Mesh technology—an update

Hrishikesh Salgaonkar, Davide Lomanto


Abdominal wall hernia is a commonly encountered problem and its repair a frequently performed operation in any surgical unit. Repairing the hernia using mesh is currently the standard of care. Based upon the approach, usage of mesh and position where the mesh is placed, variety of techniques will be found on literature review, but lowest rates of recurrence are demonstrated only with mesh repair. Although polypropylene is most commonly used, in practice a variety of prosthesis made up from different polymer, knitting, architecture and designing are available. A commonly performed surgery worldwide, mesh repair of hernia adds a significant amount to healthcare costs. A successful repair is determined by a good surgical technique and use of appropriate size and type of mesh. With a billion-dollar worldwide market, prosthesis design, material used and its technology has a great impact on operative results. Through this update, our aim is to cover all aspects of mesh technology, the variety of classification used, the basis behind use of specific materials, designing available in practice. The search for ideal mesh will continue, paving the way for newer meshes and its technology.