The use of a composite synthetic mesh in the vicinity of bowel - For repair and prophylaxis of parastomal hernias. Does it increase the risk of short term infective complications?

Zhou, Zhaowei; Bilkhu, Amarvir; Anwar, Suhail

doi:10.1016/j.ijsu.2017.07.077

Cited by 5 publications

(2 citation statements)

References 34 publications

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“…It has a bioabsorbable porcine-derived collagen film on one side to prevent visceral adhesion. Similar composite meshes are currently used for intraperitoneal reinforcement in ventral and parastomal hernia repair (17,18). The Xenmatrix TM graft is a biologic reinforcement material composed of an acellular noncrosslinked porcine collagen scaffold, and is commonly used in hernia repair (19,20).…”

Section: Methodsmentioning

confidence: 99%

The Tensile Strength of Full-Thickness Skin: A Laboratory Study Prior to Its Use as Reinforcement in Parastomal Hernia Repair

et al. 2019

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Purpose: Parastomal hernia is a common complication of an enterostoma. Current methods of repair have high recurrence rates and are associated with severe complications. Autologous full-thickness skin as reinforcement may reduce the recurrence and complication rates. This study aims to investigates the tensile strength of full-thickness skin; information that is essential if we are to proceed with clinical trials on humans.Methods: Full-thickness skin samples from 12 donors were tested for tensile strength, as well as the load tolerated by a suture through the skin. Strips of skin were cut out and stretched until breaking point. Sutures were made through skin samples and traction applied until either the tissue or the suture gave way. All done while recording the forces applied using a dynamometer. Identical tests were carried out on commercially available synthetic and biologic graft material for comparison. Results:The full-thickness skin strips had a median tensile strength of 604 N/cm. This tensile strength was significantly higher than that of the compared materials evaluated in this study. In full-thickness skin, the suture, or tissue endured a median force of 67 N before giving way, which was as high as, or higher than similar sutures through the compared materials. Conclusions:The tensile strength of full-thickness skin vastly exceeds the physiological forces affecting the abdominal wall, and sutures through skin endure high loads before giving way. The tensile strength of a full-thickness skin graft and the strength of sutures through this material will not limit its use for reinforcement in parastomal hernia repair.

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Section: Methodsmentioning

confidence: 99%

The Tensile Strength of Full-Thickness Skin: A Laboratory Study Prior to Its Use as Reinforcement in Parastomal Hernia Repair

et al. 2019

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“…Another approach for the production of composite meshes is to join filaments with different properties, such as PP, e-PTFE [79], and polyvinylidene fluoride (PVDF) [80,81]. Experience in the use of composite meshes for both repair and prophylactic purposes in parastomal hernia indicates a minimal risk of infection and a low risk of complications [82].…”

Section: Implants Available On the Market 421 Syntheticmentioning

confidence: 99%

The Role of Mesh Implants in Surgical Treatment of Parastomal Hernia

et al. 2021

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A parastomal hernia is a common complication following stoma surgery. Due to the large number of hernial relapses and other complications, such as infections, adhesion to the intestines, or the formation of adhesions, the treatment of hernias is still a surgical challenge. The current standard for the preventive and causal treatment of parastomal hernias is to perform a procedure with the use of a mesh implant. Researchers are currently focusing on the analysis of many relevant options, including the type of mesh (synthetic, composite, or biological), the available surgical techniques (Sugarbaker’s, “keyhole”, or “sandwich”), the surgical approach used (open or laparoscopic), and the implant position (onlay, sublay, or intraperitoneal onlay mesh). Current surface modification methods and combinations of different materials are actively explored areas for the creation of biocompatible mesh implants with different properties on the visceral and parietal peritoneal side. It has been shown that placing the implant in the sublay and intraperitoneal onlay mesh positions and the use of a specially developed implant with a 3D structure are associated with a lower frequency of recurrences. It has been shown that the prophylactic use of a mesh during stoma formation significantly reduces the incidence of parastomal hernias and is becoming a standard method in medical practice.

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Prophylaxe von parastomalen, perinealen und Narbenhernien in der kolorektalen Chirurgie

Weyhe

Salzmann

Gloy

2021

Chirurg

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The use of a composite synthetic mesh in the vicinity of bowel - For repair and prophylaxis of parastomal hernias. Does it increase the risk of short term infective complications?

Abstract: The use of a composite synthetic mesh using a laparoscopic IPOM technique for the prophylaxis and treatment of parastomal hernias, even in a clean contaminated surgical field, is safe and feasible.

Cited by 5 publications

References 34 publications

The Tensile Strength of Full-Thickness Skin: A Laboratory Study Prior to Its Use as Reinforcement in Parastomal Hernia Repair

The Tensile Strength of Full-Thickness Skin: A Laboratory Study Prior to Its Use as Reinforcement in Parastomal Hernia Repair

The Role of Mesh Implants in Surgical Treatment of Parastomal Hernia

Prophylaxe von parastomalen, perinealen und Narbenhernien in der kolorektalen Chirurgie

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