Mesh Sutured Repairs of the Abdominal Wall
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.
KeywordsMesh sutured repairs Suturable mesh Umbilical hernias Open abdomen Parastomal hernia repairs Contaminated incisional hernias Mesh suture closure Planar mesh repairs
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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