Abstract
Hernia repair has undergone an important evolution after the introduction of mesh grafts.
In recent years several meshes have come in and out of commerce; in the presence of such a large number of choices, choosing the appropriate one can be difficult.
This chapter has a twofold purpose: to summarize for surgeons the major topics about biomaterials used in abdominal wall surgery, and to explain to economists the complexity of this subject, which cannot be reduced to a mere economic matter.
The chapter focuses on in-depth topics as classifications, from the historical to the most recent and innovative ones, mesh/host interface during time, techniques for the study of each phase of the implant and post-explantation, parameters to classify and study mesh features.
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References
Czerny V. Beiträge zur operativen Chirurgie. Stuttgart: Verlag Von Verdinand Enke; 1878.
Read RC. Milestones in the history of hernia surgery: prosthetic repair. Hernia. 2004;8(1):8–14.
Goepel R. Uber die verschliessung von bruchpforten durch einheilung geflocuhtener fertiger silberdrahtnetze. Verh Dtsch Ges Chir. 1900;9:174–9.
Aquaviva D, Bounet P. Cure d’une volumineuse eventration par plaque de Crinofil. Extr. Bull. Soc. Chir. Marseille. 1944; as cited by Zagdoun J, Sordinas A, L’utilisation des plaques de nylon dans la chirurgie des hernies inguinales, Academie de Chirurgie, Se`ance du 1959;25:747–54.
Moloney GE, Gill WG, Barclay RC. Operations for hernia; technique of nylon darn. Lancet Lond Engl. 1948;2(6515):45–8.
Brown CN, Finch JG. Which mesh for hernia repair? Ann R Coll Surg Engl. 2010;92(4):272–8.
Coda A, Lamberti R, Martorana S. Classification of prosthetics used in hernia repair based on weight and biomaterial. Hernia. 2012;16(1):9–20.
DeBord JR. The historical development of prosthetics in hernia surgery. Surg Clin North Am. 1998;78(6):973–1006.. vi.
EU Hernia Trialists Collaboration. Repair of groin hernia with synthetic mesh: meta-analysis of randomized controlled trials. Ann Surg. 2002;235(3):322–32.
Klinge U, Klosterhalfen B, Schumpelick V. Vypro (R): a new generation of polypropylene mesh. In: Bendavid R, et al., editors. Abdominal wall hernias: principles and management. New York: Springer; 2001. p. 286–91.
Klosterhalfen B, Junge K, Klinge U. The lightweight and large porous mesh concept for hernia repair. Expert Rev Med Devices. 2005;2(1):103–17.
Freudenberg S, Sano D, Ouangré E, Weiss C, Wilhelm TJ. Commercial mesh versus Nylon mosquito net for hernia repair. A randomized double-blind study in Burkina Faso. World J Surg. 2006;30(10):1784–9.. discussion 1790.
Sørensen CG, Rosenberg J. The use of sterilized mosquito nets for hernioplasty: a systematic review. Hernia. 2012;16(6):621–5.
Sanders DL, Kingsnorth AN, Stephenson BM. Mosquito net mesh for abdominal wall hernioplasty: a comparison of material characteristics with commercial prosthetics. World J Surg. 2013;37(4):737–45.
Amid PK. Classification of biomaterials and their related complications in abdominal wall hernia surgery. Hernia. 1997;1(1):15–21.
Deeken CR, Lake SP. Mechanical properties of the abdominal wall and biomaterials utilized for hernia repair. J Mech Behav Biomed Mater. 2017;74:411–27.
Klinge U, Klosterhalfen B. Modified classification of surgical meshes for hernia repair based on the analyses of 1,000 explanted meshes. Hernia. 2012;16(3):251–8.
Challoner DR, Vodra WW. Medical devices and health--creating a new regulatory framework for moderate-risk devices. N Engl J Med. 2011;365(11):977–9.
Greco DP. Valutazione Morfologica. In: Greco DP, Forti D, editors. Le protesi nella chirurgia erniaria moderna. Milano: Medical Economics; 1996. p. 23–8.
Kalaba S, Gerhard E, Winder JS, Pauli EM, Haluck RS, Yang J. Design strategies and applications of biomaterials and devices for hernia repair. Bioact Mater. 2016;1(1):2–17.
Junge K, Binnebösel M, Rosch R, Jansen M, Kämmer D, Otto J, et al. Adhesion formation of a polyvinylidenfluoride/polypropylene mesh for intra-abdominal placement in a rodent animal model. Surg Endosc. 2009;23(2):327–33.
Hansen NL, Barabasch A, Distelmaier M, Ciritsis A, Kuehnert N, Otto J, et al. First in-human magnetic resonance visualization of surgical mesh implants for inguinal hernia treatment. Investig Radiol. 2013;48(11):770–8.
Kyle-Leinhase I, Köckerling F, Jørgensen LN, Montgomery A, Gillion JF, Rodriguez JAP, et al. Comparison of hernia registries: the CORE project. Hernia. 2018;22(4):561–75.
EuraHS. European Registry of abdominal wall hernias [Internet]. http://www.eurahs.eu. Cited 9 July 2018.
Elango S, Perumalsamy S, Ramachandran K, Vadodaria K. Mesh materials and hernia repair. Biomedicine. 2017;7(3):16.
Klinge U, Klosterhalfen B, Ottinger AP, Junge K, Schumpelick V. PVDF as a new polymer for the construction of surgical meshes. Biomaterials. 2002;23(16):3487–93.
Pérez-Köhler B, Bayon Y, Bellón JM. Mesh infection and hernia repair: a review. Surg Infect. 2016;17(2):124–37.
Carbonell AM, Cobb WS. Safety of prosthetic mesh hernia repair in contaminated fields. Surg Clin North Am. 2013;93(5):1227–39.
Novitsky YW. Biology of biological meshes used in hernia repair. Surg Clin North Am. 2013;93(5):1211–5.
Stremitzer S, Bachleitner-Hofmann T, Gradl B, Gruenbeck M, Bachleitner-Hofmann B, Mittlboeck M, et al. Mesh graft infection following abdominal hernia repair: risk factor evaluation and strategies of mesh graft preservation. A retrospective analysis of 476 operations. World J Surg. 2010;34(7):1702–9.
Uzzaman MM, Ratnasingham K, Ashraf N. Meta-analysis of randomized controlled trials comparing lightweight and heavyweight mesh for Lichtenstein inguinal hernia repair. Hernia. 2012;16(5):505–18.
Rutegård M, Gümüsçü R, Stylianidis G, Nordin P, Nilsson E, Haapamäki MM. Chronic pain, discomfort, quality of life and impact on sex life after open inguinal hernia mesh repair: an expertise-based randomized clinical trial comparing lightweight and heavyweight mesh. Hernia. 2018;22(3):411–8.
Bower C, Roth JS. Economics of abdominal wall reconstruction. Surg Clin North Am. 2013;93(5):1241–53.
2013/172/EU: Commission Recommendation of 5 April 2013 on a common Framework for a unique device identification system of medical devices in the Union Text with EEA relevance [Internet]. 2013. Report No.: 32013H0172. http://data.europa.eu/eli/reco/2013/172/oj/eng. Cited 9 July 2018.
Ehrlich G, Hu F, Lin Q. Intelligent implants to battle biofilms. ASM News. 2004;70(3):127–33.
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Greco, D.P., Abbati, C. (2019). Biomaterials in Abdominal Wall Surgery. In: Greco, D.P., Borgonovi, E. (eds) Abdominal Wall Surgery. Springer, Cham. https://doi.org/10.1007/978-3-030-02426-0_6
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DOI: https://doi.org/10.1007/978-3-030-02426-0_6
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