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Related Concept Videos

Hiatal Hernia01:25

Hiatal Hernia

A hiatal hernia is the abnormal protrusion of the stomach or other abdominal organs through the esophageal hiatus of the diaphragm into the thoracic cavity.Normally, the gastroesophageal junction (GEJ) lies below the diaphragm and is supported by the phrenoesophageal membrane, the diaphragmatic crura, and connective tissues. Weakening of these structures—due to aging, congenital defects like a short esophagus, or increased intra-abdominal pressure from coughing, obesity, pregnancy, or heavy...

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Less pain and foreign body sensation after incisional hernia repair with partially absorbable mesh than with non-absorbable mesh: a retrospective sequential cohort study.

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Related Experiment Video

Updated: Jul 12, 2026

Application of a New Mesh Fixation Method in Laparoscopic Incisional Hernia Repair
05:15

Application of a New Mesh Fixation Method in Laparoscopic Incisional Hernia Repair

Published on: December 23, 2022

Incisional hernia repair with mesh: How I choose it?

Léa Govillot1, Alya Bellemin1, Clément Baratte2

  • 1Service de Chirurgie Digestive, Centre de Chirurgie de la Paroi Abdominale, Nord - Université Paris-Cité, DMU ESPRIT - GHU AP-HP, 92700 Colombes, France.

Journal of Visceral Surgery
|July 9, 2026
PubMed
Summary

Choosing the right mesh for incisional hernia repair is complex. This review guides mesh selection based on clinical context and complication risk, considering material properties and patient factors.

Keywords:
Abdominal wall surgeryAbsorbable meshBiologic meshIncisional herniaMicropollution

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Laparoscopic Repair of Para-Esophageal Hernia Using Absorbable Biosynthetic Mesh
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Last Updated: Jul 12, 2026

Application of a New Mesh Fixation Method in Laparoscopic Incisional Hernia Repair
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Laparoscopic Repair of Para-Esophageal Hernia Using Absorbable Biosynthetic Mesh
10:52

Laparoscopic Repair of Para-Esophageal Hernia Using Absorbable Biosynthetic Mesh

Published on: September 11, 2021

Area of Science:

  • Surgical Innovation
  • Biomaterials Science
  • Clinical Practice Guidelines

Background:

  • Incisional hernia is a frequent complication following abdominal surgery, necessitating prosthetic reinforcement to prevent recurrence.
  • Current mesh selection guidelines are often too general, failing to adequately differentiate based on specific clinical indications.
  • The variety of available meshes, differing in composition and biological behavior, complicates clinical decision-making.

Purpose of the Study:

  • To review key criteria for selecting parietal meshes in incisional hernia repair.
  • To evaluate the clinical impact of different mesh types.
  • To provide recommendations for rational mesh choice in various clinical scenarios.

Main Methods:

  • Comprehensive literature review of preclinical and clinical studies on parietal meshes.
  • Analysis of mesh materials, biological behavior, and long-term complications.
  • Synthesis of evidence to inform mesh selection criteria.

Main Results:

  • Non-absorbable meshes are standard but raise concerns regarding chronic inflammation and environmental impact.
  • Slowly or partially absorbable meshes show promise for tissue integration, especially in high-risk patients.
  • Mesh physical characteristics require re-evaluation by manufacturers based on new materials and clinical data.

Conclusions:

  • Mesh selection involves multiple interdependent parameters, guided by clinical context and complication risk.
  • Further high-level evidence studies are needed to confirm indications for absorbable meshes.
  • A rational approach to mesh choice is essential for optimizing incisional hernia repair outcomes.