Classification of biomaterials and their related complications in abdominal wall hernia surgery |
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| Authors: | P K Amid |
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| Institution: | (1) Lichtenstein Hernia Institute, Inc., 9201 Sunset Boulevard, Suite 505, 90069 Los Angeles, California, USA;(2) Department of Surgery, Harbor-UCLA Medical Center and Cedars-Sinai Medical Center, Los Angeles, California, USA;(3) Harbor-UCLA Research and Educational Institute, Los Angeles, California, USA |
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| Abstract: | Summary The value of the use of biomaterials for the repair of abdominal wall hernias is gaining increasing recognition. The use of
synthetic mesh to achieve a tension-free repair has resulted in a significant reduction in postoperative pain, in length of
the recovery period, and in the number of recurrences. However, certain physical properties of biomaterials can lead to undesirable
consequences. These include increased risk of infection, seroma formation, biomaterial-related intestinal obstruction, and
fistula formation and failure of repair due to shrinkage of the mesh. The purpose of this paper is to discuss the mechanism
of these problems with special emphasis on pore size, molecular permeation and shrinkage of biomaterials and their effects
on infection, seroma formation, and recurrence of mesh repair of abdominal wall hernias. |
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| Keywords: | Biomaterials Mesh Mesh plug Tension-free repair Mesh complications |
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