Technology of Prosthetic Material

Thomas R. Gadacz, Jeffrey A. Chase, Sanford Duke

Research output: Contribution to journalArticle

Abstract

Prosthetic material to repair a hernia is indicated for large defects, attenuated muscle, or tension avoidance on a repair. Biological, absorbable, and permanent material can be used to repair a hernia. Absorbable substances such as Dexon (Davis & Geck, Wayne, NJ) and Vicryl (Ethicon Inc, Somerville, NJ) are useful in infected areas but have a high recurrence rate. Nonabsorbable material such as polyethylene, polypropylene, and polytetrafluoroethylene (PTFE) are the most commonly used materials for mesh repair of a hernia. The properties of these meshes are determined not only by their composition but also by the size of the fibrils and interstices. Marlex (Bard Vascular, Billerica, MA) has a thicker fibril diameter and large interstices that allow ingrowth of surrounding material but has some stiffness in handling. PTFE has small fibrils and interstices that result in less ingrowth of tissue but ease in handling. Prolene (Ethicon, Somerville, NJ) has intermediate size fibrils and interstices and moderate ingrowth of tissue and ease in handling.

Original languageEnglish (US)
Pages (from-to)123-127
Number of pages5
JournalSurgical Innovation
Volume1
Issue number2
DOIs
StatePublished - 1994
Externally publishedYes

Keywords

  • Hernia
  • laparoscopy
  • mesh

ASJC Scopus subject areas

  • Surgery

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  • Cite this

    Gadacz, T. R., Chase, J. A., & Duke, S. (1994). Technology of Prosthetic Material. Surgical Innovation, 1(2), 123-127. https://doi.org/10.1177/155335069400100207