Biological meshes: A review of their use in abdominal wall hernia repairs

Abstract Purpose Biological meshes are mostly used in infected fields within complex abdominal wall hernia repairs. There is no consensus, however, on the most appropriate material to be used in a given situation. Methods A literature review of published articles reporting the utilization of biologi...

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Published inThe surgeon (Edinburgh) Vol. 10; no. 3; pp. 159 - 171
Main Authors Smart, Neil J, Marshall, Morwena, Daniels, Ian R
Format Journal Article
LanguageEnglish
Published Scotland Elsevier Ltd 01.06.2012
Subjects
Abdominal Wall - surgery
AlloDerm
Biocompatible Materials - therapeutic use
Biological meshes
Cohort Studies
Collagen
Durability
Female
Follow-Up Studies
Hernia, Ventral - diagnosis
Hernia, Ventral - surgery
Herniorrhaphy - methods
Humans
Male
Permacol
Prospective Studies
Risk Assessment
Secondary Prevention
Surgery
Surgical Mesh
Surgisis
Tensile Strength
Treatment Outcome
Ventral hernia
Wound Healing - physiology
Biological meshes
Durability
Surgisis
Permacol
Ventral hernia
AlloDerm
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Abstract Abstract Purpose Biological meshes are mostly used in infected fields within complex abdominal wall hernia repairs. There is no consensus, however, on the most appropriate material to be used in a given situation. Methods A literature review of published articles reporting the utilization of biological meshes in ventral/incisional hernia repair was conducted. Data were analyzed to compare the recurrence rates obtained with biological meshes. Main findings Only a few prospective comparative studies were identified. Most publications relate to AlloDerm® , Permacol™ and Surgisis™ with data from other meshes insufficient to draw conclusions. AlloDerm has a 0–100% recurrence rate among studies. It compares poorly with Surgisis and results in an unfavorable outcome when used as a ‘bridge prosthesis’. Permacol has consistent recurrence rates of 0–15%, whatever the patients' profiles or the context of infected fields, when considering the most relevant studies. The Surgisis results are more conflicting: the mesh exhibits low recurrence rates in clean fields, but in infected fields the recurrence rate is up to 39%. Conclusion Taken together, these studies suggest that the cross-linked mesh, Permacol has the lowest failure rate and the longest time to failure, particularly in contaminated or infected fields. However, this data should be confirmed by large prospective randomized studies.
AbstractList Abstract Purpose Biological meshes are mostly used in infected fields within complex abdominal wall hernia repairs. There is no consensus, however, on the most appropriate material to be used in a given situation. Methods A literature review of published articles reporting the utilization of biological meshes in ventral/incisional hernia repair was conducted. Data were analyzed to compare the recurrence rates obtained with biological meshes. Main findings Only a few prospective comparative studies were identified. Most publications relate to AlloDerm® , Permacol™ and Surgisis™ with data from other meshes insufficient to draw conclusions. AlloDerm has a 0–100% recurrence rate among studies. It compares poorly with Surgisis and results in an unfavorable outcome when used as a ‘bridge prosthesis’. Permacol has consistent recurrence rates of 0–15%, whatever the patients' profiles or the context of infected fields, when considering the most relevant studies. The Surgisis results are more conflicting: the mesh exhibits low recurrence rates in clean fields, but in infected fields the recurrence rate is up to 39%. Conclusion Taken together, these studies suggest that the cross-linked mesh, Permacol has the lowest failure rate and the longest time to failure, particularly in contaminated or infected fields. However, this data should be confirmed by large prospective randomized studies.
Biological meshes are mostly used in infected fields within complex abdominal wall hernia repairs. There is no consensus, however, on the most appropriate material to be used in a given situation. A literature review of published articles reporting the utilization of biological meshes in ventral/incisional hernia repair was conducted. Data were analyzed to compare the recurrence rates obtained with biological meshes. Only a few prospective comparative studies were identified. Most publications relate to AlloDerm®, Permacol™ and Surgisis™ with data from other meshes insufficient to draw conclusions. AlloDerm has a 0-100% recurrence rate among studies. It compares poorly with Surgisis and results in an unfavorable outcome when used as a 'bridge prosthesis'. Permacol has consistent recurrence rates of 0-15%, whatever the patients' profiles or the context of infected fields, when considering the most relevant studies. The Surgisis results are more conflicting: the mesh exhibits low recurrence rates in clean fields, but in infected fields the recurrence rate is up to 39%. Taken together, these studies suggest that the cross-linked mesh, Permacol has the lowest failure rate and the longest time to failure, particularly in contaminated or infected fields. However, this data should be confirmed by large prospective randomized studies.
PURPOSEBiological meshes are mostly used in infected fields within complex abdominal wall hernia repairs. There is no consensus, however, on the most appropriate material to be used in a given situation.METHODSA literature review of published articles reporting the utilization of biological meshes in ventral/incisional hernia repair was conducted. Data were analyzed to compare the recurrence rates obtained with biological meshes.MAIN FINDINGSOnly a few prospective comparative studies were identified. Most publications relate to AlloDerm®, Permacol™ and Surgisis™ with data from other meshes insufficient to draw conclusions. AlloDerm has a 0-100% recurrence rate among studies. It compares poorly with Surgisis and results in an unfavorable outcome when used as a 'bridge prosthesis'. Permacol has consistent recurrence rates of 0-15%, whatever the patients' profiles or the context of infected fields, when considering the most relevant studies. The Surgisis results are more conflicting: the mesh exhibits low recurrence rates in clean fields, but in infected fields the recurrence rate is up to 39%.CONCLUSIONTaken together, these studies suggest that the cross-linked mesh, Permacol has the lowest failure rate and the longest time to failure, particularly in contaminated or infected fields. However, this data should be confirmed by large prospective randomized studies.
Author Daniels, Ian R
Marshall, Morwena
Smart, Neil J
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ContentType Journal Article
Copyright Royal College of Surgeons of Edinburgh (Scottish charity number SC005317) and Royal College of Surgeons in Ireland
2012 Royal College of Surgeons of Edinburgh (Scottish charity number SC005317) and Royal College of Surgeons in Ireland
Copyright © 2012 Royal College of Surgeons of Edinburgh (Scottish charity number SC005317) and Royal College of Surgeons in Ireland. Published by Elsevier Ltd. All rights reserved.
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Issue 3
Keywords Biological meshes
Durability
Surgisis
Permacol
Ventral hernia
AlloDerm
Language English
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Snippet Abstract Purpose Biological meshes are mostly used in infected fields within complex abdominal wall hernia repairs. There is no consensus, however, on the most...
Biological meshes are mostly used in infected fields within complex abdominal wall hernia repairs. There is no consensus, however, on the most appropriate...
PURPOSEBiological meshes are mostly used in infected fields within complex abdominal wall hernia repairs. There is no consensus, however, on the most...
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SubjectTerms Abdominal Wall - surgery
AlloDerm
Biocompatible Materials - therapeutic use
Biological meshes
Cohort Studies
Collagen
Durability
Female
Follow-Up Studies
Hernia, Ventral - diagnosis
Hernia, Ventral - surgery
Herniorrhaphy - methods
Humans
Male
Permacol
Prospective Studies
Risk Assessment
Secondary Prevention
Surgery
Surgical Mesh
Surgisis
Tensile Strength
Treatment Outcome
Ventral hernia
Wound Healing - physiology
Title Biological meshes: A review of their use in abdominal wall hernia repairs
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https://dx.doi.org/10.1016/j.surge.2012.02.006
https://www.ncbi.nlm.nih.gov/pubmed/22436406
https://search.proquest.com/docview/1009524058
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