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[Biomaterials and hernia surgery. Rationale for using them]

P K Amid1, A G Shulman, I L Lichtenstein

  • 1Department of Surgery, Cedars-Sinai Medical Center, Harbor-U.C.L.A., USA.

Revista Espanola De Enfermedades Digestivas
|August 1, 1995
PubMed
Summary
This summary is machine-generated.

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Polypropylene mesh is the most suitable biomaterial for abdominal hernia repair due to its inert, non-reabsorbable, and infection-resistant properties. It integrates well with host tissues, ensuring effective hernia repair.

Area of Science:

  • Biomaterials science
  • Surgical innovation
  • Hernia repair techniques

Context:

  • Abdominal wall hernias represent a significant surgical challenge.
  • Effective hernia repair necessitates the use of appropriate biomaterials.
  • Current surgical practices involve various synthetic meshes for hernia repair.

Purpose:

  • To evaluate distinct biomaterials for abdominal wall hernia repair.
  • To define essential requirements and principles for surgical biomaterial use.
  • To identify the optimal biomaterial for hernia repair based on clinical and experimental evidence.

Summary:

  • Commonly used surgical biomaterials include politetrafluorethylene (PTFE), polypropylene, and polyester meshes.
  • Essential requirements for hernia repair materials include inertness, non-reabsorbability, infection resistance, rapid tissue incorporation, and non-adherence to viscera.

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  • Principles of use involve overlapping the mesh with the aponeurotic plane to utilize abdominal pressure for fixation and avoid visceral contact.

    • Impact:

    • Polypropylene mesh is identified as the most appropriate material for abdominal hernia repair.
    • This finding guides the selection of biomaterials, potentially improving surgical outcomes.
    • The study contributes to evidence-based surgical practice in hernia repair.