Application progress of mesh in the environment of potential contaminated and contaminated abdominal hernia repair
10.3760/cma.j.cn115396-20211122-00443
- VernacularTitle:潜在污染及污染腹壁疝修补环境中补片的应用进展
- Author:
Kun YU
1
;
Yunfeng LI
;
Binjie SUN
;
Weirong JIANG
;
Yongjiang YU
Author Information
1. 兰州大学第一临床医学院 730000
- Keywords:
Hernia, abdominal;
Environmental pollution;
Biologic mesh;
Synthetic mesh;
Material
- From:
International Journal of Surgery
2022;49(1):62-66
- CountryChina
- Language:Chinese
-
Abstract:
Abdominal hernia repair is a challenging surgery with high complication rate and recurrence rate, especially in potentially contaminated or contaminated abdominal wall hernias. The application of hernia mesh has significantly reduced the recurrence rate. However, different types of meshes have their own advantages and disadvantages. There are still controversies regarding the selection of mesh in the environment of potential contaminated and contaminated abdominal hernia repair. The biological mesh, which was once considered that have anti-infection advantages and was widely used, has not been found to reduce the infection rate in recent studies, but instead leads to a higher recurrence rate and expensive medical costs. On the contrary, synthetic mesh represented by monofilament and large mesh polypropylene mesh have achieved good results in potentially contaminated or contaminated hernia repairs recently. The emergence of new types of meshes such as absorbable synthetic mesh may be a better choice for potentially contaminated or contaminated abdominal hernia repair. This article reviews the application progress of mesh in the environment of potential contaminated and contaminated abdominal hernia repair, aiming to provide reliable evidence for the selection of mesh for these patients.
