Langenbecks Archiv für Chirurgie

, Volume 379, Issue 3, pp 168–171 | Cite as

Biomaterials for abdominal wall hernia surgery and principles of their applications

  • P. K. Amid
  • A. G. Shulman
  • I. L. Lichtenstein
  • M. Hakakha
Article

Abstract

This article focuses special attention on the porosity, cellular permeability and molecular permeability of biomaterials and their effect on infection, host tissue incorporation and seroma formation when mesh is used for the repair of abdominal wall hernias. Furthermore, the general principles of the application of biomaterials, regardless of the technique used for their employment, is discussed.

Zusammenfassung

Diese Arbeit befaßt sich mit der Durchlässigkeit sowohl zellulär als auch molekular von Biomaterialien und ihre Auswirkungen auf Infektion, Serombildung und Akzeptanz in Empfängergewebe bei der Implantation von Netzmaterialien in der Hernienchirurgie. Darüber hinaus werden die allgemeinen Prinzipien der Anwendung von Biomaterialien unabhängig von der jeweiligen Implantationstechnik diskutiert.

Schlüsselwörter

Biomaterialien Kunststoffnetz Hernienchirurgie 

Biomaterialien in der hernienchirurgie und ihre anwendung

Preview

Unable to display preview. Download preview PDF.

Unable to display preview. Download preview PDF.

References

  1. 1.
    Cumberland O (1900) Ueber die Verschliessung von Bauchwunden and Brustpforten durch Versenkte Silberdrahtnetze. Cent Chir 27:257Google Scholar
  2. 2.
    Scales JT (1953) Discussion on metals and synthetic materials in relation to soft tissues; tissue reaction to synthetic materials. Proc R Soc Med 46:647Google Scholar
  3. 3.
    Usher FC, Allen JE, Crosthwait RW, Cogan JE (1962) Polypropylene monofilament. A new, biologically inert suture for closing contaminated wounds. JAMA 179:780Google Scholar
  4. 4.
    Wagner MW (1970) Evaluation of diverse plastic and cutis prostheses in a growing host. Surg Gynecol Obstet 130:1077Google Scholar
  5. 5.
    Lamb JP, Vitale T, Kaminski DL (1983) Comparative evaluation of synthetic meshes used for abdominal wall replacement. Surgery 93:643–648Google Scholar
  6. 6.
    Brenner J (1991) Implantation of vicryl patch for inguinal hernia. Presented at the International Frascia Congress, Hamburg, Germany, May 1991Google Scholar
  7. 7.
    Amid PK, Shulman AG, Lichtenstein IL (1992) Selecting synthetic mesh for the repair of groin hernia. Post Grad Gen Surg 4:150–155Google Scholar
  8. 8.
    Elek SD, Conen PE (1957) The virulence ofStaphylococcus pyogenes for man. Study of the problems of wound infection. Br J Exp Pathol 38:573Google Scholar
  9. 9.
    Neel HB III (1983) Implants of Gore-Tex. Arch Otolaryngol 109:427–433Google Scholar
  10. 10.
    Alexander JW, Kaplan JZ, Altmeier WA (1967) Role of suture materials in the development of wound infection. Ann Surg 165:192–199Google Scholar
  11. 11.
    Amid PK, Shulman AG, Lichtenstein IL (1993) Critical scrutiny of the open “tension-free” hernioplasty. Am J Surg 165:369–371Google Scholar
  12. 12.
    Martin RE, Max CE (1984) Primary inguinal hernia repair with prosthetic mesh. Hosp Med 1:1Google Scholar
  13. 13.
    Barnes JP (1987) Inguinal hernia repair with routine use of Marlex mesh. Surg Gynecol Obstet 165:33–37Google Scholar
  14. 14.
    Capozzi JA, Berkenfield JA, Cheaty JK (1988) Repair of inguinal hernia in the adult with prolene mesh. Surg Gynecol Obstet 167:124–128Google Scholar
  15. 15.
    Tinkler LF (1985) Inguinal hernia repair using local anesthesia. Ann R Coll Surg Eng 67:268Google Scholar
  16. 16.
    Stoppa RE, Rives JL, Warlaumont CR et al (1984) The use of Dacron in the repair of hernias of the groin. Surg Clin North Am 64:269–285Google Scholar
  17. 17.
    DeBord JR, Wyffels PL, Marshall JS, Miller G, Marxhall WH (1992) Repair of large ventral incisional hernias with expanded polytetrafluoroethylene prosthetic patch. Postgrad Gen Surg 4:156–160Google Scholar
  18. 18.
    Arnaud JP, Eloy R, Adloff M, Grenier JF (1977) Critical evaluation of prosthetic materials in repair of abdominal wall hernias. New criteria of tolerance and resistance. Am J Surg 133:338–345Google Scholar
  19. 19.
    Law NW, Ellis H (1990) Preliminary results for the repair of difficult recurrent inguinal using expanded PTFE patch. Acta Chir ScandGoogle Scholar
  20. 20.
    White RA (1988) The effect of porosity and biomaterial on the healing and long-term mechanical properties of vascular prostheses. ASAIO J 11:95–100Google Scholar
  21. 21.
    White RA, Hirose FM, Sproat RW Lawrence RS, Nelson RJ (1981) Histopathologic observations after short-term implantation of two porous elastomers in dogs. Biomaterials 2:171–176Google Scholar
  22. 22.
    Taylor SR, Gibbons DF (1983) Effect of surface texture on soft tissue response to polymer implants. J Biomed Mater Res 17:205–227Google Scholar
  23. 23.
    Dabrowiecki S, Svanes K, Levken J, Grong K (1991) Tissue reaction to polypropylene mesh: a study of oedema, blood flow, and inflammation in the abdominal wall. Eur Surg Res 23:240–249Google Scholar
  24. 24.
    Kaufman Z, Engelberg M, Zager M (1981) Fecal fistula a late complication of Marlex mesh repair. Dis Colon Rectum 24:543Google Scholar
  25. 25.
    Schneider R, Herrington JL Jr, Granada AM (1970) The mesh repair of diaphragmatic defect later on into the distal esophagus and stomach. Am Surg 45:339Google Scholar
  26. 26.
    Law NW, Ellis H (1988) Adhesion formation and peritoneal healing on prosthetic materials. Clin Mater 3:95–101Google Scholar
  27. 27.
    Reisfeld D, Schechner R, Wetzel W (1989) Traumatic lumbar hernia. Surg Rounds 12:69–72Google Scholar
  28. 28.
    Amid PK, Shulman AG, Lichtenstein IL, Sostrin S, Young J, Hakakha M (1994) An experimental evaluation of a new composite mesh with the selective property of incorporation to the abdominal wall without adhering to the intestines. J Biomed Mater Res (in press)Google Scholar
  29. 29.
    Wantz G (1991) Incisional hernioplasty with Mersilene. Surg Gynecol Obstet 172:129–137Google Scholar
  30. 30.
    Loury JN, Chevrel JP (1983) Traitement des eventrations. Utilization simultanee du treillis de polyglactine 910 et de dacron. Presse Med 12:2116Google Scholar
  31. 31.
    Amid PK, Shulman AG, Lichtenstein IL (1994) Current state of the Lichtenstein open tension-free hernioplasty. Chirurg (in press)Google Scholar
  32. 32.
    Amid PK, Shulman AG, Lichtenstein IL (1994) Tension-free repair of umbilical, epigastric, and incisional hernias. Contemp Surg (in press)Google Scholar
  33. 33.
    Smith DS (1971) The use of prosthetic materials in the repair of hernias. Surg Clin North Am 51:1387Google Scholar
  34. 34.
    Postlethwait RW (1970) Long-term comparative study of nonabsorbable sutures. Ann Surg 171:892Google Scholar
  35. 35.
    Usher CF (1964) Hernia repair with Marlex mesh. In: Nyhus LM, Harkins HN (eds) Hernia. Lippincott, Philadelphia, p 752Google Scholar

Copyright information

© Springer-Verlag 1994

Authors and Affiliations

  • P. K. Amid
    • 1
  • A. G. Shulman
    • 1
  • I. L. Lichtenstein
    • 1
  • M. Hakakha
    • 1
  1. 1.Departments of Surgery, Cedars-Sinai Medical CenterHarbor-UCLA Research and Education InstituteLos AngelesUSA

Personalised recommendations