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Damage to the Spermatic Cord by the Lichtenstein Procedure in a Pig Model-Preliminary Results

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Abstract

An estimated 75–80% of inguinal hernia operations involve placing a mesh prosthesis, either laparoscopically or using an open technique, to patch the defect in the floor of the inguinal canal. Foreign body reactions, with fibroblastic ingrowth and chronic inflammation, are believed to reinforce the abdominal wall and decrease the risk of recurrence. It has been proven that this foreign body reaction is proportionate to the weight, structure, and polymer of the mesh and that commonly used meshes contain too much material, producing an exaggerated foreign body reaction/tissue response and leading to clinical complications [13]. To minimize the foreign body reaction and clinical complications, new types of mesh materials have been introduced that have a decreased amount of material and larger pores, resulting in a nearby physiologic tissue ingrowth [2, 4, 5]. Further improvement of biocompatibility has been achieved using polyvinylidene fluoride (PVDF) as the polymer [3].

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Junge, K. et al. (2010). Damage to the Spermatic Cord by the Lichtenstein Procedure in a Pig Model-Preliminary Results. In: Schumpelick, V., Fitzgibbons, R.J. (eds) Hernia Repair Sequelae. Springer, Berlin, Heidelberg. https://doi.org/10.1007/978-3-642-11541-7_3

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  • DOI: https://doi.org/10.1007/978-3-642-11541-7_3

  • Publisher Name: Springer, Berlin, Heidelberg

  • Print ISBN: 978-3-642-04552-3

  • Online ISBN: 978-3-642-11541-7

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