Skip to main content

Advertisement

SpringerLink
Log in

Choice of mesh for laparoscopic ventral hernia repair

  • Review
  • Published:
Hernia Aims and scope Submit manuscript

Abstract

Background

Surgical treatment of ventral hernias has changed dramatically over the past decades by the introduction of laparoscopy and prosthetic biomaterials for reinforcement of the abdominal wall. There are many meshes available on the market for laparoscopic ventral hernia repair (LVHR), and new meshes are introduced regularly. Experimental and clinical documentation for safety and efficacy are, however, often not available for the clinician. The choice of mesh may therefore be difficult in clinical practice. We present a review of the current literature regarding safety measures such as adhesions, fistulas, and infections as well as the available data on pain, recurrence, mesh shrinkage, and seroma formation after LVHR.

Methods

The literature was searched systematically using PubMed/MEDLINE and EMBASE for controlled studies, prospective descriptive series and retrospective case series.

Results

The literature clearly points in the direction of very few mesh-related complications after LVHR. Experimental studies and theoretical considerations may argue for using a covered mesh, i.e., a composite mesh, or ePTFE for LVHR in humans, although it is important to stress that there are no human data at the moment to support this. Concerns about using pure polypropylene mesh in the intraperitoneal position may be re-evaluated with the experience of lightweight macropore meshes from open surgery in mind. There is a tendency towards greater shrinkage in ePTFE-based meshes but no differences seems to exist between different mesh materials in other relevant outcome parameters from clinical series.

Conclusions

The literature cannot give general recommendations for choice of mesh based on randomized controlled trials. The final choice of mesh for LVHR will therefore typically be based on surgeons’ preference and cost while we await further data from randomized controlled clinical trials.

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

Access this article

Log in via an institution

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

Instant access to the full article PDF.

Institutional subscriptions

Fig. 1

Similar content being viewed by others

References

  1. Carbajo MA, Martin del Olmo JC, Blanco JI, de la Cuesta C, Toledano M, Martin F, Vaquero C, Inglada L (1999) Laparoscopic treatment vs open surgery in the solution of major incisional and abdominal wall hernias with mesh. Surg Endosc 13:250–252

    Article  PubMed  CAS  Google Scholar 

  2. Misra MC, Bansal VK, Kulkarni MP, Pawar DK (2006) Comparison of laparoscopic and open repair of incisional and primary ventral hernia: results of a prospective randomized study. Surg Endosc (Epub ahead of print)

  3. Barbaros U, Asoglu O, Seven R, Erbil Y, Dinccag A, Deveci U, Ozarmagan S, Mercan S (2006) The comparison of laparoscopic and open ventral hernia repairs: a prospective randomized study. Hernia (Epub ahead of print)

  4. Robinson TN, Clarke JH, Schoen J, Walsh MD (2005) Major mesh-related complications following hernia repair: events reported to the Food and Drug Administration. Surg Endosc 19:1556–1560

    Article  PubMed  CAS  Google Scholar 

  5. Amid PK (1997) Classification of biomaterials and their related complications in abdominal wall hernia surgery. Hernia 1:15–21

    Article  Google Scholar 

  6. Cobb GA, Shaffer J (2005) Cross-linked acellular porcine dermal collagen implant in laparoscopic ventral hernia repair: case-controlled study of operative variables and early complications. Int Surg 90:S24–S29

    PubMed  Google Scholar 

  7. Franklin ME Jr, Gonzalez JJ Jr, Glass JL (2004) Use of porcine small intestinal submucosa as a prosthetic device for laparoscopic repair of hernias in contaminated fields: 2-year follow-up. Hernia 8:186–189

    PubMed  Google Scholar 

  8. Butler CE, Langstein HN, Kronowitz SJ (2005) Pelvic, abdominal, and chest wall reconstruction with AlloDerm in patients at increased risk for mesh-related complications. Plast Reconstr Surg 116:1263–1275

    Article  PubMed  CAS  Google Scholar 

  9. Majercik S, Tsikitis V, Iannitti DA (2006) Strength of tissue attachment to mesh after ventral hernia repair with synthetic composite mesh in a porcine model. Surg Endosc 20:1671–1674

    Article  PubMed  CAS  Google Scholar 

  10. Klinge U, Klosterhalfen B, Birkenhauer V, Junge K, Conze J, Schumpelick V (2002) Impact of polymer pore size on the interface scar formation in a rat model. J Surg Res 103:208–214

    Article  PubMed  CAS  Google Scholar 

  11. Greenawalt KE, Butler TJ, Rowe EA, Finneral AC, Garlick DS, Burns JW (2000) Evaluation of sepramesh biosurgical composite in a rabbit hernia repair model. J Surg Res 94:92–98

    Article  PubMed  CAS  Google Scholar 

  12. LeBlanc KA, Bellanger D, Rhynes KV 5th, Baker DG, Stout RW (2002) Tissue attachment strength of prosthetic meshes used in ventral and incisional hernia repair. A study in the New Zealand White rabbit adhesion model. Surg Endosc 16:1542–1546

    Article  PubMed  CAS  Google Scholar 

  13. Bellon JM, Bujan J, Contreras LA, Carrera-San Martin A, Jurado F (1996) Comparison of a new type of polytetrafluoroethylene patch (Mycro Mesh) and polypropylene prosthesis (Marlex) for repair of abdominal wall defects. J Am Coll Surg 183:11–18

    PubMed  CAS  Google Scholar 

  14. Bujan J, Contreras LA, Carrera-San Martin A, Bellon JM (1997) The behavior of different types of polytetrafluoroethylene (PTFE) prostheses in the reparative scarring process of abdominal wall defects. Histol Histopathol 12:683–690

    PubMed  CAS  Google Scholar 

  15. Young RM, Gustafson R, Dinsmore RC (2004) Sepramesh vs. Dualmesh for abdominal wall hernia repairs in a rabbit model. Curr Surg 61:77–79

    Article  PubMed  Google Scholar 

  16. Johnson EK, Hoyt CH, Dinsmore RC (2004) Abdominal wall hernia repair: a long-term comparison of Sepramesh and Dualmesh in a rabbit hernia model. Am Surg 70:657–661

    PubMed  Google Scholar 

  17. Burger JW, Halm JA, Wijsmuller AR, ten Raa S, Jeekel J (2006) Evaluation of new prosthetic meshes for ventral hernia repair. Surg Endosc 20:1320–1325

    Article  PubMed  CAS  Google Scholar 

  18. McGinty JJ, Hogle NJ, McCarthy H, Fowler DL (2005) A comparative study of adhesion formation and abdominal wall ingrowth after laparoscopic ventral hernia repair in a porcine model using multiple types of mesh. Surg Endosc 19:786–790

    Article  PubMed  CAS  Google Scholar 

  19. Silverman RP, Li EN, Holton LH III, Sawan KT, Goldberg NH (2004) Ventral hernia repair using allogenic acellular dermal matrix in a swine model. Hernia 8:336–342

    Article  PubMed  CAS  Google Scholar 

  20. Bellon JM, Contreras LA, Bujan J, Pascual G, Carrera-San Martin A (1999) Effect of relaparotomy through previously integrated polypropylene and polytetrafluoroethylene experimental implants in the abdominal wall. J Am Coll Surg 188:466–472

    Article  PubMed  CAS  Google Scholar 

  21. Matthews BD, Pratt BL, Backus CL, Kercher KW, Heniford BT (2002) Comparison of adhesion formation to intra-abdominal mesh after laparoscopic adhesiolysis in the New Zealand White rabbit. Am Surg 68:936–940

    PubMed  Google Scholar 

  22. Memisoglu K, Saribeyoglu K, Pekmezci S, Karahasanoglu T, Sen B, Bayrak I, Arbak S, Sirvanci S (2006) Mesh fixation devices and formation of intraperitoneal adhesions. J Laparoendosc Adv Surg Tech A 16:439–444

    Article  PubMed  Google Scholar 

  23. Matthews BD, Mostafa G, Carbonell AM, Joels CS, Kercher KW, Austin C, Norton HJ, Heniford BT (2005) Evaluation of adhesion formation and host tissue response to intra-abdominal polytetrafluoroethylene mesh and composite prosthetic mesh. J Surg Res 123:227–234

    Article  PubMed  CAS  Google Scholar 

  24. Gonzalez R, Rodeheaver GT, Moody DL, Foresman PA, Ramshaw BJ (2004) Resistance to adhesion formation: a comparative study of treated and untreated mesh products placed in the abdominal cavity. Hernia 8:213–219

    Article  PubMed  CAS  Google Scholar 

  25. Harrell AG, Novitsky YW, Peindl RD, Cobb WS, Austin CE, Cristiano JA, Norton JH, Kercher KW, Heniford BT (2006) Prospective evaluation of adhesion formation and shrinkage of intra-abdominal prosthetics in a rabbit model. Am Surg 72:808–813

    PubMed  Google Scholar 

  26. Kiudelis M, Jonciauskiene J, Deduchovas O, Radziunas A, Mickevicius A, Janciauskas D, Petrovas S, Endzinas Z, Pundzius J (2006) Effects of different kinds of meshes on postoperative adhesion formation in the New Zealand White rabbit. Hernia (Epub ahead of print)

  27. Duffy AJ, Hogle NJ, LaPerle KM, Fowler DL (2004) Comparison of two composite meshes using two fixation devices in a porcine laparoscopic ventral hernia repair model. Hernia 8:358–364

    Article  PubMed  CAS  Google Scholar 

  28. Schug-Pass C, Tamme C, Tannapfel A, Kockerling F (2006) A lightweight polypropylene mesh (TiMesh) for laparoscopic intraperitoneal repair of abdominal wall hernias: comparison of biocompatibility with the DualMesh in an experimental study using the porcine model. Surg Endosc 20:402–409

    Article  PubMed  CAS  Google Scholar 

  29. Borrazzo EC, Belmont MF, Boffa D, Fowler DL (2004) Effect of prosthetic material on adhesion formation after laparoscopic ventral hernia repair in a porcine model. Hernia 8:108–112

    Article  PubMed  CAS  Google Scholar 

  30. Zieren J, Neuss H, Ablassmaier B, Muller JM (2002) Adhesions after intraperitoneal mesh repair in pigs: Prolene “vs. Vypro”. J Laparoendosc Adv Surg Tech A 12:249–252

    Article  PubMed  Google Scholar 

  31. Balique JG, Benchetrit S, Bouillot JL, Flament JB, Gouillat C, Jarsaillon P, Lepere M, Mantion G, Arnaud JP, Magne E, Brunetti F (2005) Intraperitoneal treatment of incisional and umbilical hernias using an innovative composite mesh: four-year results of a prospective multicenter clinical trial. Hernia 9:68–74

    Article  PubMed  CAS  Google Scholar 

  32. Moreno-Egea A, Torralba JA, Girela E, Corral M, Bento M, Cartagena J, Vicente JP, Aguayo JL, Canteras M (2004) Immediate, early, and late morbidity with laparoscopic ventral hernia repair and tolerance to composite mesh. Surg Laparosc Endosc Percutan Tech 14:130–5

    Article  PubMed  Google Scholar 

  33. Bingener J, Kazantsev GB, Chopra S, Schwesinger WH (2004) Adhesion formation after laparoscopic ventral incisional hernia repair with polypropylene mesh: a study using abdominal ultrasound. JSLS 8:127–131

    PubMed  Google Scholar 

  34. Arnaud JP, Hennekinne-Mucci S, Pessaux P, Tuech JJ, Aube C (2003) Ultrasound detection of visceral adhesion after intraperitoneal ventral hernia treatment: a comparative study of protected versus unprotected meshes. Hernia 7:85–88

    Article  PubMed  CAS  Google Scholar 

  35. Koehler RH, Begos D, Berger D, Carey S, LeBlanc K, Park A, Ramshaw B, Smoot R, Voeller G (2003) Minimal adhesions to ePTFE mesh after laparoscopic ventral incisional hernia repair: reoperative findings in 65 cases. JSLS 7:335–340

    PubMed  Google Scholar 

  36. Kyzer S, Alis M, Aloni Y, Charuzi I (1999) Laparoscopic repair of postoperation ventral hernia. Early postoperation results. Surg Endosc 13:928–931

    Article  PubMed  CAS  Google Scholar 

  37. Draus JM Jr, Huss SA, Harty NJ, Cheadle WG, Larson GM (2006) Enterocutaneous fistula: are treatments improving? Surgery 140:570–576

    Article  PubMed  Google Scholar 

  38. Leber GE, Garb JL, Alexander AI, Reed WP (1998) Long-term complications associated with prosthetic repair of incisional hernias. Arch Surg 133:378–382

    Article  PubMed  CAS  Google Scholar 

  39. Bauer JJ, Harris MT, Kreel I, Gelernt IM (1999) Twelve-year experience with expanded polytetrafluoroethylene in the repair of abdominal wall defects. Mt Sinai J Med 66:20–25

    PubMed  CAS  Google Scholar 

  40. Chew DK, Choi LH, Rogers AM (2000) Enterocutaneous fistula 14 years after prosthetic mesh repair of a ventral incisional hernia: a life-long risk? Surgery 127:352–353

    Article  PubMed  CAS  Google Scholar 

  41. Vrijland WW, Jeekel J, Steyerberg EW, Den Hoed PT, Bonjer HJ (2000) Intraperitoneal polypropylene mesh repair of incisional hernia is not associated with enterocutaneous fistula. Br J Surg 87:348–352

    Article  PubMed  CAS  Google Scholar 

  42. DeMaria EJ, Moss JM, Sugerman HJ (2000) Laparoscopic intraperitoneal polytetrafluoroethylene (PTFE) prosthetic patch repair of ventral hernia. Prospective comparison to open prefascial polypropylene mesh repair. Surg Endosc 14:326–329

    Article  PubMed  CAS  Google Scholar 

  43. Bageacu S, Blanc P, Breton C, Gonzales M, Porcheron J, Chabert M, Balique JG (2002) Laparoscopic repair of incisional hernia: a retrospective study of 159 patients. Surg Endosc 16:345–348

    Article  PubMed  CAS  Google Scholar 

  44. Carbajo MA, Martp del Olmo JC, Blanco JI, Toledano M, de la Cuesta C, Ferreras C, Vaquero C (2003) Laparoscopic approach to incisional hernia. Surg Endosc 17:118–122

    Article  PubMed  CAS  Google Scholar 

  45. Yavuz N, Ipek T, As A, Kapan M, Eyuboglu E, Erguney S (2005) Laparoscopic repair of ventral and incisional hernias: our experience in 150 patients. J Laparoendosc Adv Surg Tech A 15:601–605

    Article  PubMed  Google Scholar 

  46. Franklin ME Jr, Gonzalez JJ Jr, Glass JL, Manjarrez A (2004) Laparoscopic ventral and incisional hernia repair: an 11-year experience. Hernia 8:23–27

    Article  PubMed  Google Scholar 

  47. Chowbey PK, Sharma A, Khullar R, Mann V, Baijal M, Vashistha A (2000) Laparoscopic ventral hernia repair. J Laparoendosc Adv Surg Tech A 10:79–84

    Article  PubMed  CAS  Google Scholar 

  48. Lomanto D, Iyer SG, Shabbir A, Cheah WK (2006) Laparoscopic versus open ventral hernia mesh repair: a prospective study. Surg Endosc 20:1030–1035

    Article  PubMed  CAS  Google Scholar 

  49. Park A, Birch DW, Lovrics P (1998) Laparoscopic and open incisional hernia repair: a comparison study. Surgery 124:816–821

    Article  PubMed  CAS  Google Scholar 

  50. Eid GM, Prince JM, Mattar SG, Hamad G, Ikrammudin S, Schauer PR (2003) Medium-term follow-up confirms the safety and durability of laparoscopic ventral hernia repair with PTFE. Surgery 134:599–603

    Article  PubMed  Google Scholar 

  51. Sanchez LJ, Bencini L, Moretti R (2004) Recurrences after laparoscopic ventral hernia repair: results and critical review. Hernia 8:138–143

    Article  PubMed  CAS  Google Scholar 

  52. Aura T, Habib E, Mekkaoui M, Brassier D, Elhadad A (2002) Laparoscopic tension-free repair of anterior abdominal wall incisional and ventral hernias with an intraperitoneal Gore-Tex mesh: prospective study and review of the literature. J Laparoendosc Adv Surg Tech A 12:263–267

    Article  PubMed  Google Scholar 

  53. Rosen M, Brody F, Ponsky J, Walsh RM, Rosenblatt S, Duperier F, Fanning A, Siperstein A (2003) Recurrence after laparoscopic ventral hernia repair. Surg Endosc 17:123–128

    Article  PubMed  CAS  Google Scholar 

  54. Ujiki MB, Weinberger J, Varghese TK, Murayama KM, Joehl RJ (2004) One hundred consecutive laparoscopic ventral hernia repairs. Am J Surg 188:593–597

    Article  PubMed  Google Scholar 

  55. Bower CE, Reade CC, Kirby LW, Roth JS (2004) Complications of laparoscopic incisional-ventral hernia repair: the experience of a single institution. Surg Endosc 18:672–675

    Article  PubMed  CAS  Google Scholar 

  56. Ben-Haim M, Kuriansky J, Tal R, Zmora O, Mintz Y, Rosin D, Ayalon A, Shabtai M (2002) Pitfalls and complications with laparoscopic intraperitoneal expanded polytetrafluoroethylene patch repair of postoperative ventral hernia. Surg Endosc 16:785–788

    Article  PubMed  CAS  Google Scholar 

  57. Kirshtein B, Lantsberg L, Avinoach E, Bayme M, Mizrahi S (2002) Laparoscopic repair of large incisional hernias. Surg Endosc 16:1717–1719

    Article  PubMed  CAS  Google Scholar 

  58. Morales-Conde S, Cadet H, Cano A, Bustos M, Martin J, Morales-Mendez S (2005) Laparoscopic ventral hernia repair without sutures—double crown technique: our experience after 140 cases with a mean follow-up of 40 months. Int Surg 90:S56–S62

    PubMed  Google Scholar 

  59. Toy FK, Bailey RW, Carey S, Chappuis CW, Gagner M, Josephs LG, Mangiante EC, Park AE, Pomp A, Smoot RT Jr, Uddo JF Jr, Voeller GR (1998) Prospective, multicenter study of laparoscopic ventral hernioplasty. Preliminary results. Surg Endosc 12:955–959

    Article  PubMed  CAS  Google Scholar 

  60. Topart P, Ferrand L, Vandenbroucke F, Lozac′h P (2005) Laparoscopic ventral hernia repair with the Goretex Dualmesh: long-term results and review of the literature. Hernia 9:348–352

    Article  PubMed  Google Scholar 

  61. Berger D, Bientzle M, Muller A (2002) Postoperative complications after laparoscopic incisional hernia repair. Incidence and treatment. Surg Endosc 16:1720–1723

    Article  PubMed  CAS  Google Scholar 

  62. McKinlay RD, Park A (2004) Laparoscopic ventral incisional hernia repair: a more effective alternative to conventional repair of recurrent incisional hernia. J Gastrointest Surg 8:670–674

    Article  PubMed  Google Scholar 

  63. Olmi S, Erba L, Magnone S, Bertolini A, Croce E (2006) Prospective clinical study of laparoscopic treatment of incisional and ventral hernia using a composite mesh: indications, complications and results. Hernia 10:243–247

    Article  PubMed  CAS  Google Scholar 

  64. LeBlanc KA, Whitaker JM, Bellanger DE, Rhynes VK (2003) Laparoscopic incisional and ventral hernioplasty: lessons learned from 200 patients. Hernia 7:118–124

    Article  PubMed  CAS  Google Scholar 

  65. Frantzides CT, Carlson MA, Zografakis JG, Madan AK, Moore RE (2004) Minimally invasive incisional herniorrhaphy: a review of 208 cases. Surg Endosc 18:1488–1491

    Article  PubMed  CAS  Google Scholar 

  66. Cobb WS, Kercher KW, Matthews BD, Burns JM, Tinkham NH, Sing RF, Heniford BT (2006) Laparoscopic ventral hernia repair: a single center experience. Hernia 10:236–242

    Article  PubMed  CAS  Google Scholar 

  67. Heniford BT, Park A, Ramshaw BJ, Voeller G (2003) Laparoscopic repair of ventral hernias: nine years’ experience with 850 consecutive hernias. Ann Surg 238:391–399

    PubMed  Google Scholar 

  68. Aufenacker TJ, Koelemay MJ, Gouma DJ, Simons MP (2006) Systematic review and meta-analysis of the effectiveness of antibiotic prophylaxis in prevention of wound infection after mesh repair of abdominal wall hernia. Br J Surg 93:5–10

    Article  PubMed  CAS  Google Scholar 

  69. Merritt K, Hitchins VM, Neale AR (1999) Tissue colonization from implantable biomaterials with low numbers of bacteria. J Biomed Mater Res 44:261–265

    Article  PubMed  CAS  Google Scholar 

  70. Klinge U, Junge K, Spellerberg B, Piroth C, Klosterhalfen B, Schumpelick V (2002) Do multifilament alloplastic meshes increase the infection rate? Analysis of the polymeric surface, the bacteria adherence, and the in vivo consequences in a rat model. J Biomed Mater Res 63:765–771

    Article  PubMed  CAS  Google Scholar 

  71. Carbonell AM, Matthews BD, Dreau D, Foster M, Austin CE, Kercher KW, Sing RF, Heniford BT (2005) The susceptibility of prosthetic biomaterials to infection. Surg Endosc 19:430–435

    Article  PubMed  CAS  Google Scholar 

  72. Diaz JJ Jr, Gray BW, Dobson JM, Grogan EL, May AK, Miller R, Guy J, O’Neill P, Morris JA Jr (2004) Repair of giant abdominal hernias: does the type of prosthesis matter? Am Surg 70:396–401

    PubMed  Google Scholar 

  73. Beldi G, Ipaktchi R, Wagner M, Gloor B, Candinas D (2006) Laparoscopic ventral hernia repair is safe and cost-effective. Surg Endosc 20:92–95

    Article  PubMed  CAS  Google Scholar 

  74. LeBlanc KA, Whitaker JM (2002) Management of chronic postoperative pain following incisional hernia repair with Composix mesh: a report of two cases. Hernia 6:194–197

    Article  PubMed  CAS  Google Scholar 

  75. Simmermacher RK, Schakenraad JM, Bleichrodt RP (1994) Reherniation after repair of the abdominal wall with expanded polytetrafluoroethylene. J Am Coll Surg 178:613–616

    PubMed  CAS  Google Scholar 

  76. Susmallian S, Gewurtz G, Ezri T, Charuzi I (2001) Seroma after laparoscopic repair of hernia with PTFE patch: is it really a complication? Hernia 5:139–141

    Article  PubMed  CAS  Google Scholar 

  77. Morales-Conde S (2004) Laparoscopic ventral hernia repair: advances and limitations. Semin Laparosc Surg 11:191–200

    PubMed  Google Scholar 

  78. Tsimoyiannis EC, Siakas P, Glantzounis G, Koulas S, Mavridou P, Gossios KI (2001) Seroma in laparoscopic ventral hernioplasty. Surg Laparosc Endosc Percutan Tech 11:317–321

    Article  PubMed  CAS  Google Scholar 

  79. Coda A, Bendavid R, Botto-Micca F, Bossotti M, Bona A (2003) Structural alterations of prosthetic meshes in humans. Hernia 7:29–34

    PubMed  CAS  Google Scholar 

  80. Gonzalez R, Fugate K, McClusky D III, Ritter EM, Lederman A, Dillehay D, Smith CD, Ramshaw BJ (2005) Relationship between tissue ingrowth and mesh contraction. World J Surg 29:1038–1043

    Article  PubMed  Google Scholar 

  81. Klinge U, Klosterhalfen B, Muller M, Ottinger AP, Schumpelick V (1998) Shrinking of polypropylene mesh in vivo: an experimental study in dogs. Eur J Surg 164:965–969

    Article  PubMed  CAS  Google Scholar 

  82. Conze J, Krones CJ, Schumpelick V, Klinge U (2006) Incisional hernia: challenge of re-operations after mesh repair. Langenbecks Arch Surg (Epub ahead of print)

Download references

Author information

Authors and Affiliations

  1. Department of Surgical Gastroenterology D, Gentofte Hospital, University of Copenhagen, Niels Andersens Vej 65, 2900, Hellerup, Denmark

    J. R. Eriksen, I. Gögenur & J. Rosenberg

Authors
  1. J. R. Eriksen
    View author publications

    You can also search for this author in PubMed Google Scholar

  2. I. Gögenur
    View author publications

    You can also search for this author in PubMed Google Scholar

  3. J. Rosenberg
    View author publications

    You can also search for this author in PubMed Google Scholar

Corresponding author

Correspondence to J. R. Eriksen.

Rights and permissions

Reprints and permissions

About this article

Cite this article

Eriksen, J.R., Gögenur, I. & Rosenberg, J. Choice of mesh for laparoscopic ventral hernia repair. Hernia 11, 481–492 (2007). https://doi.org/10.1007/s10029-007-0282-8

Download citation

  • Received:

  • Accepted:

  • Published:

  • Issue Date:

  • DOI: https://doi.org/10.1007/s10029-007-0282-8

Keywords

Search

Navigation