Meshes: Benefits and Risks

1. Front Matter

   Pages I-XVIII

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2. The Problem: How to Treat a Hernia

   1. Front Matter

      Pages 1-1

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   2. Have We Defeated Hernia Recurrence in the Groin? An Epidemiological Approach

      • L. M. Nyhus

      Pages 3-30

   3. Risk Factors Predisposing for the Development of Incisional Hernias

      • J. Höer, G. Lawong, K. Junge, U. Klinge, V. Schumpelick

      Pages 31-40

   4. Expenses and Profits: Economical Aspects of Hernia Surgery

      • A. Kingsnorth

      Pages 41-48

3. Reason for Recurrence: a Pathophysiological Approach

   1. Front Matter

      Pages 49-49

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   2. Recurrences: the Fault of the Surgeon

      • R. Bendavid

      Pages 51-62

   3. The Fault(s) of the Patient:Scar Reaction and Biological Recurrence

      • R.C. Read

      Pages 63-75

   4. Collagen-the Crucial Cause?

      • Petra Lynen Jansen, Monika Knopps, R. Rosch, P.R. Mertens

      Pages 76-80

   5. Pharmacotherapy of the Wound -Prevention of Hernia?

      • C. Wicke, S. Coerper, H.D. Becker

      Pages 81-88

4. The World of Mesh

   1. Front Matter

      Pages 89-89

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   2. Textile Variations and Characteristics of the Plastic Meshes

      • J.R. DeBord

      Pages 91-100

   3. Polypropylene:the Standard of Mesh Materials

      • A.I. Gilbert, M.F. Graham, J. Young

      Pages 101-104

   4. Polyester Mesh - a French Solution?

      • J. Zieren, J.M. Müller

      Pages 105-111

   5. ePTFE:Worth the Price?

      • D. Berger

      Pages 112-117

   6. PVDF: a New Alternative?

      • K. Junge, U. Klinge, R. Rosch, M. Stumpf, B. Klosterhalfen, V. Schumpelick

      Pages 118-129

   7. The World of Mesh

      • J. Laredo, H. P. Greisler, E. Hines Jr

      Pages 130-141

5. Anatomic Basics

   1. Front Matter

      Pages 143-143

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   2. The Abdominal Wall -Where to Place the Mesh?

      • A. Prescher, J. Conze

      Pages 145-158

6. Mesh Biology

   1. Front Matter

      Pages 159-159

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The 3rd Suvretta meeting in January 2003 was intended to give an overview of the of meshes in hernia operations. After the first meeting in 1995 on Ingui­ current use nal Hernia and the second on Incisional Hernia in 1998, the current congress was focused on the benefits and risks of hernia meshes, the reason being that meshes have more and more become the standard in open as well as in laparoscopic hernia operations. During the past 10 years new indications for the use of mesh as well as new types of mesh have been developed. Considerable experience with meshes has been published in the literature, including controlled trials of different results, dif­ ferent techniques, and last but not least, case reports of complications. We there­ fore felt it was timely and appropriate to hold a state-of-the-art meeting on meshes used in hernia curative procedures. During 3 intense working days which included presentations, demonstrations, and extensive discussions, the current role and the future potential development of artificial mesh implants were discussed by both traditional and laparoscopic sur­ geons. The most renowned hernia specialists of the world came together to discuss the use of meshes relating to construction, material, technique, experimental stu­ dies and clinical results. Each participant was invited to give a special talk on his favorite subject for discussion among the attending specialists.

• Hernia
• Laparoscopic Technique
• Mesh
• Mesh Biology
• Surgery

• RWTH Aachen Klinikum, Chirurgische Universitätsklinik, Aachen, Germany

  Volker Schumpelick

• Dept. Surgery (M/C 958), University of Illinois, Chicago, USA

  Lloyd M. Nyhus

Policies and ethics