Prosthetic Material in Ventral Hernia Repair: How Do I Choose?

Sharon Bachman, Bruce Ramshaw

Research output: Contribution to journalReview article

79 Citations (Scopus)

Abstract

Several factors must be considered in deciding which mesh to use for a ventral hernia repair. Open hernia repairs with no exposure of mesh to viscera can be performed with unprotected synthetic mesh, preferably a "lightweight" option. For open repair with high risk for fascial dehiscence and visceral exposure to mesh, and for open underlay repair and laparoscopic underlay repair, recommendations call for a tissue-separating mesh that prevents ingrowth of intra-abdominal contents into the mesh. Although no long-term data are available about biologic (acellular collagen scaffold) meshes, these may have good results when used in contaminated or well-drained infected fields, and do best when used according to the principles of a high-quality synthetic mesh repair (wide mesh overlap, frequent fixation points). Evidence is still insufficient to support the use of biologic materials for primary hernia repair.

Original languageEnglish (US)
Pages (from-to)101-112
Number of pages12
JournalSurgical Clinics of North America
Volume88
Issue number1
DOIs
StatePublished - Feb 1 2008

Fingerprint

Ventral Hernia
Herniorrhaphy
Viscera
Collagen

All Science Journal Classification (ASJC) codes

  • Surgery

Cite this

Prosthetic Material in Ventral Hernia Repair : How Do I Choose? / Bachman, Sharon; Ramshaw, Bruce.

In: Surgical Clinics of North America, Vol. 88, No. 1, 01.02.2008, p. 101-112.

Research output: Contribution to journalReview article

@article{bf5b7c96c3e94a2a8fa6d9b913afb2b7,
title = "Prosthetic Material in Ventral Hernia Repair: How Do I Choose?",
abstract = "Several factors must be considered in deciding which mesh to use for a ventral hernia repair. Open hernia repairs with no exposure of mesh to viscera can be performed with unprotected synthetic mesh, preferably a {"}lightweight{"} option. For open repair with high risk for fascial dehiscence and visceral exposure to mesh, and for open underlay repair and laparoscopic underlay repair, recommendations call for a tissue-separating mesh that prevents ingrowth of intra-abdominal contents into the mesh. Although no long-term data are available about biologic (acellular collagen scaffold) meshes, these may have good results when used in contaminated or well-drained infected fields, and do best when used according to the principles of a high-quality synthetic mesh repair (wide mesh overlap, frequent fixation points). Evidence is still insufficient to support the use of biologic materials for primary hernia repair.",
author = "Sharon Bachman and Bruce Ramshaw",
year = "2008",
month = "2",
day = "1",
doi = "10.1016/j.suc.2007.11.001",
language = "English (US)",
volume = "88",
pages = "101--112",
journal = "Surgical Clinics of North America",
issn = "0039-6109",
publisher = "W.B. Saunders Ltd",
number = "1",

}

TY - JOUR

T1 - Prosthetic Material in Ventral Hernia Repair

T2 - How Do I Choose?

AU - Bachman, Sharon

AU - Ramshaw, Bruce

PY - 2008/2/1

Y1 - 2008/2/1

N2 - Several factors must be considered in deciding which mesh to use for a ventral hernia repair. Open hernia repairs with no exposure of mesh to viscera can be performed with unprotected synthetic mesh, preferably a "lightweight" option. For open repair with high risk for fascial dehiscence and visceral exposure to mesh, and for open underlay repair and laparoscopic underlay repair, recommendations call for a tissue-separating mesh that prevents ingrowth of intra-abdominal contents into the mesh. Although no long-term data are available about biologic (acellular collagen scaffold) meshes, these may have good results when used in contaminated or well-drained infected fields, and do best when used according to the principles of a high-quality synthetic mesh repair (wide mesh overlap, frequent fixation points). Evidence is still insufficient to support the use of biologic materials for primary hernia repair.

AB - Several factors must be considered in deciding which mesh to use for a ventral hernia repair. Open hernia repairs with no exposure of mesh to viscera can be performed with unprotected synthetic mesh, preferably a "lightweight" option. For open repair with high risk for fascial dehiscence and visceral exposure to mesh, and for open underlay repair and laparoscopic underlay repair, recommendations call for a tissue-separating mesh that prevents ingrowth of intra-abdominal contents into the mesh. Although no long-term data are available about biologic (acellular collagen scaffold) meshes, these may have good results when used in contaminated or well-drained infected fields, and do best when used according to the principles of a high-quality synthetic mesh repair (wide mesh overlap, frequent fixation points). Evidence is still insufficient to support the use of biologic materials for primary hernia repair.

UR - http://www.scopus.com/inward/record.url?scp=38949145754&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=38949145754&partnerID=8YFLogxK

U2 - 10.1016/j.suc.2007.11.001

DO - 10.1016/j.suc.2007.11.001

M3 - Review article

C2 - 18267164

AN - SCOPUS:38949145754

VL - 88

SP - 101

EP - 112

JO - Surgical Clinics of North America

JF - Surgical Clinics of North America

SN - 0039-6109

IS - 1

ER -