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Review
. 2023 Nov 10;16(22):7124.
doi: 10.3390/ma16227124.

A Review of Abdominal Meshes for Hernia Repair-Current Status and Emerging Solutions

Alfred Najm  1   2 , Adelina-Gabriela Niculescu  3   4 , Bogdan Severus Gaspar  1   2 , Alexandru Mihai Grumezescu  3   4   5 , Mircea Beuran  1   2
Affiliations
Review

A Review of Abdominal Meshes for Hernia Repair-Current Status and Emerging Solutions

Alfred Najm et al. Materials (Basel). .

Abstract

Abdominal hernias are common issues in the clinical setting, burdening millions of patients worldwide. Associated with pain, decreased quality of life, and severe potential complications, abdominal wall hernias should be treated as soon as possible. Whether an open repair or laparoscopic surgical approach is tackled, mesh reinforcement is generally required to ensure a durable hernia repair. Over the years, numerous mesh products have been made available on the market and in clinical settings, yet each of the currently used meshes presents certain limitations that reflect on treatment outcomes. Thus, mesh development is still ongoing, and emerging solutions have reached various testing stages. In this regard, this paper aims to establish an up-to-date framework on abdominal meshes, briefly overviewing currently available solutions for hernia repair and discussing in detail the most recent advances in the field. Particularly, there are presented the developments in lightweight materials, meshes with improved attachment, antimicrobial fabrics, composite and hybrid textiles, and performant mesh designs, followed by a systematic review of recently completed clinical trials.

Keywords: abdominal meshes; advanced materials; clinical trials; emerging solutions; hernia repair; medical textiles; polymeric composites.

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Conflict of interest statement

The authors declare no conflict of interest.

Figures

Figure 1
Figure 1
Location of different types of hernia. Adapted from an open-access source [13].
Figure 2
Figure 2
(A) Open repair surgery; (B) Laparoscopic surgery. Reprinted from an open-access source [13].
Figure 3
Figure 3
Schematic representation of the abdominal wall demonstrating mesh planes. Reprinted from an open-access source [23].
Figure 4
Figure 4
The main requirements of an “ideal mesh”. Created based on information from [10].
See this image and copyright information in PMC

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