The Implantation of Silver Filigree for the Closure of Large Hernial APERTURES.1

Meyer, Willy

doi:10.1097/00000658-190211000-00009

Cited by 8 publications

(6 citation statements)

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“…Prosthetic materials are mainly needed to fill in large tissue defects that cannot be closed with primary suture repairs or to reduce the chances of recurrence after primary repairs. The first prosthetic material used in hernia repair in 1902 was made of silver 18 , followed by tantalum in 1940 19 (Figure 1) Tantalum wire mesh became quite popular at that time owing to its inertness and antimicrobial properties 20 . However, metals are inherently unsuitable for soft tissue repairs such as hernia repairs, as they are stiff and can fragment 21 .…”

Section: [H1] the Evolution Of Surgical Meshmentioning

confidence: 99%

“…(*only mesh augmented incisional hernia repair procedures as they are related to mesh positioning are included here). 18 In the sublay technique, the mesh is placed on a well-vascularized wound bed underneath the muscle and is in between two strong fascial layers. This technique is considered the current gold standard and is associated with reduced complication and high success rates.…”

Section: [H1] Conclusionmentioning

confidence: 99%

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Landmarks in vaginal mesh development: polypropylene mesh for treatment of SUI and POP

et al. 2019

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Vaginal meshes used in the treatment of stress urinary incontinence (SUI) and pelvic organ prolapse (POP) have produced highly variable outcomes causing life-changing complications in some patients while providing others with effective, minimally invasive treatments. The issue surrounding the risk:benefit ratio when using the vaginal meshes is complex in which a combination of several factors, including the inherent incompatibility of the mesh material with some applications in pelvic reconstructive surgeries and the lack of appropriate regulatory approval processes at the time of premarket clearance of these products , have contributed to occurrence of complications caused by vaginal mesh. Surgical mesh used in hernia repair has evolved over many years from metal implants to knitted polymer meshes that were adopted for use in the pelvic floor for treatment of POP and SUI. The evolution of the material and textile properties of the surgical mesh was guided by clinical feedback from hernia repair procedures, which were also being modified to obtain the best outcomes with use of the mesh. Current evidence shows how surgical mesh fails biomechanically when used in pelvic floor and materials with improved performance can be developed using modern material processing and tissue engineering techniques. [H1] IntroductionVaginal meshes that are currently used in the surgical treatment of stress urinary incontinence (SUI) and pelvic organ prolapse (POP) can result in life-changing complications in some women who have vaginal mesh implants 1 . These adverse outcomes are now considered a major public health problem; New Zealand becoming the first country in the world to ban the use of transvaginal POP mesh products while still allowing transvaginal SUI meshes (except minislings) in December 2017 2 . In the UK, two public enquiries performed by the Scottish (in 2015) 3 and English (in 2017) 4 governments, in part, as a result of pressure from patient groups led to suspension of vaginal mesh products, both for SUI and POP, from July 2018 onwards 5 . The newest guidance by the National Institute of Health and Care Excellence (NICE) in the UK recommends that retropubic sling materials can be offered to women with SUI if nonsurgical management has failed 6 . In response, the British Society of Urogynaecologists expressed strong disagreement with the decision to suspend the use of vaginal mesh for SUI, but not POP, stating that this decision would deprive many women of an effective and safe treatment option as demonstrated by level I evidence 7 8 . Mesh manufacturers are currently facing lawsuits in the USA and Europe 9 . The issue with mesh repairs for SUI and POP is complex, as the vaginal mesh is implanted in the female pelvic floor in several different ways with very different outcomes in efficacy and complication outcomes. When used as a tape to treat SUI, many patients are effectively cured with the benefits outweighing the risks 10,11 , whereas when used for transvaginal POP repair, complications are more frequent 12 with...

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Section: [H1] the Evolution Of Surgical Meshmentioning

confidence: 99%

Section: [H1] Conclusionmentioning

confidence: 99%

Landmarks in vaginal mesh development: polypropylene mesh for treatment of SUI and POP

et al. 2019

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“…The first mesh material was made of metal. In 1902 silver filigrees were used to treat difficult to treat hernias [24]. The silver wires and other metals (tantalum and stainless steel) were used until recently [25] with reasonable success rates to treat large hernia defects however they were eventually abandoned due to their association with excessive abdominal stiffness, sinus tract formation, metal failure (corrosion and fragmentation) and patient discomfort.…”

Section: Evolvement Of the Polypropylene Mesh As A Materialsmentioning

confidence: 99%

“…A study demonstrated that the bulk density of PPL (Prolene ® ) mesh could be reduced down to 25% of its original weight without significantly compromising its efficacy with reduced major and minor complications [35]. Also clinical studies comparing 1902 [24] First prosthetic mesh (silver filigrees) to be routinely used to treat difficult to treat hernias.…”

Section: Evolvement Of the Polypropylene Mesh As A Materialsmentioning

confidence: 99%

Synthetic Materials Used in the Surgical Treatment of Pelvic Organ Prolapse: Problems of Currently Used Material and Designing the Ideal Material

Mangır¹,

Chapple²,

MacNeil³

2018

Pelvic Floor Disorders

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Synthetic materials have long been used to provide structural support when surgically repairing pelvic organ prolapse (POP). The most widely used synthetic material is a mesh made of polypropylene (PPL). The use of mesh is intended to improve cure rates and prevent recurrences after POP surgery -however as more mesh materials have been implanted, it has become apparent that serious complications can occur in up to 30% of women, particularly when the mesh is implanted transvaginally. Over the years many different mesh kits have been marketed and used in the treatment of POP however polypropylene mesh was never designed or tested for use in pelvic floor. Instead it was approved for clinical use based on its biocompatibility and success in abdominal hernia repairs. It is now known that PPL meshes are neither compliant with the mechanical forces in the pelvic floor nor do they integrate well into paravaginal tissues. Better materials developed specifically for use in pelvic floor are urgently needed. The aim of this chapter is to define the requirements of an ideal mesh in terms of its material properties and to summarize the ongoing research on developing the next generation pelvic floor repair materials.

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“…In 1894, Phelps reported the use of small silver coils during hernia repairs, exploiting the observation that as the implanted silver metal slowly disintegrated, it induced a local inflammatory response and wound fibrosis. 45 Despite impressive clinical results with hernia recurrence rates of < 0.5%, 45,46 the disuse of silver wire prosthetics coincided with advances in polymer chemistry that produced new prosthetic materials, especially polypropylene (PROLENE), which was viewed as a superior alternative. Recently, investigators postulated that using microparticles of silver (MYOSEAL; Vitruvian, San Francisco, CA, USA) rather than fine silver wire would effectively accentuate the therapeutic benefits of this unique prosthetic material, including wound fibrosis.…”

Section: Myoseal: Enhanced Myofascial Wound Healingmentioning

confidence: 99%

Contemporary concepts in hernia prevention: Selected proceedings from the 2017 International Symposium on Prevention of Incisional Hernias

Harris

Hope

Adrales

et al. 2018

Surgery

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Incisional hernia is a frequent complication of midline laparotomy and enterostomal creation and is associated with high morbidity, decreased quality of life, and high costs. The International Symposium on Incisional Hernia Prevention was held October 19-20, 2017, at the InterContinental Hotel in San Francisco, CA, hosted by the Department of Surgery, University of California, San Francisco. One hundred and three attendees included general and plastic surgeons from 9 countries, including principal participants for several of the seminal studies in the field. Over the course of the 2-day meeting, there were 38 oral presentations, 3 keynote lectures, and 2 panel discussions. The Symposium was a combination of new information but also a comprehensive review of the existing data so as to assess the current state of the field and to set the stage for future research. Further, the Symposium sought to increase awareness and thus emphasize the importance of preventing the formation of incisional and enterostomal hernias.

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The Implantation of Silver Filigree for the Closure of Large Hernial APERTURES.1

Cited by 8 publications

References 0 publications

Landmarks in vaginal mesh development: polypropylene mesh for treatment of SUI and POP

Landmarks in vaginal mesh development: polypropylene mesh for treatment of SUI and POP

Synthetic Materials Used in the Surgical Treatment of Pelvic Organ Prolapse: Problems of Currently Used Material and Designing the Ideal Material

Contemporary concepts in hernia prevention: Selected proceedings from the 2017 International Symposium on Prevention of Incisional Hernias

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