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Materials, Devices and Gadgets for Hernia Surgery

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The Art of Hernia Surgery

Abstract

The use of prosthetics in hernia surgery is a well-established practice throughout the world, with over 95% of all inguinal and ventral hernias repairs in the USA and Europe using a prosthetic material or device. The use of a mesh significantly reduces the incidence of hernia recurrence, but there are, unfortunately, limitations to the use of prostheses including cost and resource availability in the developing world.

Given the multiple variables in hernia surgery, it is unsurprising that there is such a large range of meshes available on the commercial market. From metal prostheses in the early 1900s, technology has advanced in leaps and bounds with the newest meshes employing hybrid structures of both absorbable and non-absorbable materials. Manufacturers have developed numerous products in an attempt to design the ‘perfect mesh’—a product that is biocompatible, resistant to infection, easy to handle, economical to manufacture and long-lasting.

This chapter will discuss the various mesh materials available, as well as different fixation techniques used in hernia surgery.

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Sanders, D.L., Ide, KA., Amr, B. (2018). Materials, Devices and Gadgets for Hernia Surgery. In: Campanelli, G. (eds) The Art of Hernia Surgery. Springer, Cham. https://doi.org/10.1007/978-3-319-72626-7_6

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