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Biomesh
Biologic mesh originates from the need of a material addressing the problems associated with permanent synthetic mesh, including chronic inflammation and foreign body reaction, stiffness and fibrosis, and mesh infection.〔Volker Schumpelick, Robert J. Fitzgibbons, Joachim Conze-(''Hernia Repair Sequelae'' ) Springer 2010〕〔Parviz K. Amid, MD (''Radiologic Images of Meshoma: A New Phenomenon Causing Chronic Pain After Prosthetic Repair of Abdominal Wall Hernias'' ) Arch Surg. 2004;139:1297-1298〕〔Klosterhalfen B, Klinge U, Hermanns B, Schumpelick V. (''Pathology of traditional surgical nets for hernia repair after long-term implantation in humans'' ) Chirurg. 2000 Jan;71(1):43-51.〕 It is sometimes made of human or animal dermis or porcine small intestinal submucosa. Data on biologic mesh comprises mainly animal studies and small series evidence.〔Gina Adrales, M.D. Biological Meshes – Indications and Shortcomings. Challenging Hernias Post-Graduate Course. 12thWorld Congress of Endoscopic Surgery. April 15, 2010〕
== Indications ==
The theoretical advantage of biologic mesh over synthetic mesh has appealed to surgeons. Over the last decade, surgeons have utilized biologic mesh in a variety of cases ranging from primary ventral and inguinal hernia repair in non-infected fields, recurrent hernias, reinforced hernia repair, hernia prophylaxis, and the most widely used application, hernia repair in the contaminated or potentially contaminated field.〔Gina Adrales, M.D. Biological Meshes – Indications and Shortcomings. Challenging Hernias Post-Graduate Course. 12thWorld Congress of Endoscopic Surgery. April 15, 2010〕
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