, Volume 7, Issue 2, pp 57–60 | Cite as

About biomaterials and how they work in groin hernia repairs

  • R. StoppaEmail author

This paper focuses on the intimate mechanical action of nonabsorbable mesh prostheses against reherniation by a variety of modes, which likely depend on the size of the prosthesis. Thus, important elementary properties, like strength, rigidity, thickness, and porosity — which are satisfactorily tested in currently used fabrics — will be shortly considered.

Since the middle of the 20th century, surgeons have been provided with acceptable prosthetic material in abdominal wall surgery. Experimental studies and clinical use of modern unabsorbable meshes have demonstrated an almost similar biological tolerance, fitting Cumberland and Scales' criteria [1, 2, 3]. All of them are resistant to sepsis when antibiotics are instituted and the septic collection is drained. Macroporous meshes are quickly incorporated into the scar granuloma and the scar sclerosis. Experimental studies suggest that synthetic mesh materials induce a guided fibrotic tissue response useful to providing a firm...


  1. 1.
    Bendavid R (1994) Prostheses and abdominal wall hernias. RG Landes Company, AustinGoogle Scholar
  2. 2.
    Cumberland VH (1952) A preliminary report on the use of prefabricated Nylon weave in the repair of ventral hernia. Med J Aust 1:143–144PubMedGoogle Scholar
  3. 3.
    Scales JT (1953) Tissue reaction to synthetic material. Proc R Soc Med 46:647–652PubMedGoogle Scholar
  4. 4.
    Harrison PW (1922) Inguinal hernia: a study of the principles involved in the surgical treatment. Arch Surg 4:680–686CrossRefGoogle Scholar
  5. 5.
    Anson BJ, McVay CB (1938) Inguinal hernia, the anatomy of the region. Surg Gynecol Obstet 66:186–191Google Scholar
  6. 6.
    McVay CB (1971) The normal and pathologic anatomy of the transversus abdominis muscle in inguinal and femoral hernia. Surg Clin North Am 51:1269–1292Google Scholar
  7. 7.
    Condon RE (1964) The anatomy of the inguinal region and its relationship to groin hernias. In: Nyhus LM, Harkins HN (eds) Hernia, 1st edn. JB Lippincott, Philadelphia, chap 2Google Scholar
  8. 8.
    Fruchaud H (1956) Anatomie Chirurgicale des hernies de l'aine. G Doin, ParisGoogle Scholar
  9. 9.
    Halsted WS (1903) The cure of the more difficult as well as the simpler inguinal ruptures. Bull Johns Hopkins Hosp 14:208–214Google Scholar
  10. 10.
    Usher FC (1959) A new plastic prosthesis for repairing tissue defects of the chest and the abdominal wall. Am J Surg 97:629–633CrossRefPubMedGoogle Scholar
  11. 11.
    Lichtenstein IL, Schulman AG, Amid PK, Monthlor MM (1989) The tension-free hernioplasty. Am J Surg 157:188–193CrossRefPubMedGoogle Scholar
  12. 12.
    Cannon DJ, Read RC (1981) Metastatic emphysema: a mechanism for acquiring inguinal herniation. Ann Surg 194:270–278CrossRefPubMedCentralPubMedGoogle Scholar
  13. 13.
    Pans A, Pierard GE, Albert A (1999) Immunohistochemical study of the rectus sheath and transversalis fascia in adult groin hernia. Hernia 3:45–51CrossRefGoogle Scholar
  14. 14.
    Peacock EE Jr (1978) Biology of hernia. In: Nyhus LM, Condon RE (eds). Hernia 2nd edn. JB Lippincott, Philadelphia, chap 3Google Scholar
  15. 15.
    Read RC (1970) Attenuation of the rectus sheath in inguinal herniation. Am J Surg, 116:653–658Google Scholar
  16. 16.
    Wagh PV, Read RC (1971) Collagen deficiency in rectus sheath of patients with inguinal herniation. Proc Soc Exp Biol Med 37:382–384CrossRefGoogle Scholar
  17. 17.
    Cheatle GL (1920) An operation for the radical cure of inguinal and femoral hernia. Br Med J 2:68–72CrossRefPubMedCentralPubMedGoogle Scholar
  18. 18.
    Henry AK (1936) Operation for femoral hernia by a midline extraperitoneal approach: with a preliminary note of the use of this route for reducible inguinal hernia. Lancet 1:531–540CrossRefGoogle Scholar
  19. 19.
    Nyhus LM (1993) Individualization of hernia repair: a new era. Surgery, 114:1–2Google Scholar
  20. 20.
    Nyhus LM (2000) Ubiquitous use of prosthetic mesh in inguinal hernia repair: the dilemma Hernia 4:184–186CrossRefGoogle Scholar
  21. 21.
    Nyhus LM (2002) Evolution of hernia repair: a salute to Professor Piero Pietri. Hernia 5:196–199CrossRefGoogle Scholar
  22. 22.
    Schumpelick V (2000) Does every hernia demand a mesh repair? A critical review. Hernia 5:5–8CrossRefGoogle Scholar
  23. 23.
    Amid PK (1997) Classification of biomaterials and their related complications in abdominal wall hernia surgery. Hernia 1:15–21CrossRefGoogle Scholar
  24. 24.
    Pelissier EP, Blum D, Marre P, Damas JM (2001) Inguinal hernia: a patch covering only the myopectineal orifice is effective. Hernia 5:84–87CrossRefPubMedGoogle Scholar
  25. 25.
    Pelissier EP (2002) Inguinal hernia: the size of the mesh. Hernia 5:169–171CrossRefGoogle Scholar
  26. 26.
    Trabucco EE, Trabucco AF (1998) Flat plug and mesh hernioplasty in the "inguinal box": description of the surgical technique. Hernia 2:133–138CrossRefGoogle Scholar
  27. 27.
    Stoppa RE, Quintyn M (1969) Les déficiences de la paroi abdominale chez le sujet âgé. Colloque avec le praticien. Sem Hôi Paris 45:2182–2185Google Scholar
  28. 28.
    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 64:269–285PubMedGoogle Scholar
  29. 29.
    Costaglioli B, Leblanc-Lowry I, Michot F (2001) Traitement des hernies inguinales: les études prospectives randomisées, revue de la littérature. In: Verhaeghe P, Rohr S (eds) Chirurgie des hernies inguinales de l'adulte. Arnette, Paris, pp 137–150Google Scholar
  30. 30.
    Johannet H (2002) Cure de hernies inguinales de l'adulte. Revue systématique des études prospectives contrôlées comparant les voies conventionnelles aux voies laparoscopiques. J Coelio Chir 41:55–60Google Scholar
  31. 31.
    Acquaviva DE, Bourret P (1944) Cure d'une volumineuse éventration par plaque de Crinofil. Bull Soc Chir de Marseille 17:5–9Google Scholar
  32. 32.
    Rives J (1967) Surgical treatment of inguinal hernia with Dacron patch: principles, indications, technique and results. Int Surg 47:360–361PubMedGoogle Scholar
  33. 33.
    Gilbert AI (1988) Prosthetic adjuncts to groin hernia repair: a classification of inguinal hernias. Contemp Surg 32:28–35Google Scholar
  34. 34.
    Russel RH (1906) The saccular theory of hernia and the radical operation. Lancet 2:1197–202CrossRefGoogle Scholar
  35. 35.
    Keith A (1924) On the origin and nature of hernia. Br J Surg, 11:455–458Google Scholar
  36. 36.
    Leriche R (1949) Bases de la chirurgie physiologique. Masson, ParisGoogle Scholar
  37. 37.
    Stoppa R (2002) In: Nyhus LM, Condon RE (eds) Hernia, 5th edn. Lippincott, Williams & Wilkins, PhiladelphiaGoogle Scholar

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© Springer-Verlag 2003

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  1. 1.77 bis rue LaurendeauAmiensFrance

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