Abdominal wall hernia repair: from prosthetic meshes to smart materials

Hernia reconstruction is one of the most frequently practiced surgical procedures worldwide. Plastic surgery plays a pivotal role in reestablishing desired abdominal wall structure and function without the drawbacks traditionally associated with general surgery as excessive tension, postoperative pa...

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Main Authors: Qimanguli Saiding, Yiyao Chen, Juan Wang, Catarina Leite Pereira, Bruno Sarmento, Wenguo Cui, Xinliang Chen
Format: Article
Language:English
Published: Elsevier 2023-08-01
Series:Materials Today Bio
Subjects:
Online Access:http://www.sciencedirect.com/science/article/pii/S2590006423001515
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author Qimanguli Saiding
Yiyao Chen
Juan Wang
Catarina Leite Pereira
Bruno Sarmento
Wenguo Cui
Xinliang Chen
author_facet Qimanguli Saiding
Yiyao Chen
Juan Wang
Catarina Leite Pereira
Bruno Sarmento
Wenguo Cui
Xinliang Chen
author_sort Qimanguli Saiding
collection DOAJ
description Hernia reconstruction is one of the most frequently practiced surgical procedures worldwide. Plastic surgery plays a pivotal role in reestablishing desired abdominal wall structure and function without the drawbacks traditionally associated with general surgery as excessive tension, postoperative pain, poor repair outcomes, and frequent recurrence. Surgical meshes have been the preferential choice for abdominal wall hernia repair to achieve the physical integrity and equivalent components of musculofascial layers. Despite the relevant progress in recent years, there are still unsolved challenges in surgical mesh design and complication settlement. This review provides a systemic summary of the hernia surgical mesh development deeply related to abdominal wall hernia pathology and classification. Commercial meshes, the first-generation prosthetic materials, and the most commonly used repair materials in the clinic are described in detail, addressing constrain side effects and rational strategies to establish characteristics of ideal hernia repair meshes. The engineered prosthetics are defined as a transit to the biomimetic smart hernia repair scaffolds with specific advantages and disadvantages, including hydrogel scaffolds, electrospinning membranes, and three-dimensional patches. Lastly, this review critically outlines the future research direction for successful hernia repair solutions by combing state-of-the-art techniques and materials.
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spelling doaj.art-2f399812b9e641018c5ba0b9afa16b1c2023-07-28T04:26:38ZengElsevierMaterials Today Bio2590-00642023-08-0121100691Abdominal wall hernia repair: from prosthetic meshes to smart materialsQimanguli Saiding0Yiyao Chen1Juan Wang2Catarina Leite Pereira3Bruno Sarmento4Wenguo Cui5Xinliang Chen6Shanghai Key Laboratory of Embryo Original Diseases, The International Peace Maternal and Child Health Hospital, Shanghai Jiao Tong University School of Medicine, 910 Hengshan Road, Shanghai, 200030, PR China; Department of Orthopaedics, Shanghai Key Laboratory for Prevention and Treatment of Bone and Joint Diseases, Shanghai Institute of Traumatology and Orthopaedics, Ruijin Hospital, Shanghai Jiao Tong University School of Medicine, 197 Ruijin 2nd Road, Shanghai, 200025, PR ChinaShanghai Key Laboratory of Embryo Original Diseases, The International Peace Maternal and Child Health Hospital, Shanghai Jiao Tong University School of Medicine, 910 Hengshan Road, Shanghai, 200030, PR ChinaDepartment of Orthopaedics, Shanghai Key Laboratory for Prevention and Treatment of Bone and Joint Diseases, Shanghai Institute of Traumatology and Orthopaedics, Ruijin Hospital, Shanghai Jiao Tong University School of Medicine, 197 Ruijin 2nd Road, Shanghai, 200025, PR ChinaI3S – Instituto de Investigação e Inovação Em Saúde and INEB – Instituto de Engenharia Biomédica, Universidade Do Porto, Rua Alfredo Allen 208, 4200-135, Porto, PortugalI3S – Instituto de Investigação e Inovação Em Saúde and INEB – Instituto de Engenharia Biomédica, Universidade Do Porto, Rua Alfredo Allen 208, 4200-135, Porto, Portugal; IUCS – Instituto Universitário de Ciências da Saúde, CESPU, Rua Central de Gandra 1317, 4585-116, Gandra, Portugal; Corresponding author. I3S – Instituto de Investigação e Inovação Em Saúde and INEB – Instituto de Engenharia Biomédica, Universidade Do Porto, Rua Alfredo Allen 208, 4200-135, Porto, Portugal.Department of Orthopaedics, Shanghai Key Laboratory for Prevention and Treatment of Bone and Joint Diseases, Shanghai Institute of Traumatology and Orthopaedics, Ruijin Hospital, Shanghai Jiao Tong University School of Medicine, 197 Ruijin 2nd Road, Shanghai, 200025, PR China; Corresponding author.Shanghai Key Laboratory of Embryo Original Diseases, The International Peace Maternal and Child Health Hospital, Shanghai Jiao Tong University School of Medicine, 910 Hengshan Road, Shanghai, 200030, PR China; Corresponding author.Hernia reconstruction is one of the most frequently practiced surgical procedures worldwide. Plastic surgery plays a pivotal role in reestablishing desired abdominal wall structure and function without the drawbacks traditionally associated with general surgery as excessive tension, postoperative pain, poor repair outcomes, and frequent recurrence. Surgical meshes have been the preferential choice for abdominal wall hernia repair to achieve the physical integrity and equivalent components of musculofascial layers. Despite the relevant progress in recent years, there are still unsolved challenges in surgical mesh design and complication settlement. This review provides a systemic summary of the hernia surgical mesh development deeply related to abdominal wall hernia pathology and classification. Commercial meshes, the first-generation prosthetic materials, and the most commonly used repair materials in the clinic are described in detail, addressing constrain side effects and rational strategies to establish characteristics of ideal hernia repair meshes. The engineered prosthetics are defined as a transit to the biomimetic smart hernia repair scaffolds with specific advantages and disadvantages, including hydrogel scaffolds, electrospinning membranes, and three-dimensional patches. Lastly, this review critically outlines the future research direction for successful hernia repair solutions by combing state-of-the-art techniques and materials.http://www.sciencedirect.com/science/article/pii/S2590006423001515Abdominal wall herniaBiological tissue graftsElectrospinningHydrogel scaffoldPolypropylene mesh
spellingShingle Qimanguli Saiding
Yiyao Chen
Juan Wang
Catarina Leite Pereira
Bruno Sarmento
Wenguo Cui
Xinliang Chen
Abdominal wall hernia repair: from prosthetic meshes to smart materials
Materials Today Bio
Abdominal wall hernia
Biological tissue grafts
Electrospinning
Hydrogel scaffold
Polypropylene mesh
title Abdominal wall hernia repair: from prosthetic meshes to smart materials
title_full Abdominal wall hernia repair: from prosthetic meshes to smart materials
title_fullStr Abdominal wall hernia repair: from prosthetic meshes to smart materials
title_full_unstemmed Abdominal wall hernia repair: from prosthetic meshes to smart materials
title_short Abdominal wall hernia repair: from prosthetic meshes to smart materials
title_sort abdominal wall hernia repair from prosthetic meshes to smart materials
topic Abdominal wall hernia
Biological tissue grafts
Electrospinning
Hydrogel scaffold
Polypropylene mesh
url http://www.sciencedirect.com/science/article/pii/S2590006423001515
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AT yiyaochen abdominalwallherniarepairfromprostheticmeshestosmartmaterials
AT juanwang abdominalwallherniarepairfromprostheticmeshestosmartmaterials
AT catarinaleitepereira abdominalwallherniarepairfromprostheticmeshestosmartmaterials
AT brunosarmento abdominalwallherniarepairfromprostheticmeshestosmartmaterials
AT wenguocui abdominalwallherniarepairfromprostheticmeshestosmartmaterials
AT xinliangchen abdominalwallherniarepairfromprostheticmeshestosmartmaterials