Skip to main content

How to Construct a Mesh? Impact of Structure, Filament and Pore Size for Tissue Ingrowth

  • Conference paper
Book cover Meshes: Benefits and Risks

Abstract

With a great and steadily growing variety of meshes offered in the worldwide market, surgeons more and more face the difficulty in making a choice for their ideal prosthesis in hernia repair. Especially with regard to long intervals of implantation, the comprehension of the in vivo situation of mesh implants is of major importance. As in recent decades intensive research in the field of wound-healing properties, tissue response and mesh integration has been performed, an update is overdue. Furthermore, the answer to the question on how to construct a mesh should provide the arguments for which mesh should be used.

This is a preview of subscription content, log in via an institution to check access.

Access this chapter

Chapter
USD 29.95
Price excludes VAT (USA)
  • Available as PDF
  • Read on any device
  • Instant download
  • Own it forever
eBook
USD 149.00
Price excludes VAT (USA)
  • Available as PDF
  • Read on any device
  • Instant download
  • Own it forever
Softcover Book
USD 199.99
Price excludes VAT (USA)
  • Compact, lightweight edition
  • Dispatched in 3 to 5 business days
  • Free shipping worldwide - see info

Tax calculation will be finalised at checkout

Purchases are for personal use only

Institutional subscriptions

Preview

Unable to display preview. Download preview PDF.

Unable to display preview. Download preview PDF.

References

  1. Anderson JM. Inflammatory response to implants. ASAIO Trans 34:101–107,1988

    Article  PubMed  CAS  Google Scholar 

  2. Semjonow A, Brandt M, Reul H, Rathert P. [Suture surface and suture strength of polypropylene monofilaments]. Biomed Tech (Berl) 38:21–24,1993

    Article  CAS  Google Scholar 

  3. Klinge U, Klosterhalfen B, Conze J, Limberg W, Obolenski B, Ottinger AP, Schumpelick V. Modified mesh for hernia repair that is adapted to the physiology of the abdominal wall. Eur J Surg 164: 951–960,1998

    Article  PubMed  CAS  Google Scholar 

  4. Klosterhalfen B, Klinge U, Schumpelick V. Functional and morphological evaluation of different polypropylene-mesh modifications for abdominal wall repair. Biomaterials 19: 2235–2246,1998

    Article  PubMed  CAS  Google Scholar 

  5. Klinge U, Klosterhalfen B, Birkenhauer V, Junge K, Conze J, Schumpelick V. Impact of polymer pore size on the interface scar formation in a rat model. J Surg Res 103:208–214,2002

    Article  PubMed  CAS  Google Scholar 

  6. Klinge U, Junge K, Spellerberg B, Piroth C, Klosterhalfen B, Schumpelick V. Do multifilament alloplastic meshes increase the infection rate? Analysis of the polymeric surface, the bacteria adherence, and the in vivo consequences in a rat model. J Biomed Mater Res 63: 765–771,2002

    Article  PubMed  CAS  Google Scholar 

  7. Beets GL, Go PM, van Mameren H. Foreign body reactions to monofilament and braided polypropylene mesh used as preperitoneal implants in pigs. Eur J Surg 162:823–825,1996

    PubMed  CAS  Google Scholar 

  8. Leber GE, Garb JL, Alexander AI, Reed WP. Long-term complications associated with prosthetic repair of incisional hernias. Arch Surg 133: 378–382,1998

    Article  PubMed  CAS  Google Scholar 

  9. Durden JG, Pemberton LB. Dacron mesh in ventral and inguinal hernias. Am Surg 40: 662–665,1974

    Google Scholar 

  10. Junge KR. Influence of mesh materials on collagen deposition in a rat model. J Invest Surg 15:319–328,2002

    Article  PubMed  CAS  Google Scholar 

  11. Peiper C, Junge K, Futing A, Conze J, Bassalay P, Schumpelick V. [Intraoperative measurement of suture forces in Shouldice repair of primary inguinal hernias]. Chirurg 69: 1077–1081, 1998

    Article  Google Scholar 

  12. Junge K, Peiper C, Rosch R, Lynen P, Schumpelick V. Effect of tension induced by Shouldice repair on postoperative course and long-term outcome. Eur J Surg 168: 329–333,2002

    Article  PubMed  Google Scholar 

  13. Seidel W, Tauber R, Hoffschulte KH. [Measurements of the solidity of the sutures of the abdominal wall]. Chirurg 45:266–272,1974

    Google Scholar 

  14. Read RC, McLeod PC Jr. Influence of a relaxing incision on suture tension in Bassini’s and McVay’s repairs. Arch Surg 116:440–445,1981

    Google Scholar 

  15. Calcagno D, Wantz GE. Suture tension and the Shouldice repair. Lancet 1:1446,1985

    Article  PubMed  CAS  Google Scholar 

  16. Lipton S, Estrin J, Nathan I. A biomechanical study of the aponeurotic inguinal hernia repair. J Am Coll Surg 178:595–599,1994

    PubMed  CAS  Google Scholar 

  17. Klinge U, Conze J, Limberg W, Brucker C, Ottinger AP, Schumpelick V. [Pathophysiology of the abdominal wall]. Chirurg 67:229–233,1996

    Google Scholar 

  18. Klinge U, Conze J, Klosterhalfen B, Limberg W, Obolenski B, Ottinger AP, Schumpelick V. [Changes in abdominal wall mechanics after mesh implantation. Experimental changes in mesh stability]. Langenbecks Arch Chir 381: 323–332,1996

    Article  PubMed  CAS  Google Scholar 

  19. Junge K, Klinge U, Prescher A, Giboni P, Niewiera M, Schumpelick V. Elasticity of the anterior abdominal wall and impact for reparation of incisional hernias using mesh implants. Hernia 5:113–118,2001

    Article  PubMed  CAS  Google Scholar 

  20. Welty G, Klinge U, Klosterhalfen B, Kasperk R, Schumpelick V. Functional impairment and complaints following incisional hernia repair with different polypropylene meshes. Hernia 5:142–147,2001

    Article  PubMed  CAS  Google Scholar 

Download references

Authors

Editor information

Editors and Affiliations

Rights and permissions

Reprints and permissions

Copyright information

© 2004 Springer-Verlag Berlin Heidelberg New York

About this paper

Cite this paper

Rosch, R., Junge, K., Hölzl, F., Schachtrupp, A., Stumpf, M., Klinge, U. (2004). How to Construct a Mesh? Impact of Structure, Filament and Pore Size for Tissue Ingrowth. In: Schumpelick, V., Nyhus, L.M. (eds) Meshes: Benefits and Risks. Springer, Berlin, Heidelberg. https://doi.org/10.1007/978-3-642-18720-9_17

Download citation

  • DOI: https://doi.org/10.1007/978-3-642-18720-9_17

  • Publisher Name: Springer, Berlin, Heidelberg

  • Print ISBN: 978-3-540-40757-7

  • Online ISBN: 978-3-642-18720-9

  • eBook Packages: Springer Book Archive

Publish with us

Policies and ethics