Mesh for hernia repair

Klinge, U.

doi:10.1002/bjs.6159

Cited by 46 publications

(30 citation statements)

References 11 publications

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“…At present, tension-free preshaped mesh hernioplasties have become a gold standard for most operating surgeons and over the last decade several types of meshes have evolved, and are used as single flat meshes or used in conjunction with three dimensional plugs. [9][10][11] In 1984, Lichtenstein addressed the issue of tension by popularizing routine use of mesh (monofilament polypropyelene meshes) which was laid on posterior wall of the inguinal canal, and a slit made at the lateral end of the mesh, creating two tails, which pass around the cord as it emerges from the internal ring. Presently newer mesh concepts are the current interest which has less chronic pain, earlier return to normal activities without compromising on recurrence.…”

Section: Discussionmentioning

confidence: 99%

A comparative study of postoperative complications of lightweight mesh and conventional prolene mesh in Lichtenstein hernia repair

2016

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Section: Discussionmentioning

confidence: 99%

A comparative study of postoperative complications of lightweight mesh and conventional prolene mesh in Lichtenstein hernia repair

2016

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“…[14][15][16][17] Commercially available composite polypropylene-based surgical meshes feature a large number of polymeric and biological materials and combinations thereof including polyglactin 910 (Vypro*, Ethicon), ePTFE (Gore…”

Section: Introductionmentioning

confidence: 99%

Histopathologic host response to polypropylene‐based surgical mesh materials in a rat abdominal wall defect model

Huber¹,

Boruch²,

Nieponice³

et al. 2011

J Biomed Mater Res

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Composite polypropylene-based surgical mesh materials including various synthetic polymers and naturally occurring biomaterials have been developed to ameliorate device-associated inflammatory response and associated reduced compliance of pure polypropylene meshes. This study evaluated the histomorphologic response of three composite polypropylene-based surgical meshes, Revive™, a polycarbonate polyurethane reinforced monofilamentous polypropylene scaffold, Assure™, a polycarbonate polyurethane reinforced monofilamentous polypropylene scaffold with a resorbable anti-adhesion layer of lactide caprolactone copolymer, and Proceed™, a polypropylene mesh modified with oxidized cellulose, in a soft tissue repair model in the rat. The host inflammatory response and neotissue formation were evaluated by semiquantitative histologic scoring including the amount of cellular infiltration, angiogenesis, presence of multinucleate giant cells, fibrous connective tissue formation, and host neo-extracellular matrix deposition for up to 26 weeks. All three composite surgical mesh materials showed good integration with host tissue as indicated by rapid cellular infiltration, abundant neo-vascularization, minimal shrinkage, and the lack of visible mesh degradation. The devices elicited a similar inflammatory response and the presence of a mild foreign body response in spite of the different composition and morphology of these composite mesh materials.

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“…Thus, the search for an ideal mesh would continue. 6 In an effort to improve the quality of synthetic mesh for the repair of abdominal wall hernia, the concept of composite meshes has been introduced, comprising of more than one material. The main advantage of the composite meshes is that they can be used in the intra-peritoneal plane with minimal adhesion formation.…”

Section: Introductionmentioning

confidence: 99%

Polypropylene Mesh Repair in Abdominal Wall Hernias; An Analytic Study at Tertiary Hospitals of Northern Border Region of Saudi Arabia

Hussain

Malik

2017

TPMJ

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ABSTRACT… Objectives: To determine the beneficial out comes, recurrence rate and complications of the repair of abdominal wall hernia reinforced with polyprolene mesh. Study Design: This was a retrospective interventional quasi experimental study. Setting: Surgical departments of Central Hospital and Prince Abdul Aziz Bin Musaad Hospital, Arar, Saudi Arabia. Duration of Study: November 2012 to October 2016. Material and Methods: Adult patients of both genders, who underwent repair for various abdominal wall hernias during above mentioned period, were included in the study. Their demographic data, relevant history and physical examination, post-operative notes, prognosis and any complications, including recurrence, infection, adhesions, pain and mesh degradation were recorded in a pre-structured questionnaire. The data was then analyzed with standard statistical methods. Results: From a total of 156 patients, 94 (60.3%) were males and 62 (39.7%) female between the age of 20 to 75 years. There were relatively fewer complications, including seroma (12.8%), post-operative pain (9.6%), infection (3.8%), adhesions (0.6%) and no recurrence rate. The uneventful recovery was observed in 73% of cases. Conclusions: Pure polypropylene mesh is economical than the newer composite meshes for the open repair of abdominal wall hernia, is easily available and caused relatively fewer complications with no recurrence rate. Key words:Abdominal wall hernias, propylene mesh repair, recurrence rate, complications. MBBS, FCPS INTRODUCTIONVentral abdominal wall hernia repair is commonly carried out by general surgeons. Previously, these hernias repairs were done by primary suture technique, but were followed by high rates of complications and recurrences (31 % -54 %).

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Mesh for hernia repair

Abstract: Randomized control trials may be inappropriate

Cited by 46 publications

References 11 publications

A comparative study of postoperative complications of lightweight mesh and conventional prolene mesh in Lichtenstein hernia repair

A comparative study of postoperative complications of lightweight mesh and conventional prolene mesh in Lichtenstein hernia repair

Histopathologic host response to polypropylene‐based surgical mesh materials in a rat abdominal wall defect model

Polypropylene Mesh Repair in Abdominal Wall Hernias; An Analytic Study at Tertiary Hospitals of Northern Border Region of Saudi Arabia

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