A New Mesh for Laparoscopic Ventral Hernia Repair

Ashraf A Bakr, Professor Dr. Dr Soliman Fakeeh Hospital

Introduction: Laparoscopic ventral hernia repair (LVHR) is becoming the standard procedure for ventral hernia repair. As the technique is refined, search continues for the perfect mesh and the perfect method of fixation. The perfect mesh is thought to have the following criteria
• No adhesion formation
• No shrinkage
• Strong enough to prevent recurrence
• Quick-setting strength
Procedure: Many meshes are available in the market, yet none of them is perfect. We describe our early experience with a newly introduced mesh; the Physiomesh. It has certain advantages
• The anatomy of abdominal wall defect can be viewed through the mesh.
• It has markers for orientation
• It can be applied on both sides
• It has sufficient memory for ease of deployment
• It is ready to use out of the package, no need for preparation
• It is trimmable
• It clings to the abdominal wall to ease in placement and can be positioned easily
Conclusion: There is room for improvement is the critical issues regarding the perfect mesh to be used and the perfect fixation methods. Macro/mega porous meshes has obvious advantages
Physiomesh has certain advantages that encourage surgeons to use in their repair, yet further evaluation is needed through large series of patients

Session: Emerging Technology Poster
Program Number: ETP037
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