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Published in: World Journal of Emergency Surgery 1/2008

Open Access 01-12-2008 | Commentary

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

Authors: G Campanelli, F Catena, L Ansaloni

Published in: World Journal of Emergency Surgery | Issue 1/2008

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Abstract

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.
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].
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.
It is important to remember that prosthetic repair has been proven to have a significant less risk of recurrence than repair with direct sutures.
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.
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Metadata
Title
Prosthetic abdominal wall hernia repair in emergency surgery: from polypropylene to biological meshes
Authors
G Campanelli
F Catena
L Ansaloni
Publication date
01-12-2008
Publisher
BioMed Central
Published in
World Journal of Emergency Surgery / Issue 1/2008
Electronic ISSN: 1749-7922
DOI
https://doi.org/10.1186/1749-7922-3-33

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