Open and Laparo-Endoscopic Repair of Incarcerated Abdominal Wall Hernias by the Use of Biological and Biosynthetic Meshes.

摘要: Introduction: Although recently published guidelines recommend against the use of synthetic non-absorbable materials in cases potentially contaminated or surgical fields due to increased risk infection [1, 2], bio-prosthetic meshes for abdominal wall ventral hernia repair is still controversially discussed such cases. Bio-prosthetic have been recommended less susceptibility and decreased subsequent mesh explantation. The purpose this review elucidate if there are any indications biological biosynthetic incarcerated hernias based on literature. Methods: A literature search Medline database using PubMed engine, keywords returned 486 articles up June 2015. full text was assessed 13 relevant papers were identified including 5 retrospective case cohort studies, 2 controlled 6 series. Results: results Franklin et al [23, 24, 25] included highest number repairs (Surgisis®) by laparoscopic IPOM infected which demonstrated a very low incidence recurrence (0,7% 5,2%). Han [26] reported his study treated patients open approach acellular dermal matrix (ADM®) with rate as well recurrences (1,6% 15,9). Both studies achieved acceptable outcome follow at least 3,5 years compared high-risk population [3] Conclusion: Currently limited evidence strangulated either laparo-endoscopic repair. Finally, an urgent need start randomized comparative trials support registries data achieve more knowledge tailored indication meshes.