Meshes: Benefits and Risks

  • Volker Schumpelick
  • Lloyd M. Nyhus

Table of contents

  1. Front Matter
    Pages I-XVIII
  2. The Problem: How to Treat a Hernia

    1. Front Matter
      Pages 1-1
    2. J. Höer, G. Lawong, K. Junge, U. Klinge, V. Schumpelick
      Pages 31-40
  3. Reason for Recurrence: a Pathophysiological Approach

    1. Front Matter
      Pages 49-49
    2. R. Bendavid
      Pages 51-62
    3. Petra Lynen Jansen, Monika Knopps, R. Rosch, P.R. Mertens
      Pages 76-80
    4. C. Wicke, S. Coerper, H.D. Becker
      Pages 81-88
  4. The World of Mesh

    1. Front Matter
      Pages 89-89
    2. A.I. Gilbert, M.F. Graham, J. Young
      Pages 101-104
    3. J. Zieren, J.M. Müller
      Pages 105-111
    4. D. Berger
      Pages 112-117
    5. K. Junge, U. Klinge, R. Rosch, M. Stumpf, B. Klosterhalfen, V. Schumpelick
      Pages 118-129
    6. J. Laredo, H. P. Greisler, E. Hines Jr
      Pages 130-141
  5. Anatomic Basics

    1. Front Matter
      Pages 143-143
    2. A. Prescher, J. Conze
      Pages 145-158
  6. Mesh Biology

    1. Front Matter
      Pages 159-159
    2. B. Klosterhalfen, U. Klinge, R. Rosch, K. Junge
      Pages 170-178
    3. R. Rosch, K. Junge, F. Hölzl, A. Schachtrupp, M. Stumpf, U. Klinge
      Pages 179-186
  7. Mesh-Related Complications: Exception or the Rule? - Impact of Technique and Material

    1. Front Matter
      Pages 187-187
    2. J. Conze, S. Truong, V. Schumpelick
      Pages 189-197
    3. P.K. Amid
      Pages 198-206
    4. J. Conze, V. Schumpelick
      Pages 228-238
    5. C. Peiper, K. Junge, U. Klinge, B. Klosterhalfen, A. Öttinger, V. Schumpelick
      Pages 239-247
    6. A. Alani, P.J. O’Dwyer
      Pages 248-253
    7. B. Klosterhalfen, U. Klinge, K. Junge, R. Rosch
      Pages 254-261
  8. Indications for Mesh Repair Today

    1. Front Matter
      Pages 263-263
    2. V. Schumpelick, U. Klinge, K. Junge, M. Stumpf, J. Conze, R. Rosch
      Pages 265-270
    3. M.A. Carlson, C.T. Frantzides
      Pages 281-289
    4. L. A. Israelsson
      Pages 290-299
    5. M. Stumpf, A. Schachtrupp, U. Klinge, C.J. Krones, C. Toens, V. Schumpelick
      Pages 300-305
    6. L.J. Soto III, D.A. Saltzman
      Pages 306-318
    7. H.U. Steinau, L. Steinstraesser, M. Lehnhard, T. Rauer, D. Druecke
      Pages 319-326
  9. Actual Guidelines for Mesh Repair: Why to Prefer a Certain Technique?

    1. Front Matter
      Pages 327-327
    2. Open Technique in the Groin

    3. Laparoscopic Techniques in the Groin

    4. Incisional Hernia

      1. P. Burger, Martijne van ’t Riet, H. Jeekel
        Pages 399-405

About these proceedings



Within a few years the surgical approach to abdominal wall hernias has focused on mesh-based treatment options. This dramatic change has set the stage for the third Suvretta meeting. All aspects of the mesh world have been discussed in detail by more than 50 international experts during an intense week resulting in an assessment of success and failures.

After posing the question, whether meshes have defeated recurrences in the groin, epidemiological clinical data on recurrences were presented and show that this problem still exists. In particular, novel molecular biology-based research results stress the pathophysiological importance of a defective scarring process in these patients with inherent conclusions for future therapies.

Regarding the variety existing meshes, there are already more than 100 different mesh devices, a comprehensive review of their chemical and textile properties was presented, with emphasis on their impact on biological responses. However, more than 90% of the participants articulated the need for improved mesh prosthesis, because their characteristic inflammatory and fibrotic foreign body reaction cause minor and major complications, e.g. pain, infections, adhesions, damage of the spermatic cord.

The differentiated use of meshes in various procedures was discussed, including groin, incisional, parastomal, diaphragmal and hiatal hernias as well as their use in extended abdominal wall defects or in paediatric or plastic surgery.

In summary this book summarizes the most up-to-date knowledge about meshes and hopefully serve as manual for both practical surgeons and scientists involved in the growing world of mesh.


Hernia Laparoscopic Technique Mesh Mesh Biology Surgery

Editors and affiliations

  • Volker Schumpelick
    • 1
  • Lloyd M. Nyhus
    • 2
  1. 1.RWTH Aachen KlinikumChirurgische UniversitätsklinikAachenGermany
  2. 2.Dept. Surgery (M/C 958)University of IllinoisChicagoUSA

Bibliographic information

  • DOI
  • Copyright Information Springer-Verlag Berlin Heidelberg 2004
  • Publisher Name Springer, Berlin, Heidelberg
  • eBook Packages Springer Book Archive
  • Print ISBN 978-3-540-40757-7
  • Online ISBN 978-3-642-18720-9
  • Buy this book on publisher's site