Hernia repair: the search for ideal meshes

被引：167

作者：

Bringman, S. ^{[1
]}

Conze, J. ^{[2
]}

Cuccurullo, D. ^{[3
]}

Deprest, J. ^{[4
]}

Junge, K. ^{[5
]}

Klosterhalfen, B. ^{[6
]}

Parra-Davila, E. ^{[7
]}

Ramshaw, B. ^{[8
]}

Schumpelick, V. ^{[9
]}

机构：

[1] Sodertalje Hosp, Karolinska Inst, Dept Surg, S-15286 Sodertalje, Sweden

[2] Rhein Westfal TH Aachen, Chirurg Univ Klin & Poliklin, D-52074 Aachen, Germany

[3] Monaldi Hosp, Dept Gen & Laparoscop Surg, I-80127 Naples, Italy

[4] Katholieke Univ Leuven, Univ Hosp Gasthuisberg, Pelv Floor Unit, B-3000 Louvain, Belgium

[5] Univ Hosp Aachen, RWTH Aachen, Dept Surg, D-52074 Aachen, Germany

[6] Krankenhaus Duren Gem GmbH, Inst Pathol, D-52351 Duren, Germany

[7] Surg Associates Palm Beach Cty, Boca Raton, FL 33486 USA

[8] Univ Missouri, Div Gen Surg, Columbia, MO USA

[9] Rheinish Westphalian Tech Univ, Dept Surg, Fac Med, D-52074 Aachen, Germany

来源：

HERNIA | 2010年 / 14卷 / 01期

关键词：

Surgical mesh; Prosthesis design; Complications; Operative surgical procedure; Animal models; QUALITY-OF-LIFE; POLYPROPYLENE-MESH; ABDOMINAL-WALL; IMPLANTATION; LIGHTWEIGHT; RECURRENCE; IMPACT; TAPP; PAIN;

D O I：

10.1007/s10029-009-0587-x

中图分类号：

R61 [外科手术学];

学科分类号：

摘要：

Effective repair of hernia is a difficult task. There have been many advances in hernia repair techniques over the past 50 years, but new strategies must be considered to enhance the success of herniorrhaphy. At the 30th International Congress of the European Hernia Society, nine experts in hernia repair and experimental mesh evaluation participated in a roundtable discussion about today's unmet needs in hernia repair, including what constitutes an "ideal" hernia repair and the portfolio of "ideal" mesh prostheses. Defining characteristics of lightweight mesh, mesh alternatives, the surgeon's role in hernia repair, adverse events, the unmet requirements for today's hernia repair, and optimized animal models were among the topics discussed. The ideal mesh's construction is still in progress, but greater understanding of its critical characteristics was explored. It is hoped that these suggestions will lead to the development of improved hernia treatments and a maximally effective portfolio of hernia mesh prostheses.

引用

页码：81 / 87

页数：7

共 28 条

[21] The lightweight and large porous mesh concept for hernia repair [J].

Klosterhalfen, B ;

Junge, K ;

Klinge, U .

EXPERT REVIEW OF MEDICAL DEVICES, 2005, 2 (01) :103-117

[22] Functional and morphological evaluation of different polypropylene-mesh modifications for abdominal wall repair [J].

Klosterhalfen, B ;

Klinge, U ;

Schumpelick, V .

BIOMATERIALS, 1998, 19 (24) :2235-2246

[23] Chronic pain after hernia repair:: a randomized trial comparing Shouldice, Lichtenstein and TAPP [J].

Köninger, J ;

Redecke, J ;

Butters, M .

LANGENBECKS ARCHIVES OF SURGERY, 2004, 389 (05) :361-365

[24]

LIM C, 2008, ANZ J SURG, V78, pA48

[25] Ileocutaneous fistula formation following laparoscopic polypropylene mesh hernia repair [J].

Miller, K ;

Junger, W .

SURGICAL ENDOSCOPY-ULTRASOUND AND INTERVENTIONAL TECHNIQUES, 1997, 11 (07) :772-773

[26] Mesh repair of common abdominal hernias: a review on experimental and clinical studies [J].

Penttinen, R. ;

Gronroos, J. M. .

HERNIA, 2008, 12 (04) :337-344

[27] Demographic and socioeconomic aspects of hernia repair in the United States in 2003 [J].

Rutkow, IM .

SURGICAL CLINICS OF NORTH AMERICA, 2003, 83 (05) :1045-+

[28]

USHER F C, 1958, Am Surg, V24, P969

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