Choosing the biomaterials for hernia mesh fixation in correlation with surgical procedure

摘要

Evolution of hernia surgery has led to polymeric biomaterials for replacement or reinforcement of the abdominal wall. Their selection, according to the structure and porosity of the material, is directly dependent on the surgical procedure used and interaction between material and abdominal viscera. The objective of the paper is to establish a protocol for the selection of hernia mesh fixation materials based on polymer structure related to the surgical procedure used. The biomaterials that promote infection should be avoided and those that do not provide a long-term mesh placement should be used in combination with other devices to compensate for this fault. In conclusion, is much better to adapt the fixation biomaterials used in clinical practice to the specific surgical procedure, given the physical and chemical characteristics of these polymers, in order to reduce the morbidity associated with this type of surgery.