Ventral and Incisional Hernias Mesh Technology

  • Ferdinand KöckerlingEmail author
  • Bruce Ramshaw


In the guidelines [1] for laparoscopic ventral hernia repair of the Society of American Gastrointestinal and Endoscopic Surgeons (SAGES), no recommendation can be made about a specific prosthetic, since there are few data available directly comparing the long-term outcomes of different prosthetics in humans [1]. Selection of the prosthetics is typically based on surgeon’s experience, intraoperative handling characteristics, and the purported features associated with the prosthetic [1]. Post-market, continuous evaluation in terms of patient-centered outcomes of all prosthetics is needed [1].


  1. 1.
    Earle D, Roth S, Saber A, Haggerty S, Bradley JF, Fanelli R, Price R, Richardson WS, Stefanidis D. SAGES guidelines for laparoscopic ventral hernia. Repair Surg Endosc. 2016;30(8):3163–81.CrossRefPubMedGoogle Scholar
  2. 2.
    Bittner R, Bingener-Casey J, Dietz U, Fabian M, Ferzli G, Fortelny R, Köckerling F, Kukleta J, LeBlance K, Lomanto D, Misra M, Morales-Conde S, Ramshaw B, Reinpold W, Rim S, Rohr M, Schrittwieser R, Simon T, Smietanski M, Stechemesser B, Timoey M, Chowbey P. Guidelines for laparoscopic treatment of ventral and incisional abdominal wall hernias (International Endohernia Society [IEHS]) – Part III. Surg Endosc. 2014;28:380–404. Scholar
  3. 3.
    Eriksen JR, Gögenur I, Rosenberg J. Choice of mesh for laparoscopic ventral hernia repair. Hernia. 2007;11(6):481–92.CrossRefPubMedGoogle Scholar
  4. 4.
    Shankaran V, Weber DJ, Reed RL 2nd, Luchette FA. A review of available prosthetics for ventral hernia repair. Ann Surg. 2011;253(1):16–26. Scholar
  5. 5.
    Halm JA, de Wall LL, Steyerberg EW, Jeekel J, Lange JF. Intraperitoneal polypropylene mesh hernia repair complicates subsequent abdominal surgery. World J Surg. 2007;31(2):423–9.CrossRefPubMedGoogle Scholar
  6. 6.
    Deeken CR, Faucher KM, Matthews BD. A review of the composition, characteristicts, and effectiveness of barrier mesh prostheses utilized for laparoscopic ventral hernia repair. Surg Endosc. 2012;26(2):566–75. Scholar
  7. 7.
    Huber A, McCabe GP, Boruch AV, Medberry C, Honerlaw M, Badylak SF. Polypropylene-containing synthetic mesh devices in soft tissue repair: a meta-analysis. J Biomed Mater Res B Appl Biomater. 2012;100(1):145–54. Scholar
  8. 8.
    Franklin ME Jr, Trevino JM, Portillo G, Vela I, Glass JL, Gonzalez JJ. The use of porcine small intestinal submucosa as a prosthetic material for laparoscopic hernia repair in infected and potentially contaminated fields: long-term follow-up. Surg Endosc. 2008;22(9):1941–6. Scholar
  9. 9.
    Rosen MJ, Bauer JJ, Harmaty M, Carbonell A, Cobb WS, Matthews B, Goldblatt MI, Selzer DJ, Poulose BK, Hannsson BME, Rosman C, Chao JJ, Jacobsen GR. Multicenter, prospective, longitudinal study of the recurrence, surgical site infection, and quality of life after contaminated ventral hernia repair using biosynthetic absorbable mesh: the COBRA study. Ann Surg. 2015.
  10. 10.
    Bittner R, Bingener-Casey J, Dietz U, Fabian M, Ferzli GS, Fortelny RH, Köckerling F, Kukelta J, LeBlanc K, Lomanto D, Misra MC, Morales-Conde S, Ramshaw B, Reinpold W, Rim S, Rohr M, Schrittwieser R, Simon T, Smietanski M, Stechemesser B, Timoney M, Chowbey P. Guidelines for laparoscopic treatment of ventral and incisional abdominal wall hernias (International Endohernia Society [IEHS]) – part 2. Surg Endosc. 2014;28:353–79. Scholar
  11. 11.
    Goodney PP, Birkmeyer CM, Birkmeyer JD. Short-term outcomes of laparoscopic and open ventral hernia repair: a meta-analysis. Arch Surg. 2002;137(10):1161–5.CrossRefPubMedGoogle Scholar
  12. 12.
    Forbes SS, Eskicioglu C, RS ML, Okrainec A. Meta-analysis of randomized controlled trials comparing open and laparoscopic ventral and incisional hernia repair with mesh. Br J Surg. 2009;96(8):851–8. Scholar
  13. 13.
    Sajid MS, Bokhari SA, Mallick AS, Cheek E, Baig MK. Laparoscopic versus open repair of incisional/ventral hernia: a meta-analysis. Am J Surg. 2009;197(1):64–72. Scholar
  14. 14.
    Sauerland S, Walgenbach M, Habermalz B, Seiler CM, Miserez M. Laparoscopic versus open surgical techniques for ventral or incisional hernia repair. Cochrane Database Syst Rev. 2011;16(3):CD007781. Scholar
  15. 15.
    Awaiz A, Rahman F, Hossain MB, Yunus RM, Khan S, Memon B, Memon MA. Meta-analysis and systematic review of laparoscopic versus open mesh repair for elective incisional hernia. Hernia. 2015;19:449–63. Scholar
  16. 16.
    Al Chalabi H, Larkin J, Mehigan B, McCormick P. A systematic review of laparoscopic versus open abdominal incisonal hernia repair, with meta-analysis of randomized controlled trials. Int J Surg. 2015;20:65–74. Scholar
  17. 17.
    Fortelny RH, Petter-Puchner AH, Glaser KS, Offner F, Benesch T, Rohr M. Adverse effects of polyvinylidene fluoride-coated polypropylene mesh used for laparsocopic intraperitoneal onlay repair of incisional hernia. Br J Surg. 2010;97(7):11.40–5. Scholar
  18. 18.
    Aguilar B, Chapital AB, Madura JA 2nd, Harold KL. Conservative management of mesh-site infection in hernia repair. J Laparoendosc Adv Surg Tech A. 2010;20(3):249–52. Scholar
  19. 19.
    Trunzo JA, Ponsky JL, Jin J, Wiliams CP, Rosen ML. A novel approach for salvaging infected prosthetic mesh after ventral hernia repair. Hernia. 2009;13(5):545–9. Scholar
  20. 20.
    Hawn MT, Gray SH, Snyder CW, Graham LA, Finan KR, Vick CC. Predictors of mesh explantation after incisional hernia repair. Am J Surg. 2011;202(1):28–33. Scholar
  21. 21.
    Petersen S, Henke G, Freitag M, Faulhaber A, Ludwig K. Deep prosthesis infection in incisional hernia repair: predictive factors and clinical outcome. Eur J Surg. 2001;167(6):453–7.CrossRefPubMedGoogle Scholar
  22. 22.
    Saettele TM, Bachman SL, Costello CR, Grant SA, Cleveland DS, Loy TS, Kolder DG, Ramshaw BJ. Use of porcine dermal collagen as a prosthetic mesh in a contaminated field for ventral hernia repair: a case report. Hernia. 2007;11(3):279–85.CrossRefPubMedGoogle Scholar
  23. 23.
    Sanchez VM, Abi-Haidar YE, Itani KM. Mesh infection in ventral incisional hernia repair: incidence, contributing factors, and treatment. Surg Infect. 2011;12(3):205–10. Scholar
  24. 24.
    Baharestani MM, Gabriel A. Use of negative pressure wound therapy in the management of infected abdominal wounds containing mesh: an analysis of outcomes. Int Wound J. 2011;8(2):118–25. Scholar
  25. 25.
    Tamhankar AP, Ravi K, Everitt NJ. Vacuum assisted closure therapy in the treatment of mesh infection after hernia repair. Surgeon. 2009;7(5):316–8.CrossRefPubMedGoogle Scholar
  26. 26.
    Montgomery A, Kallinowski F, Köckerling F. Evidence for replacement of an infected synthetic by a biological mesh in abdominal wall hernia repair. Front Surg. 2015;2:67. Scholar
  27. 27.
    Seker D, Kulacglu H. Long-term complications of mesh repairs for abdominal wall hernias. J Long-Term Eff Med Implants. 2011;21(3):205–18.CrossRefPubMedGoogle Scholar
  28. 28.
    Sasse KC, Lim DCL, Brandt J. Long-term durability and comfort of laparoscopic ventral hernia repair. JSLS. 2012;16:380–6. Scholar
  29. 29.
    Eker HH, Hansson BME, Buunen M, Janssen IMC, Pierik REGJM, Hop WC, Bonjer J, Jeekel J, Lange JF. Laparoscopic vs open incisional hernia repair. JAMA Surg. 2013;148(3):259–63. Scholar
  30. 30.
    Bingener J, Buck L, Richards M, Michalek J, Schwesinger W, Sirinek K. Long-term outcomes in laparoscopic vs open ventral hernia repair. Arch Surg. 2007;142(6):562–7.CrossRefPubMedGoogle Scholar
  31. 31.
    Köckerling F, Koch A, Lorenz R, Schug-Pass C, Stechemesser B, Reinpold W. How long do we need to follow-up our hernia patients to find the real recurrence rate? Front Surg. 2015;2:24. Scholar

Copyright information

© Springer-Verlag GmbH Germany, part of Springer Nature 2018

Authors and Affiliations

  1. 1.Professor of Surgery, Department of Surgery and Center for Minimally Invasive SurgeryCertified Hernia Center and Certified Obesity Center, Academic Teaching Hospital of Charité – University Medicine Berlin, Vivantes HospitalBerlinGermany
  2. 2.Department of SurgeryUniversity Surgeons AssociatesKnoxvilleUSA

Personalised recommendations