What Mesh Should be Used in Hernia Repair?

Ansley Beth Ricker; Matthew N Marturano; Brent D Matthews

doi:10.1016/j.yasu.2023.04.004

What Mesh Should be Used in Hernia Repair?

Adv Surg. 2023 Sep;57(1):225-231. doi: 10.1016/j.yasu.2023.04.004. Epub 2023 May 16.

Authors

Ansley Beth Ricker¹, Matthew N Marturano², Brent D Matthews³

Affiliations

¹ Department of Surgery at Atrium Health Carolinas Medical Center, 1000 Blythe Boulevard, Medical Education Building Ste 6A, Charlotte, NC 28203, USA. Electronic address: https://twitter.com/ansleybeth_14.
² Department of Surgery at Atrium Health Carolinas Medical Center, 1000 Blythe Boulevard, Medical Education Building Ste 6A, Charlotte, NC 28203, USA. Electronic address: https://twitter.com/MarturanoMd.
³ Department of Surgery at Atrium Health Carolinas Medical Center, 1000 Blythe Boulevard, Medical Education Building Ste 6A, Charlotte, NC 28203, USA. Electronic address: brent.matthews@atriumhealth.org.

PMID: 37536855
DOI: 10.1016/j.yasu.2023.04.004

Abstract

Ventral hernia repair is one of the most frequently performed general surgery operations in the world, yet the treatment of clean-contaminated and contaminated cases remains controversial. Biologic mesh has been thought to resist infection, decrease chronic wound complications, and reduce the need for reoperation. Their use continues to be predominant in contaminated and dirty cases. This article is a comprehensive review of what mesh to choose in both clean and contaminated single-staged, open ventral hernia repair with further considerations of tissue incorporation characteristics, cost, safety profiles, complications, recurrence, and long-term outcomes.

Keywords: Clean; Contaminated; Hernia; Mesh; Ventral.

Publication types

Review

MeSH terms

Hernia, Ventral* / surgery
Herniorrhaphy
Humans
Recurrence
Surgical Mesh
Surgical Wound Infection* / prevention & control
Surgical Wound Infection* / surgery
Treatment Outcome