Skip to main content
SpringerLink
Log in

Central Mesh Rupture — Myth or Real Concern?

  • Chapter
Recurrent Hernia

Abstract

The use of meshes in repairing incisional hernia first described by Usher [1] in 1958 is now widely accepted. The reinforcement of the wall with meshes led to a satisfactory reduction of recurrence rates of less than 10%. This effect was due to the mechanical properties of the mesh and the induced scar acting as a scar-mesh compound. However, with increasing numbers of implanted meshes, reports of undesirable complications arose as well. These mesh-related consequences included infection, seroma or shrinkage of the mesh [2]. Even the potential risk of malignant transformation due to a persistent foreignbody reaction was a concern. During the third Suvretta meeting in 2003, benefits and potential risks of meshes were discussed in all variants. The take-home message at that time was that with the recently developed meshes no real concern remained. Meantime, in the past 3 years this optimistic view for mesh implants has been spoiled by alarming reports on recurrence rates in incisional hernia repair. Flum [3] reported 10,822 patients operated on for incisional hernia by either suture or mesh repair. It was a retrospective population-based cohort study in Washington State.

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

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

  1. Usher F, Öchsner J, Tuttle LL Jr (1958) Use of Marlex mesh in the repair of incisional hernias. Am Surg 24: 969–974

    PubMed  CAS  Google Scholar 

  2. Leber GE, Garb JL, Alexander AI, et al (1998) Long-term complications associated with prosthetic repair of incisional hernias. Arch Surg 133: 378–382

    Article  PubMed  CAS  Google Scholar 

  3. Flum DR, Horvath K, Koepsell T (2003) Have outcomes of incisional hernia repair improved with time? A populationbased analysis. Ann Surg 237: 129–135

    Article  PubMed  Google Scholar 

  4. Burger JW, Luijendijk RW, Hop WC, et al (2004) Long-term follow-up of a randomized controlled trial of suture versus mesh repair of incisional hernia. Ann Surg 204: 578–585

    Google Scholar 

  5. McLanahan D, King LT, Weems C, Novotney M, Gibson K (1997) Retrorectus prosthetic mesh repair of midline abdominal hernia. Am J Surg 173: 445–449

    Article  PubMed  CAS  Google Scholar 

  6. Molloy RG, Moran KT, Waldron RP, Brady MP, Kirwan WO (1991) Massive incisional hernia: abdominal wall replacement with Marlex mesh. Br J Surg 78: 242–244

    Article  PubMed  CAS  Google Scholar 

  7. Schumpelick V, Klinge U, Welty G, Klosterhalfen B (1999) Meshes in der Bauchwand. Chirurg 70: 876–887

    Article  PubMed  CAS  Google Scholar 

  8. Vestweber KH, Lepique F, Haaf F, Horatz M, Rink A (1997) Netzplastiken bei Bauchwand-Rezidivhernien — Ergebnisse. Zentralbl Chir 122: 885–888

    PubMed  CAS  Google Scholar 

  9. Wantz GE, Fischer E (1999) Prosthetic incisional hernioplasty: indications and results. In: Schumpelick V, Kingsnoth AN (eds) Incisional hernia. Springer, Berlin Heidelberg New York, pp 303–311

    Google Scholar 

  10. Morris-Stiff GJ, Hughes LE (1998) The outcomes of nonabsorblable mesh placed within the abdominal cavity: literature review and clinical experience. J Am Coll Surg 186:352–366

    Article  PubMed  CAS  Google Scholar 

  11. Langer C, Neufang T, Kley C, Liersch T, Becker H (2001) Central mesh recurrence after incisional hernia repair with Marlex — are the meshes strong enough? Hernia 5: 164–167

    Article  PubMed  CAS  Google Scholar 

  12. Conze J, Kingsnorth AN, Flament JB, Simmermacher R, Arlt G, Langer C, Schippers E, Hartley M, Schumpelick V (2005) Randomized clinical trial comparing lightweight composite mesh with polyester or polypropylene mesh for incisional hernia repair. Br J Surg; 92: 1488–1493

    Article  PubMed  CAS  Google Scholar 

  13. Langer C, Kley C, Neufang T, Liersch T, Becker H (2001) Zur Problematik des Narbenhernienrezidivs nach Netzplastik der Bauchwand. Chirurg 72: 927–933

    Article  PubMed  CAS  Google Scholar 

  14. Klinge U, Conze J, Krones CJ, Schumpelick V (2005) Incisional hernia: open techniques. World J. Surg. 29, 1006–1072

    Article  Google Scholar 

References

  1. Langer C, Neufang T, Kley C, Liersch T, Becker H. Central mesh recurrence after incisional hernia repair with Marlex are the meshes strong enough? Hernia 2001; 5: 164–167

    Article  PubMed  CAS  Google Scholar 

  2. Schumpelick V, Nyhus L. Meshes: benefits and risks. Springer, Berlin Heidelberg New York, 2003

    Google Scholar 

  3. Klinge U, Conze J, Krones CJ, Schumpelick V. Incisional hernia: open techniques. World J Surg 2005; 29: 1066–1072

    Article  PubMed  Google Scholar 

  4. Burger JW, Lange JF, Halm JA, Kleinrensink GJ, Jeekel H. Incisional hernia: early complication of abdominal surgery. World J Surg 2005; 29: 1608–1613

    Article  PubMed  Google Scholar 

Download references

Author information

Authors and Affiliations

  1. Allgemein- und Viszeralchirurgie, Juliusspital, Juliuspromenade 19, 97070, Würzburg, Germany

    E. Schippers

Authors
  1. E. Schippers
    View author publications

    You can also search for this author in PubMed Google Scholar

Editor information

Editors and Affiliations

  1. Chirurgische Klinik, Universitätsklinikum Aachen, Pauwelsstraße 30, 52074, Aachen, Germany

    Volker Schumpelick

  2. Department of Surgery, Creighton University, 601 North 30th Street Suite 3740, Omaha, NE, 68131, USA

    Robert J. Fitzgibbons

Rights and permissions

Reprints and permissions

Copyright information

© 2007 Springer-Verlag Berlin Heidelberg

About this chapter

Cite this chapter

Schippers, E. (2007). Central Mesh Rupture — Myth or Real Concern?. In: Schumpelick, V., Fitzgibbons, R.J. (eds) Recurrent Hernia. Springer, Berlin, Heidelberg. https://doi.org/10.1007/978-3-540-68988-1_37

Download citation

  • DOI: https://doi.org/10.1007/978-3-540-68988-1_37

  • Publisher Name: Springer, Berlin, Heidelberg

  • Print ISBN: 978-3-540-37545-6

  • Online ISBN: 978-3-540-68988-1

  • eBook Packages: MedicineMedicine (R0)

Publish with us

Policies and ethics

Search

Navigation