Design strategies and applications of biomaterials and devices for Hernia repair

Surge Kalaba, Ethan Gerhard, Joshua S. Winder, Eric Pauli, Randy Haluck, Jian Yang

Research output: Contribution to journalReview article

28 Citations (Scopus)

Abstract

Hernia repair is one of the most commonly performed surgical procedures worldwide, with a multibillion dollar global market. Implant design remains a critical challenge for the successful repair and prevention of recurrent hernias, and despite significant progress, there is no ideal mesh for every surgery. This review summarizes the evolution of prostheses design toward successful hernia repair beginning with a description of the anatomy of the disease and the classifications of hernias. Next, the major milestones in implant design are discussed. Commonly encountered complications and strategies to minimize these adverse effects are described, followed by a thorough description of the implant characteristics necessary for successful repair. Finally, available implants are categorized and their advantages and limitations are elucidated, including non-absorbable and absorbable (synthetic and biologically derived) prostheses, composite prostheses, and coated prostheses. This review not only summarizes the state of the art in hernia repair, but also suggests future research directions toward improved hernia repair utilizing novel materials and fabrication methods.

Original languageEnglish (US)
Pages (from-to)2-17
Number of pages16
JournalBioactive Materials
Volume1
Issue number1
DOIs
StatePublished - Sep 1 2016

Fingerprint

Herniorrhaphy
Biocompatible Materials
Biomaterials
Repair
Prostheses and Implants
Prosthetics
Equipment and Supplies
Hernia
Prosthesis Design
Anatomy
Surgery
Fabrication
Composite materials

All Science Journal Classification (ASJC) codes

  • Biotechnology
  • Biomaterials
  • Biomedical Engineering

Cite this

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abstract = "Hernia repair is one of the most commonly performed surgical procedures worldwide, with a multibillion dollar global market. Implant design remains a critical challenge for the successful repair and prevention of recurrent hernias, and despite significant progress, there is no ideal mesh for every surgery. This review summarizes the evolution of prostheses design toward successful hernia repair beginning with a description of the anatomy of the disease and the classifications of hernias. Next, the major milestones in implant design are discussed. Commonly encountered complications and strategies to minimize these adverse effects are described, followed by a thorough description of the implant characteristics necessary for successful repair. Finally, available implants are categorized and their advantages and limitations are elucidated, including non-absorbable and absorbable (synthetic and biologically derived) prostheses, composite prostheses, and coated prostheses. This review not only summarizes the state of the art in hernia repair, but also suggests future research directions toward improved hernia repair utilizing novel materials and fabrication methods.",
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Design strategies and applications of biomaterials and devices for Hernia repair. / Kalaba, Surge; Gerhard, Ethan; Winder, Joshua S.; Pauli, Eric; Haluck, Randy; Yang, Jian.

In: Bioactive Materials, Vol. 1, No. 1, 01.09.2016, p. 2-17.

Research output: Contribution to journalReview article

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AB - Hernia repair is one of the most commonly performed surgical procedures worldwide, with a multibillion dollar global market. Implant design remains a critical challenge for the successful repair and prevention of recurrent hernias, and despite significant progress, there is no ideal mesh for every surgery. This review summarizes the evolution of prostheses design toward successful hernia repair beginning with a description of the anatomy of the disease and the classifications of hernias. Next, the major milestones in implant design are discussed. Commonly encountered complications and strategies to minimize these adverse effects are described, followed by a thorough description of the implant characteristics necessary for successful repair. Finally, available implants are categorized and their advantages and limitations are elucidated, including non-absorbable and absorbable (synthetic and biologically derived) prostheses, composite prostheses, and coated prostheses. This review not only summarizes the state of the art in hernia repair, but also suggests future research directions toward improved hernia repair utilizing novel materials and fabrication methods.

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