A Review of Abdominal Meshes for Hernia Repair—Current Status and Emerging Solutions

Abdominal hernias are common issues in the clinical setting, burdening millions of patients worldwide. Associated with pain, decreased quality of life, and severe potential complications, abdominal wall hernias should be treated as soon as possible. Whether an open repair or laparoscopic surgical ap...

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Bibliographic Details
Published in:Materials 2023-11, Vol.16 (22), p.7124
Main Authors: Najm, Alfred, Niculescu, Adelina-Gabriela, Gaspar, Bogdan Severus, Grumezescu, Alexandru Mihai, Beuran, Mircea
Format: Article
Language:English
Subjects:
Abdomen
Hernia
Hernias
Laparoscopy
Metabolism
Pathology
Patients
Polymers
Polyvinyl alcohol
Surgeons
Surgery
Sutures
Tensile strength
Textile fabrics
Textiles
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Summary:Abdominal hernias are common issues in the clinical setting, burdening millions of patients worldwide. Associated with pain, decreased quality of life, and severe potential complications, abdominal wall hernias should be treated as soon as possible. Whether an open repair or laparoscopic surgical approach is tackled, mesh reinforcement is generally required to ensure a durable hernia repair. Over the years, numerous mesh products have been made available on the market and in clinical settings, yet each of the currently used meshes presents certain limitations that reflect on treatment outcomes. Thus, mesh development is still ongoing, and emerging solutions have reached various testing stages. In this regard, this paper aims to establish an up-to-date framework on abdominal meshes, briefly overviewing currently available solutions for hernia repair and discussing in detail the most recent advances in the field. Particularly, there are presented the developments in lightweight materials, meshes with improved attachment, antimicrobial fabrics, composite and hybrid textiles, and performant mesh designs, followed by a systematic review of recently completed clinical trials.
ISSN:1996-1944
1996-1944
DOI:10.3390/ma16227124