Skip to main content
Log in

Classification of biomaterials and their related complications in abdominal wall hernia surgery

  • Original Articles
  • Published:
Hernia Aims and scope Submit manuscript

Summary

The value of the use of biomaterials for the repair of abdominal wall hernias is gaining increasing recognition. The use of synthetic mesh to achieve a tension-free repair has resulted in a significant reduction in postoperative pain, in length of the recovery period, and in the number of recurrences. However, certain physical properties of biomaterials can lead to undesirable consequences. These include increased risk of infection, seroma formation, biomaterial-related intestinal obstruction, and fistula formation and failure of repair due to shrinkage of the mesh. The purpose of this paper is to discuss the mechanism of these problems with special emphasis on pore size, molecular permeation and shrinkage of biomaterials and their effects on infection, seroma formation, and recurrence of mesh repair of abdominal wall hernias.

This is a preview of subscription content, log in via an institution to check access.

Access this article

Subscribe and save

Springer+ Basic
EUR 32.99 /Month
  • Get 10 units per month
  • Download Article/Chapter or Ebook
  • 1 Unit = 1 Article or 1 Chapter
  • Cancel anytime
Subscribe now

Buy Now

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Instant access to the full article PDF.

Similar content being viewed by others

References

  • Alxander JW, Kaplan JZ, Altmeier WA (1967) Role of suture materials in the development of wound infection. Ann Surg 165 192–1991

    Article  Google Scholar 

  • Amid PK, Lichtenstein ILL (1996) Retromusculare Alloplastik groBer Narbenruche: eine einfache Heftklammertechnik. Chirurg 67: 648–652

    PubMed  CAS  Google Scholar 

  • Amid PK, Shulman AG, Lichtenstein IL (1992) Selecting synthetic mesh for the repair of groin hernia. Postgrad Gen Surg 4: 1505

    Google Scholar 

  • Amid PK, Shulman AG, Lichtenstein IL, Sostrin S, Young J, Hakakha M (1994a) An experimental evaluation of a new composite mesh with the selective property of incorporation to the abdominal wall without adhering to the intestines. Biomed Materials Res 28: 373–75

    Article  CAS  Google Scholar 

  • Amid PK, Shulman AG, Lichtenstein IL (1994b) A simple stapling technique for the prosthetic repair of massive incisional hernias. In: Arregui ME, Nagan RF (eds) Inguinal hernia advances or controversies? Radcliffe Medical Press, Oxford New York, pp. 511–514

    Google Scholar 

  • Amid PK, Shulman AG, Lichtenstein IL, Sostrin S, Young J, Hakakha M (1995a) Evaluation préliminaire de matériels composites pour la réparation des éventrations. Annales de Chirurgie 49: 539–543

    PubMed  CAS  Google Scholar 

  • Amid PK, Shulman AG, Lichtenstein IL, Hakakha M (1995b) The goals of modern hernia surgery. How to achieve them: open or laparoscopic repairs? Problems in General Surgery 12: 165–171

    Google Scholar 

  • 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: 338–345

    Article  PubMed  CAS  Google Scholar 

  • Berliner SD (1994) Biomaterials in hernia surgery. In: Arregui ME, Nagan RF (eds) Inguinal hernia advances or controvesies? Radcliffe Medical Press, Oxford New York, pp. 103–106

    Google Scholar 

  • Bobyn JD, Wilson Gj, MacGregor DC, Pilliar RM, Weatherly Gc (1982) Effect of pore size on the peel strength of attachement of fibrous tissue to porous-surfaced implants. J Biomed Mater Res, pp 571–584

  • Capozzi JA, Berkenfield JA, Cheaty JK (1988) Repair of inguinal hernia in the adult with prolene mesh. Surg Gynecol Obstet 167: 124–128

    PubMed  CAS  Google Scholar 

  • Crist D, Gadasz T (1993)_Complications of laparoscopic surgery. Surg Clin North Am 73: 265–289

    PubMed  CAS  Google Scholar 

  • 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: 156–160

    Google Scholar 

  • DeGuzman LJ, Nyhus LM, Yared G, Schlesinger PK (1995) Colocutaneous fistula formation following polypropylene mesh placement for epair of a ventral hernia: diagnosis by colonoscopy. Endoscopy 27: 459–461

    Article  PubMed  CAS  Google Scholar 

  • Elek SD, Conen PE (1957) The virulence of Staphylococcus pyogenes for man. Study of the problems of wound infection. Br J Exp Pathol 38: 573

    PubMed  CAS  Google Scholar 

  • Flament JB, Palot JP (1994) Prostheses and major incisional hernias (Part I). In: Bendavid R (ed) Prostheses and abdominal wall hernias. R.G. Landes Company, Austin, pp. 456–470

    Google Scholar 

  • Hume RH, Bour J (1996) Mesh migration following laparoscopic inguinal hernia repair. J Laparoendosc Surg 6: 333–335

    PubMed  CAS  Google Scholar 

  • Jones JW, Jurkovich GJ (1989) Polypropylene mesh closure of infected abdominal wounds. Am Surgeon 55: 73

    PubMed  CAS  Google Scholar 

  • Kaufman Z, Engelberg M, Zager M (1981) Fecal fistula — a late complication of Marlex mesh repair. Dis Colon Rectum 24: 543

    PubMed  CAS  Google Scholar 

  • Larson GM, Harrower HW (1978) Plastic mesh repair of incisional hernias. Am J Surg 135: 559–563

    Article  PubMed  CAS  Google Scholar 

  • Law NW, Ellis H (1990) Preliminary results for the repair of difficult recurrent inguinal hernias using expanded PTFE patch. Acta Chir Scan, pp 1–4

  • Law N, Ellis H (1991) A comparison of polypropylene mesh and expanded PTFE patch for the repair of contaminated abdominal wall defect. Surgery 109: 652

    PubMed  CAS  Google Scholar 

  • Martin RE, Sureik S, Clossen JN (1982) Polypropylene mesh in 450 hernia repairs: evaluation of wound infections. Contemp Surg 20: 46

    Google Scholar 

  • Matapurkar BG, Gupta AK, Agarwal AK (1991) A new technique of ≪Marlex-Peritoneal Sandwich≫ in the repair of large incisional hernias. World J Surg 15: 768

    Article  PubMed  CAS  Google Scholar 

  • Merritt K, Shafer JW, Brown SA (1979) Implant site infection with porous and dense materials. J Biomed Mater Res 13 101–108

    Article  PubMed  CAS  Google Scholar 

  • Molloy RG, Moan KT, Waldron RP, et al (1991) Massive incisional hernias: abdominal wall replacement with Marlex mesh. Br J Surg 78: 242

    PubMed  CAS  Google Scholar 

  • Neel HB III (1983) Implants of Gore-tex. Arch Otolaryngol 109: 427–433

    PubMed  CAS  Google Scholar 

  • Notaras MJ (1974) Experience with Mersilene mesh in abdominal wall repair. Proc R Soc Med 67: 45–48

    Google Scholar 

  • Rath AM, Zhang J, Amourceux J, Chevrel JP (1996) Les prothèses pariètales abdominales: étude biomécanique et histologique. Chir 121: 253–265

    CAS  Google Scholar 

  • Schneider R, Herrington JL Jr, Granada AM (1970) The mesh repair of a diaphragmatic defect later on into the distal esophagus and stomach. Am Surg 45: 339

    Google Scholar 

  • Seelig MH, Kaperk R Tietze L, Schumpelick V (1995) Enterocutaneous fistula after Marlex net implantation. A rare complication after incisional hernia repair. Chirurg 66: 739–741

    PubMed  CAS  Google Scholar 

  • Smith RS (1971) The use of prosthetic materials in the repair of hernias. Surg Clin North Am 51: 1387–1399

    PubMed  CAS  Google Scholar 

  • Soler M, Verhaeghe P, Essomba A, Sevestre H, Stoppa R (1993) Treatment of postoperative incisional hernias by a composite prosthesis (polyester-polyglactin 910). Clinical and experimental study, Ann Chir 47: 598–608

    PubMed  CAS  Google Scholar 

  • 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: 269–285

    PubMed  CAS  Google Scholar 

  • Taylor SR, Gibbons DF (1983) Effect of surface texture on soft tissue response to polymer implants. J Biomed Mater Res 17: 205–227

    Article  PubMed  Google Scholar 

  • Usher FC, Fries FJ, Ochsner JL Tuttle LLD Jr (1959) Marlex mesh a new plastic mesh for replacing tissue defects II Arch Surg 78: 138–145

    CAS  Google Scholar 

  • White RA (1988) The effect of porosity and biomaterial on the healing and long-term mechanical properties of vascular prostheses. ASAIO 11: 95–100

    Google Scholar 

  • White RA, Hirose FM, Sproat RW, Lawrence RS, Nelson RJ (1981) Histopathology observations after short-term implantation of two porous elastomers in dogs. Biomaterials 2: 171–176

    Article  PubMed  CAS  Google Scholar 

Download references

Author information

Authors and Affiliations

Authors

Rights and permissions

Reprints and permissions

About this article

Cite this article

Amid, P.K. Classification of biomaterials and their related complications in abdominal wall hernia surgery. Hernia 1, 15–21 (1997). https://doi.org/10.1007/BF02426382

Download citation

  • Received:

  • Accepted:

  • Issue Date:

  • DOI: https://doi.org/10.1007/BF02426382

Key words

Navigation