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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Format: | Article |
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Elsevier
2023-08-01
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Series: | Materials Today Bio |
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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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id | doaj.art-2f399812b9e641018c5ba0b9afa16b1c |
institution | Directory Open Access Journal |
issn | 2590-0064 |
language | English |
last_indexed | 2024-03-12T21:27:22Z |
publishDate | 2023-08-01 |
publisher | Elsevier |
record_format | Article |
series | Materials Today Bio |
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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