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Related Experiment Videos

[Meshes within the abdominal wall].

V Schumpelick1, U Klinge, G Welty

  • 1Chirurgische Klinik, Medizinische Fakultät der RWTH Aachen.

Der Chirurg; Zeitschrift Fur Alle Gebiete Der Operativen Medizen
|August 25, 1999
PubMed
Summary
This summary is machine-generated.

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Are late hernia mesh complications linked to Staphylococci biofilms?

Hernia : the journal of hernias and abdominal wall surgery·2022
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Characterization of innate and adaptive immune cells involved in the foreign body reaction to polypropylene meshes in the human abdomen.

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Tissue remodeling macrophages morphologically dominate at the interface of polypropylene surgical meshes in the human abdomen.

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META Score: An International Consensus Scoring System on Mesh-Tissue Adhesions.

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Comment to: analysing topics using different methods promotes constructive debates. Author's reply.

Hernia : the journal of hernias and abdominal wall surgery·2020
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Biofilms and effective porosity of hernia mesh: are they silent assassins?

Hernia : the journal of hernias and abdominal wall surgery·2019

Abdominal wall reinforcement with surgical meshes significantly reduces incisional hernia recurrence. While long-term risks are unknown, meshes offer a crucial improvement over traditional suture methods in hernia repair.

Area of Science:

  • Surgical Innovation
  • Biomaterials Science
  • Gastrointestinal Surgery

Context:

  • Incisional hernia repair historically suffers high recurrence rates with primary suture techniques.
  • Advancements in surgical meshes offer improved abdominal wall reinforcement.
  • Understanding collagen metabolism may further optimize hernia repair.

Purpose:

  • To review the advantages and disadvantages of various mesh materials and techniques for incisional hernia repair.
  • To discuss the current understanding of mesh placement (sublay, onlay) and material preferences (ePTFE, polyester, polypropylene).
  • To highlight the need for long-term studies on mesh-related complications.

Summary:

  • Surgical meshes, including ePTFE, polyester, and polypropylene, are increasingly used for incisional hernia repair due to reduced recurrence rates compared to sutures.

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  • Proper mesh overlap is essential to counteract wound contraction.
  • Current evidence lacks long-term data on complications like mesh migration, fistula formation, and foreign-body reactions.

    • Impact:

    • Mesh use represents a significant advancement in hernia surgery, offering a vital alternative to less effective traditional methods.
    • Further research into long-term outcomes is necessary to fully ascertain the cumulative risks and benefits of mesh use.
    • Optimizing mesh techniques and materials may lead to even better patient outcomes in incisional hernia management.