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Mesh Sutured Repairs of the Abdominal Wall

  • Gregory A. DumanianEmail author
  • Steven T. Lanier
Chapter

Abstract

When the ultimate tensile strength of newly apposed tissue remains above the level of the forces applied, the repair will remain intact. However, when distracting forces are greater than strength of a repair, the closure begins to gap as sutures tear through tissue at the suture/tissue interface (STI). Dehiscence represents an acute loss of integrity of the closure, often due to a large force applied over a short amount of time. Incisional hernia formation represents a slower deformation of the repair site due to the repetitive application of stress over time resulting in chronic suture pull-through and ultimately repair failure.

Keywords

Mesh sutured repairs Suturable mesh Umbilical hernias Open abdomen Parastomal hernia repairs Contaminated incisional hernias Mesh suture closure Planar mesh repairs 

Notes

Conflict of Interest Statement

Dr. Dumanian has financial interest in the Advanced Suture Co and the Mesh Suture Co. He could potentially benefit from the outcomes of this research. There are no additional conflicts to report for Drs. Dumanian or Lanier.

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Copyright information

© Society of American Gastrointestinal and Endoscopic Surgeons (SAGES) 2019

Authors and Affiliations

  1. 1.Division of Plastic SurgeryNorthwestern Feinberg School of Medicine, Northwestern Memorial HospitalChicagoUSA

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