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Biomaterials for Abdominal Wall Hernia Repair

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Techniques of Abdominal Wall Hernia Repair

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Abstract

The technique of abdominal wall hernia repair was initially limited to suture approximation of the hernia defect. The issue of tension and recurrence lead to the addition of biomaterials to the repair technique.

The biomaterials can be broadly classified into absorbable and non-absorbable synthetic materials. Synthetic biomaterials have become increasingly popular in the field of abdominal wall hernia repair in the recent past with addition of numerous types of meshes by different companies.

Most of the meshes in the current practice are proven to be safe and feasible but long-term outcomes of these materials are not widely available in literature. Similar biomaterials are used in both inguinal and ventral hernia repair. Modifications are made to the meshes used in ventral hernia repair to minimize adhesion of bowel to the mesh during intra-peritoneal on-lay mesh technique.

The choice of mesh mostly depends on the type of hernia, technique of mesh placement, size of the defect, properties of the biomaterial, cost and also the individual preference of the surgeon. After considering the available data on safety and feasibility, it is up to the surgeon to decide the best mesh suitable to the need of individual patient.

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Author information

Authors and Affiliations

  1. Department of Surgery, Minimally Invasive Surgical Centre, National University Health System, Singapore, Singapore

    Asim Shabbir & Sujith Wijerathne

Authors
  1. Asim Shabbir
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  2. Sujith Wijerathne
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Correspondence to Sujith Wijerathne .

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Editors and Affiliations

  1. Metabolic and Bariatric Surgery, Max Super Specialty Hospital, New Delhi, India

    Pradeep Chowbey

  2. Minimally Invasive Surgical Centre, KTP Advanced Surgical Training Centre, Yong Loo Lin School of Medicine, National University Health System, National University of Singapore, Singapore, Singapore

    Davide Lomanto

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Shabbir, A., Wijerathne, S. (2020). Biomaterials for Abdominal Wall Hernia Repair. In: Chowbey, P., Lomanto, D. (eds) Techniques of Abdominal Wall Hernia Repair. Springer, New Delhi. https://doi.org/10.1007/978-81-322-3944-4_16

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  • DOI: https://doi.org/10.1007/978-81-322-3944-4_16

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  • Publisher Name: Springer, New Delhi

  • Print ISBN: 978-81-322-3942-0

  • Online ISBN: 978-81-322-3944-4

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