Current status and prospect of hernia mesh material science_CHINESE JOURNAL OF BASES AND CLINICS IN GENERAL SURGERY

Authors：

WANG Weigang ,  YU Yongjiang

Department of Gastrointestinal and Abdominal Hernia, The First Hospital of Lanzhou University, Lanzhou 730000, P. R. China;

Corresponding author：

YU Yongjiang, Email: ylongy@163.com

Keywords：

herniorrhaphy; hernia repair material; progress

DOI：

10.7507/1007-9424.202106073

Video：

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Objective To compare the properties of hernia repair mesh of different materials used in clinical practice, so as to provide reference for clinical selection of numerous meshes at present. Method The literatures of different materials of hernia mesh in the treatment of abdominal hernia and inguinal hernia at home and abroad were reviewed.Results The synthetic mesh, especially the polypropylene mesh with wide-pore mesh in the midweight mesh, might be the most ideal synthetic mesh. The new coating material improved the defect of polypropylene material to a great extent. The status of biological mesh in complex hernia repair had been waxed, and it had a tendency to be replaced by absorbable synthetic mesh.Conclusions Currently, there is no single mesh suitable for all types of hernia repair. Polypropylene mesh is still an effective and low cost mesh material, and there may be more room for the development of absorbable synthetic materials and antimicrobial coatings.

Citation： WANG Weigang, YU Yongjiang. Current status and prospect of hernia mesh material science. CHINESE JOURNAL OF BASES AND CLINICS IN GENERAL SURGERY, 2022, 29(4): 556-560. doi: 10.7507/1007-9424.202106073 Copy

1.	Usher FC, Ochsner J, Tuttle LL Jr. Use of Marlex mesh in the repair of incisional hernias. Am Surg, 1958, 24(12): 969-974.
2.	Lee TH, Choudhuri A, Ulisney K, et al. Use of real-world registry data: a hernia mesh example. Hernia, 2020, 24(3): 587-590.
3.	Usher FC, Hill JR, Ochsner JL. Hernia repair with Marlex mesh. A comparison of techniques. Surgery, 1959, 46: 718-724.
4.	Sanders DL, Kingsnorth AN. From ancient to contemporary times: a concise history of incisional hernia repair. Hernia, 2012, 16(1): 1-7.
5.	Kish KJ, Buinewicz BR, Morris JB. Acellular dermal matrix (AlloDerm): new material in the repair of stoma site hernias. Am Surg, 2005, 71(12): 1047-1050.
6.	Borrazzo EC, Belmont MF, Boffa D, et al. Effect of prosthetic material on adhesion formation after laparoscopic ventral hernia repair in a porcine model. Hernia, 2004, 8(2): 108-112.
7.	Matthews BD, Pratt BL, Pollinger HS, et al. Assessment of adhesion formation to intra-abdominal polypropylene mesh and polytetrafluoroethylene mesh. J Surg Res, 2003, 114(2): 126-132.
8.	Alexandre JH. Jean-Paul Chevrel (1933-2006). Hernia, 2007, 11(4): 293-296.
9.	Fuziy RA, Artigiani Neto R, Caetano Junior EM, et al. Comparative study of four different types of intraperitoneal mesh prostheses in rats. Acta Cir Bras, 2019, 34(7): e201900703. doi: 10.1590/s0102-865020190070000003.
10.	Stavert B, Chan DL, Ozmen J, et al. Laparoscopic totally extra-peritoneal groin hernia repair with self-gripping polyester mesh: a series of 780 repairs. ANZ J Surg, 2019, 89(10): 1261-1264.
11.	Totten C, Becker P, Lourd M, et al. Polyester vs polypropylene, do mesh materials matter? A meta-analysis and systematic review. Med Devices (Auckl), 2019, 12: 369-378.
12.	范中宝, 沈建芬, 王键, 等. 3Dmax 轻量型疝补片和 Prolene 重量型网片腹膜前修补腹股沟疝的比较. 中国组织工程研究, 2020, 24(34): 5545-5551.
13.	徐炳良. 轻量型补片在腹股沟疝无张力修补术中的应用效果观察. 中国高等医学教育, 2020, (7): 142, 144.
14.	Petro CC, Nahabet EH, Criss CN, et al. Central failures of lightweight monofilament polyester mesh causing hernia recurrence: a cautionary note. Hernia, 2015, 19(1): 155-159.
15.	Blatnik JA, Krpata DM, Jacobs MR, et al. In vivo analysis of the morphologic characteristics of synthetic mesh to resist MRSA adherence. J Gastrointest Surg, 2012, 16(11): 2139-2144.
16.	夏克尔·赛塔尔, 李彦, 乔燕莎, 等. 疝气补片及其高生物相容性发展现状和趋势展望. 纺织导报, 2018, (5): 42-46.
17.	高瑛, 石坤和, 顾渊, 等. 3D立体补片在腹腔镜经腹腹膜前疝修补术中的应用. 中华疝和腹壁外科杂志 (电子版), 2020, 14(2): 189-191.
18.	Wang F, Yang XF. Application of computer tomography-based 3D reconstruction technique in hernia repair surgery. World J Clin Cases, 2020, 8(23): 5944-5951.
19.	Yang S, Shen YM, Wang MG, et al. Titanium-coated mesh versus standard polypropylene mesh in laparoscopic inguinal hernia repair: a prospective, randomized, controlled clinical trial. Hernia, 2019, 23(2): 255-259.
20.	Aydemir Sezer U, Sanko V, Gulmez M, et al. Polypropylene composite hernia mesh with anti-adhesion layer composed of polycaprolactone and oxidized regenerated cellulose. Mater Sci Eng C Mater Biol Appl, 2019, 99: 1141-1152.
21.	Liu H, van Steensel S, Gielen M, et al. Comparison of coated meshes for intraperitoneal placement in animal studies: a systematic review and meta-analysis. Hernia, 2020, 24(6): 1253-1261.
22.	Asadian M. Effects of pre- and post-electrospinning plasma treatments on electrospun PCL nanofibers to improve cell interactions. J Phys, 2017, 841: 012018. doi: 10.1088/1742-6596/841/1/012018.
23.	Giuntoli G, Muzio G, Actis C, et al. In-vitro characterization of a hernia mesh featuring a nanostructured coating. Front Bioeng Biotechnol, 2021, 8: 589223. doi: 10.3389/fbioe.2020.589223.
24.	张永祥, 李娇娇, 欧思敏, 等. 浸涂法制备聚乳酸乙醇酸共聚物/聚丙烯腹壁复合补片的体外降解及力学性能. 高分子材料科学与工程, 2020, 36(12): 123-128, 136.
25.	Butler CE, Prieto VG. Reduction of adhesions with composite AlloDerm/polypropylene mesh implants for abdominal wall reconstruction. Plast Reconstr Surg, 2004, 114(2): 464-473.
26.	FitzGerald JF, Kumar AS. Biologic versus synthetic mesh reinforcement: what are the pros and cons? Clin Colon Rectal Surg, 2014, 27(4): 140-148.
27.	Brown BN, Badylak SF. Extracellular matrix as an inductive scaffold for functional tissue reconstruction. Transl Res, 2014, 163(4): 268-285.
28.	Overbeck N, Nagvajara GM, Ferzoco S, et al. In-vivo evaluation of a reinforced ovine biologic: a comparative study to available hernia mesh repair materials. Hernia, 2020, 24(6): 1293-1306.
29.	Garvey PB, Giordano SA, Baumann DP, et al. Long-term outcomes after abdominal wall reconstruction with acellular dermal matrix. J Am Coll Surg, 2017, 224(3): 341-350.
30.	Koscielny A, Widenmayer S, May T, et al. Comparison of biological and alloplastic meshes in ventral incisional hernia repair. Langenbecks Arch Surg, 2018, 403(2): 255-263.
31.	Harris HW, Primus F, Young C, et al. Preventing recurrence in clean and contaminated hernias using biologic versus synthetic mesh in ventral hernia repair: The PRICE randomized clinical trial. Ann Surg, 2021, 273(4): 648-655.
32.	Olavarria OA, Bernardi K, Dhanani NH, et al. Synthetic versus biologic mesh for complex open ventral hernia repair: a pilot randomized controlled trial. Surg Infect (Larchmt), 2021, 22(5): 496-503.
33.	van’t Riet M, de Vos van Steenwijk PJ, Bonjer HJ, et al. Mesh repair for postoperative wound dehiscence in the presence of infection: is absorbable mesh safer than non-absorbable mesh? Hernia, 2007, 11(5): 409-413.
34.	Priego Jiménez P, Salvador Sanchís JL, Angel V, et al. Short-term results for laparoscopic repair of large paraesophageal hiatal hernias with Gore Bio A® mesh. Int J Surg, 2014, 12(8): 794-797.
35.	Smith A, Slater K. Outcomes of biosynthetic absorbable mesh use in high risk CDC class Ⅰ ventral hernia repair: a single surgeon series. Hernia, 2021 Jun 8. doi: 10.1007/s10029-021-02424-6.
36.	Aldohayan A, Alamri H, Aljunidel R, et al. Laparoscopic ventral hernia repair with poly-4-hydroxybutyrate absorbable barrier composite mesh. JSLS, 2021, 25(1): e2020.00105. doi: 10.4293/JSLS.2020.00105.
37.	Yabanoğlu H, Arer İM, Çalıskan K. The effect of the use of synthetic mesh soaked in antibiotic solution on the rate of graft infection in ventral hernias: a prospective randomized study. Int Surg, 2015, 100(6): 1040-1047.
38.	Kumar V, Jolivalt C, Pulpytel J, et al. Development of silver nanoparticle loaded antibacterial polymer mesh using plasma polymerization process. J Biomed Mater Res A, 2013, 101(4): 1121-1132.
39.	Thatiparti TR, von Recum HA. Cyclodextrin complexation for affinity-based antibiotic delivery. Macromol Biosci, 2010, 10(1): 82-90.
40.	Blatnik JA, Thatiparti TR, Krpata DM, et al. Infection prevention using affinity polymer-coated, synthetic meshes in a pig hernia model. J Surg Res, 2017, 219: 5-10.

1. Usher FC, Ochsner J, Tuttle LL Jr. Use of Marlex mesh in the repair of incisional hernias. Am Surg, 1958, 24(12): 969-974.
2. Lee TH, Choudhuri A, Ulisney K, et al. Use of real-world registry data: a hernia mesh example. Hernia, 2020, 24(3): 587-590.
3. Usher FC, Hill JR, Ochsner JL. Hernia repair with Marlex mesh. A comparison of techniques. Surgery, 1959, 46: 718-724.
4. Sanders DL, Kingsnorth AN. From ancient to contemporary times: a concise history of incisional hernia repair. Hernia, 2012, 16(1): 1-7.
5. Kish KJ, Buinewicz BR, Morris JB. Acellular dermal matrix (AlloDerm): new material in the repair of stoma site hernias. Am Surg, 2005, 71(12): 1047-1050.
6. Borrazzo EC, Belmont MF, Boffa D, et al. Effect of prosthetic material on adhesion formation after laparoscopic ventral hernia repair in a porcine model. Hernia, 2004, 8(2): 108-112.
7. Matthews BD, Pratt BL, Pollinger HS, et al. Assessment of adhesion formation to intra-abdominal polypropylene mesh and polytetrafluoroethylene mesh. J Surg Res, 2003, 114(2): 126-132.
8. Alexandre JH. Jean-Paul Chevrel (1933-2006). Hernia, 2007, 11(4): 293-296.
9. Fuziy RA, Artigiani Neto R, Caetano Junior EM, et al. Comparative study of four different types of intraperitoneal mesh prostheses in rats. Acta Cir Bras, 2019, 34(7): e201900703. doi: 10.1590/s0102-865020190070000003.
10. Stavert B, Chan DL, Ozmen J, et al. Laparoscopic totally extra-peritoneal groin hernia repair with self-gripping polyester mesh: a series of 780 repairs. ANZ J Surg, 2019, 89(10): 1261-1264.
11. Totten C, Becker P, Lourd M, et al. Polyester vs polypropylene, do mesh materials matter? A meta-analysis and systematic review. Med Devices (Auckl), 2019, 12: 369-378.
12. 范中宝, 沈建芬, 王键, 等. 3Dmax 轻量型疝补片和 Prolene 重量型网片腹膜前修补腹股沟疝的比较. 中国组织工程研究, 2020, 24(34): 5545-5551.
13. 徐炳良. 轻量型补片在腹股沟疝无张力修补术中的应用效果观察. 中国高等医学教育, 2020, (7): 142, 144.
14. Petro CC, Nahabet EH, Criss CN, et al. Central failures of lightweight monofilament polyester mesh causing hernia recurrence: a cautionary note. Hernia, 2015, 19(1): 155-159.
15. Blatnik JA, Krpata DM, Jacobs MR, et al. In vivo analysis of the morphologic characteristics of synthetic mesh to resist MRSA adherence. J Gastrointest Surg, 2012, 16(11): 2139-2144.
16. 夏克尔·赛塔尔, 李彦, 乔燕莎, 等. 疝气补片及其高生物相容性发展现状和趋势展望. 纺织导报, 2018, (5): 42-46.
17. 高瑛, 石坤和, 顾渊, 等. 3D立体补片在腹腔镜经腹腹膜前疝修补术中的应用. 中华疝和腹壁外科杂志 (电子版), 2020, 14(2): 189-191.
18. Wang F, Yang XF. Application of computer tomography-based 3D reconstruction technique in hernia repair surgery. World J Clin Cases, 2020, 8(23): 5944-5951.
19. Yang S, Shen YM, Wang MG, et al. Titanium-coated mesh versus standard polypropylene mesh in laparoscopic inguinal hernia repair: a prospective, randomized, controlled clinical trial. Hernia, 2019, 23(2): 255-259.
20. Aydemir Sezer U, Sanko V, Gulmez M, et al. Polypropylene composite hernia mesh with anti-adhesion layer composed of polycaprolactone and oxidized regenerated cellulose. Mater Sci Eng C Mater Biol Appl, 2019, 99: 1141-1152.
21. Liu H, van Steensel S, Gielen M, et al. Comparison of coated meshes for intraperitoneal placement in animal studies: a systematic review and meta-analysis. Hernia, 2020, 24(6): 1253-1261.
22. Asadian M. Effects of pre- and post-electrospinning plasma treatments on electrospun PCL nanofibers to improve cell interactions. J Phys, 2017, 841: 012018. doi: 10.1088/1742-6596/841/1/012018.
23. Giuntoli G, Muzio G, Actis C, et al. In-vitro characterization of a hernia mesh featuring a nanostructured coating. Front Bioeng Biotechnol, 2021, 8: 589223. doi: 10.3389/fbioe.2020.589223.
24. 张永祥, 李娇娇, 欧思敏, 等. 浸涂法制备聚乳酸乙醇酸共聚物/聚丙烯腹壁复合补片的体外降解及力学性能. 高分子材料科学与工程, 2020, 36(12): 123-128, 136.
25. Butler CE, Prieto VG. Reduction of adhesions with composite AlloDerm/polypropylene mesh implants for abdominal wall reconstruction. Plast Reconstr Surg, 2004, 114(2): 464-473.
26. FitzGerald JF, Kumar AS. Biologic versus synthetic mesh reinforcement: what are the pros and cons? Clin Colon Rectal Surg, 2014, 27(4): 140-148.
27. Brown BN, Badylak SF. Extracellular matrix as an inductive scaffold for functional tissue reconstruction. Transl Res, 2014, 163(4): 268-285.
28. Overbeck N, Nagvajara GM, Ferzoco S, et al. In-vivo evaluation of a reinforced ovine biologic: a comparative study to available hernia mesh repair materials. Hernia, 2020, 24(6): 1293-1306.
29. Garvey PB, Giordano SA, Baumann DP, et al. Long-term outcomes after abdominal wall reconstruction with acellular dermal matrix. J Am Coll Surg, 2017, 224(3): 341-350.
30. Koscielny A, Widenmayer S, May T, et al. Comparison of biological and alloplastic meshes in ventral incisional hernia repair. Langenbecks Arch Surg, 2018, 403(2): 255-263.
31. Harris HW, Primus F, Young C, et al. Preventing recurrence in clean and contaminated hernias using biologic versus synthetic mesh in ventral hernia repair: The PRICE randomized clinical trial. Ann Surg, 2021, 273(4): 648-655.
32. Olavarria OA, Bernardi K, Dhanani NH, et al. Synthetic versus biologic mesh for complex open ventral hernia repair: a pilot randomized controlled trial. Surg Infect (Larchmt), 2021, 22(5): 496-503.
33. van’t Riet M, de Vos van Steenwijk PJ, Bonjer HJ, et al. Mesh repair for postoperative wound dehiscence in the presence of infection: is absorbable mesh safer than non-absorbable mesh? Hernia, 2007, 11(5): 409-413.
34. Priego Jiménez P, Salvador Sanchís JL, Angel V, et al. Short-term results for laparoscopic repair of large paraesophageal hiatal hernias with Gore Bio A® mesh. Int J Surg, 2014, 12(8): 794-797.
35. Smith A, Slater K. Outcomes of biosynthetic absorbable mesh use in high risk CDC class Ⅰ ventral hernia repair: a single surgeon series. Hernia, 2021 Jun 8. doi: 10.1007/s10029-021-02424-6.
36. Aldohayan A, Alamri H, Aljunidel R, et al. Laparoscopic ventral hernia repair with poly-4-hydroxybutyrate absorbable barrier composite mesh. JSLS, 2021, 25(1): e2020.00105. doi: 10.4293/JSLS.2020.00105.
37. Yabanoğlu H, Arer İM, Çalıskan K. The effect of the use of synthetic mesh soaked in antibiotic solution on the rate of graft infection in ventral hernias: a prospective randomized study. Int Surg, 2015, 100(6): 1040-1047.
38. Kumar V, Jolivalt C, Pulpytel J, et al. Development of silver nanoparticle loaded antibacterial polymer mesh using plasma polymerization process. J Biomed Mater Res A, 2013, 101(4): 1121-1132.
39. Thatiparti TR, von Recum HA. Cyclodextrin complexation for affinity-based antibiotic delivery. Macromol Biosci, 2010, 10(1): 82-90.
40. Blatnik JA, Thatiparti TR, Krpata DM, et al. Infection prevention using affinity polymer-coated, synthetic meshes in a pig hernia model. J Surg Res, 2017, 219: 5-10.

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