Análisis comparativo de 2 técnicas quirúrgicas en el tratamiento de la hernia incisional subxifoidea. Estudio observacional

Abelló, David; Martínez-Hoed, Jesús; Menéndez, Miriam; Cholewa, Hanna; Avelino, Lourdes; Bonafé, Santiago; Pous‐Serrano, Salvador; Bueno-Lledó, José

doi:10.1016/j.ciresp.2020.08.014

Cited by 1 publication

(1 citation statement)

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“…Prior to the use of prosthetic meshes for inguinal hernia repair, suture repair methods, such as Bassini's, were the most common techniques employed in this type of intervention [18,19]. However, improvements in the surgical technique [20,21], along with the development of new advanced biomaterials have made prosthetic meshes important in hernia repair [22]. These meshes render easier closure, tension-free, and ensure high wound strength [23].…”

Section: Introductionmentioning

confidence: 99%

Prosthetic Meshes for Hernia Repair: State of Art, Classification, Antimicrobial Approaches, and Fabrication Methods

Serrano‐Aroca¹,

Pous‐Serrano²

2021

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Worldwide, hernia repair represents one of the most frequent surgical procedures encompassing a global market valued at several billion dollars. This type of surgery usually requires the implantation of a mesh that needs the appropriate chemical, physical and biological properties for the type of repair. This review thus presents a description of the types of hernias, current hernia repair methods, and the state of the art of prosthetic meshes for hernia repair providing the most important meshes used in clinical practice by surgeons working in this area classified according to their biological or chemical nature, morphology and whether bioabsorbable or not. We emphasise the importance of surgical site infection in herniatology, how to deal with this microbial problem, and we go further into the future research lines on the production of advanced antimicrobial meshes to improve hernia repair and prevent microbial infections, including multidrug-resistant strains. A great deal of progress has been made in this biomedical field in the last decade. However, we are still far from an ideal antimicrobial mesh that can also provide excellent integration to the abdominal wall, mechanical performance, low visceral adhesion and minimal inflammatory or foreign body reactions, among many other problems.

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