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Figure-of-eights vs running suture for fascial closure of large ventral hernias: do figure-of-eights induce ischemia?

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Related Experiment Video

Updated: Jul 16, 2025

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Devices in Hernia Surgery.

Ajita S Prabhu1

  • 1Cleveland Clinic Lerner College of Medicine, 9500 Euclid Avenue, Crile A-100, Cleveland, OH 44195, USA.

The Surgical Clinics of North America
|September 14, 2023
PubMed
Summary
This summary is machine-generated.

Surgeons rely heavily on hernia mesh, but training often overlooks mesh technical specifications and regulatory approval processes. This article reviews key issues concerning mesh materials and medical device regulations.

Keywords:
Hernia meshHernia mesh devicesMedical device regulationPremarket notificationVentral hernia

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Area of Science:

  • Surgical Engineering
  • Biomaterials Science
  • Regulatory Affairs

Background:

  • Hernia repair frequently utilizes surgical mesh implants.
  • Technical mesh specifications and regulatory pathways receive insufficient attention in surgical training.

Purpose of the Study:

  • To summarize critical controversies and key points regarding hernia mesh materials.
  • To review regulatory processes for medical devices, specifically mesh, entering the market.

Main Methods:

  • Literature review of mesh materials and properties.
  • Analysis of current regulatory frameworks for surgical devices.
  • Synthesis of controversies in mesh selection and approval.

Main Results:

  • Significant variability exists in mesh characteristics.
  • Regulatory oversight for medical devices faces challenges.
  • Discrepancies between mesh performance and regulatory standards are noted.

Conclusions:

  • Enhanced understanding of mesh technical specifications is crucial for surgeons.
  • Regulatory processes require refinement to ensure device safety and efficacy.
  • Bridging the gap between material science and surgical practice is essential for improved patient outcomes.