants and dental crowns (Schroder et al 2011;Ren and Zhang 2014). Stainless steel makes up the majority of surgical equipment and rubber has a number of uses, particularly rubber seals, such as that used in disposable plastic syringes (Hamilton 1987).…”

Properties of Meshes used in Hernia Repair: A Comprehensive Review of Synthetic and Biologic Meshes

“…Repair with mesh has significantly reduced the rate of hernia recurrence by decreasing tension on wound edges and recreating the integrity of the abdominal wall. 4,5 Usher et al were the first to report the use of mesh for hernia repair in 1958, a milestone that later led to the development to many other mesh products of varying properties. 6,7 DuBay et al describe that the use of mesh in ventral hernia repair increases abdominal wall elasticity, which results in lower recurrence rates.…”

Biomaterial Implants in Abdominal Wall Hernia Repair: A Review on the Importance of the Peritoneal Interface

“…A reduced inflammatory foreign reaction has also been noticed in laminar PTFE compared to PP filaments. Notwithstanding, although smaller pores show an advantage in adhesion prevention, they prevent tissue in-growth and therefore integration into the host tissue [78]. Also, higher rates of infection are shown in laminar meshes that can lead to its removal [79].…”

“…Some of the composites containing chemical barriers include the following combinations: PP with omega-3 fatty acids (C-Qur); PP with polyglycolic acid and hydrogel (Ventralight TM ); PP with a film made of collagen, polyethylene glycol and glycerol (Parietene TM Composite); PP with an absorbable barrier of polydioxanone and oxidized regenerated cellulose (Proceed®); PP with sodium hyaluronate and carboxymethylcellulose (Seprafilm®); PP and polydioxanone fibres with an absorbable poliglecaprone 25 film (Physiomesh TM ); PS with a type I collagen, polyethylene glycol and glycerol layer (Parietex TM Composite) (Figure 3); or a fully resorbable poly-4-hydroxybutyrate (P4HB) mesh combined with a hydrogel barrier (Phasix TM ST Mesh) ( Figure 3) [82,[86][87][88], among others. In clinical studies, composite devices have been associated with lower infection, lower recurrence rates and comparable hospital stays [78]. However, the use of PTFE alone has shown better results in relation to visceral peritoneum than these composites [53].…”