Prosthetic abdominal wall hernia repair in emergency surgery: from polypropylene to biological meshes

<p>Abstract</p> <p>The use of nonabsorbable prosthetic materials such as polypropylene, polyester, and ePTFE, have expanded and are now widely used in reparative surgery for abdominal wall hernias.</p> <p>There are still difficulties to find correct indication for prost...

Full description

Bibliographic Details
Main Authors: Campanelli G, Catena F, Ansaloni L
Format: Article
Language:English
Published: BMC 2008-12-01
Series:World Journal of Emergency Surgery
Online Access:http://www.wjes.org/content/3/1/33
_version_ 1811275248687906816
author Campanelli G
Catena F
Ansaloni L
author_facet Campanelli G
Catena F
Ansaloni L
author_sort Campanelli G
collection DOAJ
description <p>Abstract</p> <p>The use of nonabsorbable prosthetic materials such as polypropylene, polyester, and ePTFE, have expanded and are now widely used in reparative surgery for abdominal wall hernias.</p> <p>There are still difficulties to find correct indication for prosthetic implant in emergency hernia surgery: as a matter of fact there is still a great debate if to use non-absorbable prostheses in potentially or truly infected operating fields [e.g. after intestinal resections].</p> <p>All these problems can be avoided with the use of absorbable prosthetic materials such as those composed of lactic acid polymers or lactic and glycolic acid copolymers: however, the use of these absorbable prosthesis exposes the patient to a rapid and inevitable hernia recurrence.</p> <p>It is important to remember that prosthetic repair has been proven to have a significant less risk of recurrence than repair with direct sutures.</p> <p>Recently, new "biologic" prosthetic materials have been developed and proposed for the clinical use in infected fields. These materials can be called "remodeling" for the way by which they are replaced after their placement within the patient. The "remodeling" process is made possible through a process of incorporation, where a reproduction of a site-specific tissue similar to the original host tissue is created.</p>
first_indexed 2024-04-12T23:34:32Z
format Article
id doaj.art-26940428362f45a58f4874db98db7b24
institution Directory Open Access Journal
issn 1749-7922
language English
last_indexed 2024-04-12T23:34:32Z
publishDate 2008-12-01
publisher BMC
record_format Article
series World Journal of Emergency Surgery
spelling doaj.art-26940428362f45a58f4874db98db7b242022-12-22T03:12:11ZengBMCWorld Journal of Emergency Surgery1749-79222008-12-01313310.1186/1749-7922-3-33Prosthetic abdominal wall hernia repair in emergency surgery: from polypropylene to biological meshesCampanelli GCatena FAnsaloni L<p>Abstract</p> <p>The use of nonabsorbable prosthetic materials such as polypropylene, polyester, and ePTFE, have expanded and are now widely used in reparative surgery for abdominal wall hernias.</p> <p>There are still difficulties to find correct indication for prosthetic implant in emergency hernia surgery: as a matter of fact there is still a great debate if to use non-absorbable prostheses in potentially or truly infected operating fields [e.g. after intestinal resections].</p> <p>All these problems can be avoided with the use of absorbable prosthetic materials such as those composed of lactic acid polymers or lactic and glycolic acid copolymers: however, the use of these absorbable prosthesis exposes the patient to a rapid and inevitable hernia recurrence.</p> <p>It is important to remember that prosthetic repair has been proven to have a significant less risk of recurrence than repair with direct sutures.</p> <p>Recently, new "biologic" prosthetic materials have been developed and proposed for the clinical use in infected fields. These materials can be called "remodeling" for the way by which they are replaced after their placement within the patient. The "remodeling" process is made possible through a process of incorporation, where a reproduction of a site-specific tissue similar to the original host tissue is created.</p>http://www.wjes.org/content/3/1/33
spellingShingle Campanelli G
Catena F
Ansaloni L
Prosthetic abdominal wall hernia repair in emergency surgery: from polypropylene to biological meshes
World Journal of Emergency Surgery
title Prosthetic abdominal wall hernia repair in emergency surgery: from polypropylene to biological meshes
title_full Prosthetic abdominal wall hernia repair in emergency surgery: from polypropylene to biological meshes
title_fullStr Prosthetic abdominal wall hernia repair in emergency surgery: from polypropylene to biological meshes
title_full_unstemmed Prosthetic abdominal wall hernia repair in emergency surgery: from polypropylene to biological meshes
title_short Prosthetic abdominal wall hernia repair in emergency surgery: from polypropylene to biological meshes
title_sort prosthetic abdominal wall hernia repair in emergency surgery from polypropylene to biological meshes
url http://www.wjes.org/content/3/1/33
work_keys_str_mv AT campanellig prostheticabdominalwallherniarepairinemergencysurgeryfrompolypropylenetobiologicalmeshes
AT catenaf prostheticabdominalwallherniarepairinemergencysurgeryfrompolypropylenetobiologicalmeshes
AT ansalonil prostheticabdominalwallherniarepairinemergencysurgeryfrompolypropylenetobiologicalmeshes