Skip to main content
SpringerLink
Log in

Abdominal Wall Hernias and Biomaterials

  • Chapter
Bioengineering Research of Chronic Wounds

Part of the book series: Studies in Mechanobiology, Tissue Engineering and Biomaterials ((SMTEB,volume 1))

Abstract

Hernia is derived from the Latin word meaning “rupture or protrusion”. A hernia is the protrusion of tissue or an organ through a defect or weakness in the surrounding walls. Abdominal wall hernias occur at sites lacking a covering with overlapping aponeuroses and fascia. Hernias can be present at birth (congenital), develop spontaneously over time or as a result of surgery or trauma. Areas on the ventral abdominal wall prone to hernia formation are located at the arcuate line, epigastric, inguinal and umbilical hernias. Iatrogenic hernias on the abdominal wall occur at sites of surgical incisions (incisional hernias).

This is a preview of subscription content, log in via an institution to check access.

Access this chapter

Log in via an institution
Chapter
USD 29.95
Price excludes VAT (USA)
  • Available as PDF
  • Read on any device
  • Instant download
  • Own it forever
eBook
USD 129.00
Price excludes VAT (USA)
  • Available as PDF
  • Read on any device
  • Instant download
  • Own it forever
Softcover Book
USD 169.99
Price excludes VAT (USA)
  • Compact, lightweight edition
  • Dispatched in 3 to 5 business days
  • Free shipping worldwide - see info
Hardcover Book
USD 169.99
Price excludes VAT (USA)
  • Durable hardcover edition
  • Dispatched in 3 to 5 business days
  • Free shipping worldwide - see info

Tax calculation will be finalised at checkout

Purchases are for personal use only

Institutional subscriptions

Preview

Unable to display preview. Download preview PDF.

Unable to display preview. Download preview PDF.

References

  • Anthony, T., Bergen, P.C., et al.: Factors affecting recurrence following incisional herniorrhaphy. World J. Surg. 24(1), 95–100 (2000); discussion 101

    Article  Google Scholar 

  • Aquaviva: Cure d’une volumineuse eventration par plaque de Crinofil. Extraits Bull. Soc. Chir. de Mareseille 17 (1944)

    Google Scholar 

  • Arroyo, A., Garcia, P., et al.: Randomized clinical trial comparing suture and mesh repair of umbilical hernia in adults. Br. J. Surg. 88(10), 1321–1323 (2001)

    Article  Google Scholar 

  • Arroyo Sebastia´n A, P.r.F., Serrano, P., Costa, D., Oliver, I., Ferrer, R., Lacueva, J., Calpena, R.: Is prosthetic umbilical hernia repair bound to replace primary herniorrhaphy in the adult patient? (2002)

    Google Scholar 

  • Askar, O.M.: A new concept of the aetiology and surgical repair of paraumbilical and epigastric hernias. Ann. R. Coll. Surg. Engl. 60(1), 42–48 (1978)

    Google Scholar 

  • Askar, O.M.: Aponeurotic hernias. Recent observations upon paraumbilical and epigastric hernias. Surg. Clin. North. Am. 64(2), 315–333 (1984)

    Google Scholar 

  • Axer, H., Keyserlingk, D.G., et al.: Collagen fibers in linea alba and rectus sheaths. I. General scheme and morphological aspects. J. Surg. Res. 96(1), 127–134 (2001)

    Article  Google Scholar 

  • Bachman, S., Ramshaw, B.: Prosthetic material in ventral hernia repair: how do I choose? Surg. Clin. North. Am. 88(1), ix, 101–112 (2008)

    Article  Google Scholar 

  • Balique, J.G., Benchetrit, S., et al.: Intraperitoneal treatment of incisional and umbilical hernias using an innovative composite mesh: four-year results of a prospective multicenter clinical trial. Hernia 9(1), 68–74 (2005)

    Article  Google Scholar 

  • Bellon, J.M., Rodriguez, M., et al.: Comparing the behavior of different polypropylene meshes (heavy and lightweight) in an experimental model of ventral hernia repair. J. Biomed. Mater. Res. B. Appl. Biomater. 89(2), 448–455 (2009)

    Google Scholar 

  • Binnebosel, M., Rosch, R., et al.: Biomechanical analyses of overlap and mesh dislocation in an incisional hernia model in vitro. Surgery 142(3), 365–371 (2007)

    Article  Google Scholar 

  • Blatnik, J., Jin, J., et al.: Abdominal hernia repair with bridging acellular dermal matrix–an expensive hernia sac. Am. J. Surg. 196(1), 47–50 (2008)

    Article  Google Scholar 

  • Burger, J.W., Luijendijk, R.W., et al.: Long-term follow-up of a randomized controlled trial of suture versus mesh repair of incisional hernia. Ann. Surg. 240(4), 578–583 (2004); discussion 583-5

    Google Scholar 

  • Burke: Corrosion of metals in tissues; and introduction to tantalum. Can. Med. Assoc. J. 43, 125–128 (1940)

    Google Scholar 

  • Candage, R., Jones, K., et al.: Use of human acellular dermal matrix for hernia repair: friend or foe? Surgery 144(4), 703–709 (2008); discussion 709-11

    Article  Google Scholar 

  • Celdran, A., Bazire, P., et al.: H-hernioplasty: a tension-free repair for umbilical hernia. Br. J. Surg. 82(3), 371–372 (1995)

    Article  Google Scholar 

  • Champault, G.G., Rizk, N., et al.: Inguinal hernia repair: totally preperitoneal laparoscopic approach versus Stoppa operation: randomized trial of 100 cases. Surg. Laparosc. Endosc. 7(6), 445–450 (1997)

    Article  Google Scholar 

  • Cobb, W.S., Burns, J.M., et al.: Textile analysis of heavy weight, mid-weight, and light weight polypropylene mesh in a porcine ventral hernia model. J. Surg. Res. 136(1), 1–7 (2006)

    Article  Google Scholar 

  • Cobb, W.S., Kercher, K.W., et al.: The argument for lightweight polypropylene mesh in hernia repair. Surg. Innov. 12(1), 63–69 (2005)

    Article  Google Scholar 

  • Cobb, W.S., Peindl, R.M., et al.: Mesh terminology 101. Hernia 13(1), 1–6 (2009)

    Article  Google Scholar 

  • Conze, J., Kingsnorth, A.N., et al.: Randomized clinical trial comparing lightweight composite mesh with polyester or polypropylene mesh for incisional hernia repair. Br. J. Surg. 92(12), 1488–1493 (2005)

    Article  Google Scholar 

  • Costello, C.R., Bachman, S.L., et al.: Materials characterization of explanted polypropylene hernia meshes. J. Biomed. Mater. Res. B. Appl. Biomater. 83(1), 44–49 (2007)

    Google Scholar 

  • Dayton, M.T., Buchele, B.A., Shirazi, S.S., Hunt, L.B.: Use of an absorbable mesh to repair contaminated abdominal wall defects. Arch. Surg. 121, 954–1040 (1986)

    Google Scholar 

  • DeBord, J.R.: The historical development of prosthetics in hernia surgery. Surg. Clin. North. Am. 78(6), vi, 973–1006 (1998)

    Article  Google Scholar 

  • den Hartog, D., Dur, A.H., et al.: Open surgical procedures for incisional hernias. Cochrane Database Syst. Rev. (3), CD006438 (2008)

    Google Scholar 

  • Bridgewater, F.H.G.: An historical perspective: reviewing the evolution of the surgical management of groin hernias. Churchill Livingstone, New York (1997)

    Google Scholar 

  • Fitzgibbons Jr., R.J.: Management of an inguinal hernia: conventional? tension-free? laparoscopic? or maybe no treatment at all. In: Present to the General Sessions of the American College of Surgeons, 86th Annual Clinical Congress (2000)

    Google Scholar 

  • Fitzgibbons Jr., R.J., Giobbie-Hurder, A., et al.: Watchful waiting vs repair of inguinal hernia in minimally symptomatic men: a randomized clinical trial. JAMA 295(3), 285–292 (2006)

    Article  Google Scholar 

  • Franz, M.G.: The biology of hernia formation. Surg. Clin. North. Am. 88(1), 1–15 (2008)

    Article  Google Scholar 

  • Goepel: Uber die verschliessung von bruchpforten durch einheilung geflocuhtener fertiger silberdrahtnetze. Verh. Deutsch. Ges. Chir. 9, 174–179 (1900)

    Google Scholar 

  • Gonzalez, R., Ramshaw, B.J.: Comparison of tissue integration between polyester and polypropylene prostheses in the preperitoneal space. Am. Surg. 69(6), 471–476 (2003); discussion 476-7

    Google Scholar 

  • Gonzalez, R., Rodeheaver, G.T., et al.: Resistance to adhesion formation: a comparative study of treated and untreated mesh products placed in the abdominal cavity. Hernia 8(3), 213–219 (2004)

    Article  Google Scholar 

  • Grevious, M.A., Cohen, M., et al.: The use of prosthetics in abdominal wall reconstruction. Clin. Plast. Surg. 33(2), v, 181–197 (2006)

    Article  Google Scholar 

  • Grevious, M.A., Cohen, M., et al.: Structural and functional anatomy of the abdominal wall. Clin. Plast. Surg. 33(2), v, 169–179 (2006)

    Article  Google Scholar 

  • Harrell, A.G., Novitsky, Y.W., et al.: Prospective evaluation of adhesion formation and shrinkage of intra-abdominal prosthetics in a rabbit model. Am. Surg. 72(9), 808–813 (2006); discussion 813-4

    Google Scholar 

  • Heikkinen, T., Haukipuro, K., et al.: Total costs of laparoscopic and lichtenstein inguinal hernia repairs: a randomized prospective study. Surg. Laparosc. Endosc. 7(1), 1–5 (1997)

    Article  Google Scholar 

  • Heniford, B.T., Park, A., et al.: Laparoscopic repair of ventral hernias: nine years’ experience with 850 consecutive hernias. Ann. Surg. 238(3), 391–399 (2003); discussion 399-400

    Google Scholar 

  • Hiles, M.: Evidence-Based Medicine and Biologic Grafts: How Do They Stack Up for Hernia Repair? Fort Myers (2009)

    Google Scholar 

  • Hiles, M., Ritchie, R.D., et al.: Are Biologic Grafts Effective for Hernia Repair? A Systematic Review of the Literature. Surg. Innov. (2009)

    Google Scholar 

  • Hilling, D.E., Koppert, L.B., et al.: Laparoscopic correction of umbilical hernias using a transabdominal preperitoneal approach: results of a pilot study. Surg. Endosc. (2008)

    Google Scholar 

  • Hjaltason, E.: Incarcerated hernia. Acta. Chir. Scand. 147(4), 263–267 (1981)

    Google Scholar 

  • Jackson, O.J., Moglen, L.H.: Umbilical hernia. A retrospective study. Calif. Med. 113(4), 8–11 (1970)

    Google Scholar 

  • Jansen, P.L., Mertens Pr, P., et al.: The biology of hernia formation. Surgery 136(1), 1–4 (2004)

    Article  Google Scholar 

  • Patino, J.F.: A history of the treatment of hernia. Lippincott, Philadelphia (1995)

    Google Scholar 

  • Johansson, B., Hallerback, B., et al.: Laparoscopic mesh versus open preperitoneal mesh versus conventional technique for inguinal hernia repair: a randomized multicenter trial (SCUR Hernia Repair Study). Ann. Surg. 230(2), 225–231 (1999)

    Article  Google Scholar 

  • Junge, K., Klinge, U., et al.: Functional and morphologic properties of a modified mesh for inguinal hernia repair. World J. Surg. 26(12), 1472–1480 (2002)

    Article  Google Scholar 

  • Kaufman, Z., Engelberg, M., et al.: Fecal fistula: a late complication of Marlex mesh repair. Dis. Colon. Rectum. 24(7), 543–544 (1981)

    Article  Google Scholar 

  • Khoury, N.: A randomized prospective controlled trial of laparoscopic extraperitoneal hernia repair and mesh-plug hernioplasty: a study of 315 cases. J. Laparoendosc. Adv. Surg. Tech. A 8(6), 367–372 (1998)

    Article  Google Scholar 

  • Kirkpatrick, S., Schubert, T.: Umbilical hernia rupture in cirrhotics with ascites. Dig. Dis. Sci. 33(6), 762–765 (1988)

    Article  Google Scholar 

  • Klinge, U., Klosterhalfen, B., et al.: Impact of polymer pore size on the interface scar formation in a rat model. J. Surg. Res. 103(2), 208–214 (2002)

    Article  Google Scholar 

  • Klinge, U., Klosterhalfen, B., et al.: Modified mesh for hernia repair that is adapted to the physiology of the abdominal wall. Eur. J. Surg. 164(12), 951–960 (1998)

    Article  Google Scholar 

  • Klinge, U., Klosterhalfen, B., et al.: Shrinking of polypropylene mesh in vivo: an experimental study in dogs. Eur. J. Surg. 164(12), 965–969 (1998)

    Article  Google Scholar 

  • Klinge, U., Klosterhalfen, B., et al.: Foreign body reaction to meshes used for the repair of abdominal wall hernias. Eur. J. Surg. 165(7), 665–673 (1999)

    Article  Google Scholar 

  • Klinge, U., Prescher, A., et al.: Development and pathophysiology of abdominal wall defects. Chirurg 68(4), 293–303 (1997)

    Article  Google Scholar 

  • Klosterhalfen, B., Junge, K., et al.: The lightweight and large porous mesh concept for hernia repair. Expert Rev. Med. Devices 2(1), 103–117 (2005)

    Article  Google Scholar 

  • Klosterhalfen, B., Klinge, U., et al.: Morphologic correlation of functional abdominal wall mechanics after mesh implantation. Langenbecks Arch. Chir. 382(2), 87–94 (1997)

    Google Scholar 

  • Klosterhalfen, B., Klinge, U., et al.: Functional and morphological evaluation of different polypropylene-mesh modifications for abdominal wall repair. Biomaterials 19(24), 2235–2246 (1998)

    Article  Google Scholar 

  • Koontz, A.R., Kimberly, R.C.: Further experimental work on prostheses for hernia repair. Surg. Gynecol. Obstet. 109(321) (1959)

    Google Scholar 

  • Korenkov, M., Beckers, A., et al.: Biomechanical and morphological types of the linea alba and its possible role in the pathogenesis of midline incisional hernia. Eur. J. Surg. 167(12), 909–914 (2001)

    Article  Google Scholar 

  • Lang, B., Lau, H., et al.: Epigastric hernia and its etiology. Hernia 6(3), 148–150 (2002)

    Article  Google Scholar 

  • Lange, W.: On the inscriptiones tendinae in the human musculus rectus abdominis. Anat. Anz. 121(4), 372–380 (1967)

    Google Scholar 

  • Larson, D.W., Farley, D.R.: Spigelian hernias: repair and outcome for 81 patients. World J. Surg. 26(10), 1277–1281 (2002)

    Article  Google Scholar 

  • Larson, G.M., Vandertoll, D.J.: Approaches to repair of ventral hernia and full-thickness losses of the abdominal wall. Surg. Clin. North. Am. 64(2), 335–349 (1984)

    Google Scholar 

  • Lau, W.Y.: History of treatment of groin hernia. World J. Surg. 26(6), 748–759 (2002)

    Article  Google Scholar 

  • Leber, G.E., Garb, J.L., et al.: Long-term complications associated with prosthetic repair of incisional hernias. Arch. Surg. 133(4), 378–382 (1998)

    Article  Google Scholar 

  • Leveen, H.H., Barberio, J.R.: Tissue Reaction to Plastics Used in Surgery with Special Reference to Teflon. Ann. Surg. 129(1), 74–84 (1949)

    Article  Google Scholar 

  • Liang, H.C., Chang, Y., et al.: Effects of crosslinking degree of an acellular biological tissue on its tissue regeneration pattern. Biomaterials 25(17), 3541–3552 (2004)

    Article  Google Scholar 

  • Losanoff, J.E., Richman, B.W., et al.: Entero-colocutaneous fistula: a late consequence of polypropylene mesh abdominal wall repair: case report and review of the literature. Hernia 6(3), 144–147 (2002)

    Article  Google Scholar 

  • Luijendijk, R.W., Hop, W.C., et al.: A comparison of suture repair with mesh repair for incisional hernia. N. Engl. J. Med. 343(6), 392–398 (2000)

    Article  Google Scholar 

  • Lyons, A.S., Joseph Petrucelli, R.: Medicine: an Illustrated History, New York (1987)

    Google Scholar 

  • Mark, A., Malangoni, M., Michael, J., Rosen, M.D.: Hernias. In: Courtney, M., Townsend Jr., M. (eds.) Townsend: Sabiston Textbook of Surgery. Saunders Elsevier, Philadelphia (2007)

    Google Scholar 

  • Matthews, B.D., Pratt, B.L., et al.: Assessment of adhesion formation to intra-abdominal polypropylene mesh and polytetrafluoroethylene mesh. J. Surg. Res. 114(2), 126–132 (2003)

    Article  Google Scholar 

  • McCormack, K., Scott, N.W., et al.: Laparoscopic techniques versus open techniques for inguinal hernia repair. Cochrane Database Syst. Rev.(1), CD001785 (2003)

    Google Scholar 

  • McCormack, K.W.B., Fraser, C., Vale, L., Perez, J., Grant, A.: Transabdominal pre-peritoneal (TAPP) versus totally extraperitoneal (TEP) laparoscopic techniques for inguinal hernia repair: a systematic review. Hernia 9(2), 109–114 (2005)

    Article  Google Scholar 

  • Memon, M.A., Cooper, N.J., et al.: Meta-analysis of randomized clinical trials comparing open and laparoscopic inguinal hernia repair. Br. J. Surg. 90(12), 1479–1492 (2003)

    Article  Google Scholar 

  • Muschaweck, U.: Umbilical and epigastric hernia repair. Surg. Clin. North. Am. 83(5), 1207–1221 (2003)

    Article  Google Scholar 

  • Nathan, J.D., Pappas, T.N.: Inguinal hernia: an old condition with new solutions. Ann. Surg. 238(suppl. 6), S148–S157 (2003)

    Google Scholar 

  • Nguyen, N.T., Lee, S.L., et al.: Laparoscopic umbilical herniorrhaphy. J. Laparoendosc Adv. Surg. Tech. A 10(3), 151–153 (2000)

    Article  Google Scholar 

  • Read, R.C.: Milestones in the history of hernia surgery: prosthetic repair. Hernia 8(1), 8–14 (2004)

    Article  Google Scholar 

  • Riazz, A.A., Ismail, M., Barsam, A., Bunce, C.J.: Mesh erosion into the bladder: A late complication of incisional hernia repair: A case report and review of literature. Hernia 8(2), 158–159 (2004)

    Article  Google Scholar 

  • Ridings, P., Evans, D.S.: The transabdominal pre-peritoneal (TAPP) inguinal hernia repair: a trip along the learning curve. J. R. Coll. Surg. Edinb. 45(1), 29–32 (2000)

    Google Scholar 

  • Salameh, J.R.: Primary and unusual abdominal wall hernias. Surg. Clin. North. Am. 88(1), viii, 45–60 (2008)

    Article  Google Scholar 

  • Santora, T.A., Roslyn, J.J.: Incisional hernia. Surg. Clin. North. Am. 73(3), 557–570 (1993)

    Google Scholar 

  • Schmidbauer, S., Ladurner, R., et al.: Heavy-weight versus low-weight polypropylene meshes for open sublay mesh repair of incisional hernia. Eur. J. Med. Res. 10(6), 247–253 (2005)

    Google Scholar 

  • Schumpelick, V., Klinge, U., et al.: Incisional abdominal hernia: the open mesh repair. Langenbecks Arch. Surg. 389(1), 1–5 (2004)

    Article  Google Scholar 

  • Shell, D.H.t., de la Torre, J., et al.: Open repair of ventral incisional hernias. Surg. Clin. North. Am. 88(1), viii, 61–83 (2008)

    Article  Google Scholar 

  • Usher, F.C., Ochsner, J., et al.: Use of marlex mesh in the repair of incisional hernias. Am. Surg. 24(12), 969–974 (1958)

    Google Scholar 

  • Velasco, M., Hidalgo, G.-U.M., Hidalgo, M., Vega, V., Cohen, M., Carnero, F.J.: Current concepts on adult umbilical hernia (1999)

    Google Scholar 

  • Wellwood, J., Sculpher, M.J., et al.: Randomised controlled trial of laparoscopic versus open mesh repair for inguinal hernia: outcome and cost. BMJ 317(7151), 103–110 (1998)

    Google Scholar 

  • Welty, G., Klinge, U., et al.: Functional impairment and complaints following incisional hernia repair with different polypropylene meshes. Hernia 5(3), 142–147 (2001)

    Article  Google Scholar 

  • Wright, D.M., Kennedy, A., et al.: Early outcome after open versus extraperitoneal endoscopic tension-free hernioplasty: a randomized clinical trial. Surgery 119(5), 552–557 (1996)

    Article  Google Scholar 

  • Yahchouchy-Chouillard, E., Aura, T., et al.: Incisional hernias. I. Related risk factors. Dig. Surg. 20(1), 3–9 (2003)

    Article  Google Scholar 

  • Yavuz, N., Ipek, T., et al.: Laparoscopic repair of ventral and incisional hernias: our experience in 150 patients. J. Laparoendosc. Adv. Surg. Tech. A 15(6), 601–605 (2005)

    Article  Google Scholar 

Download references

Author information

Authors and Affiliations

  1. Division of General Surgery, Lexington, University of Kentucky College of Medicine, Kentucky

    Levi Procter

  2. Department of Chemical and Biomolecular Engineering, College Park, University of Maryland, Maryland

    Erin E. Falco

  3. Fischell Department of Bioengineering, College Park, University of Maryland, Maryland

    John P. Fisher

  4. Division of General Surgery, Director of Minimally Invasive Surgery, Lexington, University of Kentucky College of Medicine, Kentucky

    John S. Roth

Authors
  1. Levi Procter
    View author publications

    You can also search for this author in PubMed Google Scholar

  2. Erin E. Falco
    View author publications

    You can also search for this author in PubMed Google Scholar

  3. John P. Fisher
    View author publications

    You can also search for this author in PubMed Google Scholar

  4. John S. Roth
    View author publications

    You can also search for this author in PubMed Google Scholar

Editor information

Editors and Affiliations

  1. Fac. Engineering, Dept. Biomedical Engineering, Tel Aviv University, 69978, Ramat Aviv, Israel

    Amit Gefen

Rights and permissions

Reprints and permissions

Copyright information

© 2009 Springer Berlin Heidelberg

About this chapter

Cite this chapter

Procter, L., Falco, E.E., Fisher, J.P., Roth, J.S. (2009). Abdominal Wall Hernias and Biomaterials. In: Gefen, A. (eds) Bioengineering Research of Chronic Wounds. Studies in Mechanobiology, Tissue Engineering and Biomaterials, vol 1. Springer, Berlin, Heidelberg. https://doi.org/10.1007/978-3-642-00534-3_19

Download citation

  • DOI: https://doi.org/10.1007/978-3-642-00534-3_19

  • Publisher Name: Springer, Berlin, Heidelberg

  • Print ISBN: 978-3-642-00533-6

  • Online ISBN: 978-3-642-00534-3

  • eBook Packages: EngineeringEngineering (R0)

Publish with us

Policies and ethics

Search

Navigation