2009
DOI: 10.1007/s10029-009-0580-4
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Abstract: The beneficial results of mesh reinforcement in the sublay technique might be due to a superior quality of postoperative connective tissue formation. Mesh incorporation, irrespective of positioning, is favourable in low-weight, large, porous mesh material represented by a reduced inflammatory part of the foreign body granuloma.

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Cited by 73 publications
(30 citation statements)
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“…The use of surgical meshes for closure of the abdominal cavity has improved hernia recurrence rates because the mesh provides higher tensile strength to the abdominal wall and decreases the recurrence of postoperative hernia 6,9,[10][11][12][13][14]21 . However, surgical meshes have brought with them several complications, such as fistulas and adhesions, especially with intraperitoneal use 2,7,14,[16][17][18][19] .…”
Section: ■ Discussionmentioning
confidence: 99%
See 1 more Smart Citation
“…The use of surgical meshes for closure of the abdominal cavity has improved hernia recurrence rates because the mesh provides higher tensile strength to the abdominal wall and decreases the recurrence of postoperative hernia 6,9,[10][11][12][13][14]21 . However, surgical meshes have brought with them several complications, such as fistulas and adhesions, especially with intraperitoneal use 2,7,14,[16][17][18][19] .…”
Section: ■ Discussionmentioning
confidence: 99%
“…Burger et al 6 reported that after 10 years of postoperative follow-up, 63% of patients with fascial repair had hernia recurrence, while with the use of meshes, 32% of patients had the same problem. Hence, the use of surgical meshes for correction of abdominal hernias was strengthened due to its lower recurrence rates [6][7][8][9][10][11][12][13][14] . With the advent of laparoscopic surgery and the placement of intraperitoneal meshes, major adhesion formation was highlighted 2,7,[14][15][16][17][18][19] .…”
Section: ■ Introductionmentioning
confidence: 99%
“…The anatomic position of the mesh placement has an impact on tissue incorporation, tissue reaction, and tensile strength of the abdominal wall. [6][7][8] These factors are important regarding IH recurrence and postoperative complications.…”
Section: Introductionmentioning
confidence: 99%
“…These complications are a consequence of a perpetual activation of cytokine cascades and proteases at the mesh to host interface that exhibit characteristics of a chronic inflammatory reaction [8][9][10][11]. The extent of this foreign body reaction largely depends on the type of polymeric material.…”
Section: Introductionmentioning
confidence: 99%