Dynamic Inguinal Hernia Repair with a 3D Fixation-free and Motion-compliant Implant: A Clinical Study

Giorgio Romano, Gianfranco Cocorullo, Gaspare Gulotta, Antonino Agrusa, Antonino Agrusa, Thorsten Goetze, Gianfranco Cocorullo, Thorsten Goetze, Gaspare Gulotta, Giuseppe Amato, Giorgio Romano

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5 Citazioni (Scopus)


Static solutions for highly motile structures such as the groin seem to represent a procedural incongruence. Another important issue in prosthetic hernia repair is related to the poor quality of tissue ingrowth within conventional flat meshes and plugs. These are all static, passive devices, and thus do not move in synchrony with the natural movements of the groin. In the literature there is a clear understanding of how conventional prostheses used for inguinal hernia repair are incorporated by rigid fibrotic tissue. The term "scar plate" well emphasizes this occurrence. The ingrowth of this kind of stiff fibrotic scar leads to mesh shrinkage and to the reduction of the mesh surface area. This is considered a significant cause of recurrence and discomfort. With this in mind, the need for a more physiologic procedure to further decrease complications and recurrences in inguinal hernia repair due to implant design seems obvious.
Lingua originaleEnglish
pagine (da-a)155-165
Numero di pagine11
RivistaSurgical technology international
Stato di pubblicazionePublished - 2014


All Science Journal Classification (ASJC) codes

  • Medicine(all)

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