Modified classification of surgical meshes for hernia repair based on the analyses of 1,000 explanted meshes.

Hernia : the Journal of Hernias and Abdominal Wall Surgery
U Klinge, B Klosterhalfen

Abstract

It is an undisputable fact that meshes have become standard for repair of abdominal wall hernias. Whereas in the late eighties there were only a couple of different devices available, today we have to choose among some hundreds, with lots of minor and major variations in polymer and structure. As most of the minor variations may not lead to significant change in clinical outcome and may be regarded as less relevant, we should focus on major differences. Eventually, this is used to structure the world of mesh by forming groups of textile devices with distinct biological response. Many experimental and some clinical studies have underlined the outstanding importance of porosity, which fortunately, in contrast to other biomechanical quanlities, is widely unaffected by the anisotropy of meshes. In accordance with the major manufacturers of meshes, a classification of meshes was derived from a huge pool of textile data based briefly on the following: (1) large pores, (2) small pores, (3) additional features, (4) no pores, (5) 3D structure and (6) biological origin. At 1,000 explanted meshes the value of this classification was evaluated by group-specific assessment of inflammatory and connective tissue reaction. Application of this ...Continue Reading

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Citations

Aug 23, 2012·Hernia : the Journal of Hernias and Abdominal Wall Surgery·F Köckerling, D A Jacob
Jan 15, 2013·Hernia : the Journal of Hernias and Abdominal Wall Surgery·A Montgomery
Jan 25, 2013·Hernia : the Journal of Hernias and Abdominal Wall Surgery·L ZogbiM R M Trindade
May 16, 2013·Hernia : the Journal of Hernias and Abdominal Wall Surgery·F E MuysomsM Miserez
Jan 18, 2014·Der Chirurg; Zeitschrift für alle Gebiete der operativen Medizen·U Klinge, D Weyhe
Aug 30, 2014·Langenbeck's Archives of Surgery·Kamil BuryJ Paradziej-Łukowicz
Feb 7, 2014·Hernia : the Journal of Hernias and Abdominal Wall Surgery·U KlingeB Klosterhalfen
Dec 29, 2013·Hernia : the Journal of Hernias and Abdominal Wall Surgery·C G Pereira-lucenaM M Linhares
Nov 21, 2013·Hernia : the Journal of Hernias and Abdominal Wall Surgery·F Köckerling, C Schug-Pass
Nov 17, 2015·Postgraduate Medicine·Ceith Nikkolo, Urmas Lepner
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Mar 7, 2014·Journal of Biomedical Materials Research. Part B, Applied Biomaterials·Patrick Hamid AlizaiUwe Klinge
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Jun 24, 2016·Hernia : the Journal of Hernias and Abdominal Wall Surgery·C T MaedaM M Linhares
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Sep 28, 2018·Expert Review of Medical Devices·Uwe Klinge, Bernd Klosterhalfen
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Jan 14, 2018·Hernia : the Journal of Hernias and Abdominal Wall Surgery·UNKNOWN HerniaSurge Group
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Feb 20, 2018·Bio-medical Materials and Engineering·Miglena Doneva, Dessislava Pashkouleva
Oct 3, 2019·Revista do Colégio Brasileiro de Cirurgiões·Christiano Marlo Paggi ClausLeandro Totti Cavazzola
Aug 9, 2020·Hernia : the Journal of Hernias and Abdominal Wall Surgery·D GrecoC Stabilini

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Methods Mentioned

BETA
light microscopy

Software Mentioned

SPSS

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