ArticleHernia : the journal of hernias and abdominal wall surgery2011
Anisotropic evaluation of synthetic surgical meshes.
Article in Hernia : the journal of hernias and abdominal wall surgery, 2011. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 19 papers, 1 of them a synthesis that pooled it.
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The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
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Who cites it
19 citing papers in PubMed, 1 synthesis or guideline pooled it.
- International guidelines for groin hernia management.Hernia : the journal of hernias and abdominal wall surgery · 2018Guideline
- Innovative Strategies in Hernia Mesh Design: Materials, Mechanics, and Modeling.Materials (Basel, Switzerland) · 2025Review
- Preparation of surgical meshes using self-regulating technology based on reaction-diffusion processes.Medical & biological engineering & computing · 2024Article
- Prospective cohort study on mesh shrinkage measured with MRI after robot-assisted minimal invasive retrorectus ventral hernia repair using an iron-oxide-loaded polyvinylidene fluoride mesh.Surgical endoscopy · 2023Observational
- A preliminary evaluation of in vivo response to a filament-wound macroporous collagen midurethral sling in an ovine model.Journal of biomedical materials research. Part B, Applied biomaterials · 2022Article
- The Role of Mesh Implants in Surgical Treatment of Parastomal Hernia.Materials (Basel, Switzerland) · 2021Review
- Experimental Study on Bi-Axial Mechanical Properties of Warp-knitted Meshes with and without Initial Notches.Materials (Basel, Switzerland) · 2018Article
- Modifying hernia mesh design to improve device mechanical performance and promote tension-free repair.Journal of biomechanics · 2018Article
- Biomechanical, Topological and Chemical Features That Influence the Implant Success of an Urogynecological Mesh: A Review.BioMed research international · 2016Review
- Surgical mesh for ventral incisional hernia repairs: Understanding mesh design.Plastic surgery (Oakville, Ont.) · 2016Review
- Physical Characteristics of Medical Textile Prostheses Designed for Hernia Repair: A Comprehensive Analysis of Select Commercial Devices.Materials (Basel, Switzerland) · 2015Article
- Varying degrees of nonlinear mechanical behavior arising from geometric differences of urogynecological meshes.Journal of biomechanics · 2014Article
- Deterioration in biomechanical properties of the vagina following implantation of a high-stiffness prolapse mesh.BJOG : an international journal of obstetrics and gynaecology · 2013Article
- Modified classification of surgical meshes for hernia repair based on the analyses of 1,000 explanted meshes.Hernia : the journal of hernias and abdominal wall surgery · 2012Article
- Biomechanical compatibility of surgical mesh and fascia being reinforced: dependence of experimental hernia defect repair results on anisotropic surgical mesh positioning.Hernia : the journal of hernias and abdominal wall surgery · 2012Article
- Mesh biocompatibility: effects of cellular inflammation and tissue remodelling.Langenbeck's archives of surgery · 2012Review
- Comparison of a lightweight polypropylene mesh (Optilene® LP) and a large-pore knitted PTFE mesh (GORE® INFINIT® mesh)--Biocompatibility in a standardized endoscopic extraperitoneal hernia model.Langenbeck's archives of surgery · 2012Article
- Mechanical properties of mesh materials used for hernia repair and soft tissue augmentation.PloS one · 2012Article
- Incisional Hernia Development: Wound Healing Gone Wrong?Wound repair and regeneration : official publication of the Wound Healing Society [and] the European Tissue Repair SocietyReview
Corrections and comments
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Authors and funding
3 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
introductionThe material properties of meshes used in hernia repair contribute to the overall mechanical behavior of the repair. The anisotropic potential of synthetic meshes, representing a difference in material properties (e.g., elasticity) in different material axes, is not well defined to date. Haphazard orientation of anisotropic mesh material can contribute to inconsistent surgical outcomes. We aimed to characterize and compare anisotropic properties of commonly used synthetic meshes.
methodsSix different polypropylene (Trelex(®), ProLite™, Ultrapro™), polyester (Parietex™), and PTFE-based (Dualmesh(®), Infinit) synthetic meshes were selected. Longitudinal and transverse axes were defined for each mesh, and samples were cut in each axis orientation. Samples underwent uniaxial tensile testing, from which the elastic modulus (E) in each axis was determined. The degree of anisotropy (λ) was calculated as a logarithmic expression of the ratio between the elastic modulus in each axis.
resultsFive of six meshes displayed significant anisotropic behavior. Ultrapro™ and Infinit exhibited approximately 12- and 20-fold differences between perpendicular axes, respectively. Trelex(®), ProLite™, and Parietex™ were 2.3-2.4 times. Dualmesh(®) was the least anisotropic mesh, without marked difference between the axes.
conclusionAnisotropy of synthetic meshes has been underappreciated. In this study, we found striking differences between elastic properties of perpendicular axes for most commonly used synthetic meshes. Indiscriminate orientation of anisotropic mesh may adversely affect hernia repairs. Proper labeling of all implants by manufacturers should be mandatory. Understanding the specific anisotropic behavior of synthetic meshes should allow surgeons to employ rational implant orientation to maximize outcomes of hernia repair.
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Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.