Letter to the Editor

Hernia

, 13:103

First online:

New “biological” meshes: the need for a register. The EHS Registry for Biological Prostheses

Call for participating European surgeons
  • L. AnsaloniAffiliated withGeneral, Emergency and Transplant Surgery Department, St. Orsola-Malpighi University Hospital
  • , F. CatenaAffiliated withGeneral, Emergency and Transplant Surgery Department, St. Orsola-Malpighi University Hospital Email author 
  • , F. CoccoliniAffiliated withGeneral, Emergency and Transplant Surgery Department, St. Orsola-Malpighi University Hospital
  • , P. NegroAffiliated withDipartimento di Chirurgia Generale, Specialità Chirurgiche e Trapianti d’Organo Paride StefaniniDipartimento Emergenza e Accettazione, Azienda Policlinico Umberto I
  • , G. CampanelliAffiliated withUniversity of Insubria di Varese
  • , M. MiserezAffiliated withDepartment of Abdominal Surgery, University Hospital Gasthuisberg

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Abstract

Non-absorbable prosthetic materials in hernia surgery can cause relatively rare complications, which include chronic pain, a feeling of stiffness with reduced compliance of the abdominal wall, prosthetic erosion/fistulisation and an increased risk of persistent deep infection. Recently, to avoid these problems, new “biological” prosthetic materials have been developed and proposed for clinical use. These materials are all essentially composed of an extracellular matrix stripped of its cellular components, and differ substantially only in their source (porcine small intestine submucosa, porcine dermis or cadaveric human dermis). Because of the numerous variables involved, it is very difficult to conduct a randomised controlled trial. Therefore, the European Hernia Society (EHS) has decided to start the EHS Registry for Biological Prostheses (ERBP). This is a prospective registry in Europe on the use of collagen meshes in (potentially) contaminated circumstances or clean surgical fields. The registry intends to collect some preoperative data on the patient and indication, intraoperative data and outcome data.

Keywords

Biological prostheses Hernia Contaminated fields