Mr Duncan Light Consultant upper GI surgeon Northumbria NHS Trust wwwnugitnhsuk Mesh classification Synthetic Polypropylene PVDF Polyester Biosynthetic PGA P4HB Biological Porcine Bovine ID: 999345
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1. Mesh and fixation in Laparoscopic inguinal hernia repairMr Duncan LightConsultant upper GI surgeonNorthumbria NHS Trustwww.nugit.nhs.uk
2. Mesh classificationSyntheticPolypropylenePVDFPolyesterBiosyntheticPGAP4HBBiologicalPorcineBovineFetalCadaverStructure/weavePore size > 1mmWeight80gm2Mechanical propertiesTensile strengthStiffnessElasticityComplicance
3. Mesh immune responseForeign body responseFibroblasts and immune responseChronic processGranuloma formationScar plateImplicated in mesh shrinkagePotential reduction with large pore size (>1mm)
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7. VALUE= QUALITYCOST--------------------RECURRENCECHRONIC PAINWOUND COMPLICATIONSHOSPITAL VISITSLOSREADMISSIONSRESOURCES
8. FixationTacksAbsorbableNon-absorbableStaples?GlueFibrinCyanoacylateSelf-fixating mesh
9. Fixation
10. VALUE= QUALITYCOST--------------------RECURRENCECHRONIC PAINWOUND COMPLICATIONSHOSPITAL VISITSLOSREADMISSIONSRESOURCES
11. ReferencesInternational guidelines for groin hernia management. Herniasurge group. Hernia 2018. 22 (1): 1-65Past, Present and Future of Surgical Meshes: A Review. Baylon, Karen & Rodríguez-Camarillo, Perla & Elías-Zúñiga, Alex & Díaz-Elizondo, José & Gilkerson, Robert & Lozano, Karen. (2017). Membranes. 7. 47