How to Choose a Mesh in Hernia Repair
Since the introduction of polypropylene (PP) mesh for hernia repair, surgeons continue to discuss the use of mesh in a variety of settings for one of the most common operations performed by general surgeons—hernia repair. This discussion has involved raw materials, cost, and outcomes and for many years referred to only a few products, as manufacturing was limited. With multiple permanent, absorbable, biologic, and hybrid products on the market, the choice of mesh for a hernia repair can be daunting. Increasing clinical complexity further emphasizes the need for individualizing care, but more frequently, hospital supply chain personnel institute product procurement procedures for cost control, limiting mesh choice for surgeons.
KeywordsMesh Hernia repair Polypropylene mesh Absorbable mesh Synthetic mesh Biologic mesh
- 6.Regner JL, Mrdutt MM, Munoz-Maldonado Y. Tailoring surgical approach for elective ventral hernia repair based on obesity and National Surgical Quality Improvement Program outcomes. Am J Surg. 2015;210(6):1024–9; discussion 1029–30. https://doi.org/10.1016/j.amjsurg.2015.08.001.CrossRefGoogle Scholar
- 7.Frolkis AD, Lipton DS, Fiest KM, Negrón ME, Dykeman J, deBruyn J, Jette N, Frolkis T, Rezaie A, Seow CH, Panaccione R, Ghosh S, Kaplan GG. Cumulative incidence of second intestinal resection in Crohn’s disease: a systematic review and meta-analysis of population-based studies. Am J Gastroenterol. 2014;109(11):1739–48. https://doi.org/10.1038/ajg.2014.297.CrossRefPubMedGoogle Scholar
- 10.Jenkins ED, Yom V, Melman L, Brunt LM, Eagon JC, Frisella MM, Matthews BD. Prospective evaluation of adhesion characteristics to intraperitoneal mesh and adhesiolysis-related complications during laparoscopic re-exploration after prior ventral hernia repair. Surg Endosc. 2010;24(12):3002–7. https://doi.org/10.1007/s00464-010-1076-0.CrossRefPubMedGoogle Scholar
- 17.Perriello B. J&J’s Ethicon recalls Physiomesh flexible composite hernia mesh. Available at http://www.massdevice.com/jjs-ethicon-recalls-physiomesh-flexible-composite-hernia-mesh/. Accessed on 10 Oct 2017.Google Scholar