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Concept of Visible Mesh and Possibilities for Analysis of Mesh Migration and Shrinkage

  • J. Otto
  • N. Krämer
  • G. A. Krombach
  • I. Slabu
  • M. Hodenius
  • M. Baumann
  • U. Klinge

Abstract

After incorporation, textile meshes change their appearance markedly because of tissue ingrowth and integration into scar tissue. Migration and erosion, shrinkage and deformation, and fistula formation are rare but severe complications. To appreciate the clinical relevance, we have to keep in mind that 1.5 million meshes are implanted per year worldwide [1]. After mesh implantation, a significant number of patients will present to a doctor with mesh-related problems sooner or later. Among these may be either newly developed pain in the groin, functional problems in the hiatus if the mesh was placed around the oesophagus, or manifestation of fistulas to the intestines.

Keywords

Textile Mesh Cine Magnetic Resonance Image Mesh Implantation Mesh Migration Dedicated Small Animal 
These keywords were added by machine and not by the authors. This process is experimental and the keywords may be updated as the learning algorithm improves.

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References

  1. 1.
    Junge K, Klinge U, Rosch R, Mertens PR, Kirch J, Klosterhalfen B, Lynen P. Schumpelick V. Decreased collagen type I/III ratio in patients with recurring hernia after implantation of alloplastic prostheses. Langenbecks Arch Surg 2004, 389:17–22CrossRefPubMedGoogle Scholar
  2. 2.
    Crespi G, Giannetta E, Mariani F, Floris F, Pretolesi F, Marino P. Imaging of early postoperative complications after polypropylene mesh repair of inguinal hernia. Radiol Med (Torino) 2004, 108:107–115Google Scholar
  3. 3.
    Di MM, Runfola M, Magalini S, Sermoneta D, Gui D. Rippled mesh: a CT sign of abdominal wall ePTFE prosthesis infection. G Chir 2006, 27:384–387Google Scholar
  4. 4.
    Fischer T, Ladurner R, Gangkofer A, Mussack T, Reiser M, Lienemann A. Functional cine MRI of the abdomen for the assessment of implanted synthetic mesh in patients after incisional hernia repair: initial results. Eur Radio 2007, 17:3123–3129CrossRefGoogle Scholar
  5. 5.
    Hodenius MA, Niendorf T, Krombach GA, Richtering W, Eckert T, Lueken H. Speldrich M, Gunther RW, Baumann M, Soenen SJ et al. Synthesis, physicochemical characterization and MR relaxometry of aqueous ferrofluids.. J Nanosci Nanotechnol 2008, 8:2399–2409CrossRefPubMedGoogle Scholar

Copyright information

© Springer-Verlag Berlin Heidelberg 2010

Authors and Affiliations

  • J. Otto
    • 1
  • N. Krämer
  • G. A. Krombach
  • I. Slabu
  • M. Hodenius
  • M. Baumann
  • U. Klinge
    • 2
  1. 1.Department of SurgeryRWTH Aachen University HospitalAachenGermany
  2. 2.Institute for Applied Medical Engineering Helmholtz Institute for Applied Medical TechnologyRWTH Aachen UniversityAachenGermany

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