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Surgical mesh information


Surgical mesh made of polypropylene, used for inguinal hernia

Surgical mesh is a medical implant made of loosely woven mesh, which is used in surgery as either a permanent or temporary structural support for organs and other tissues. Surgical mesh can be made from both inorganic and biological materials and is used in a variety of surgeries, although hernia repair is the most common application. It can also be used for reconstructive work, such as in pelvic organ prolapse[1] or to repair physical defects (mainly of body cavity walls) created by extensive resections or traumatic tissue loss.

Permanent meshes remain in the body, whereas temporary ones dissolve over time. One temporary mesh was shown in 2012 to fully dissolve after three years in a scientific trial on sheep.[2] Some types of mesh combine permanent and temporary meshes which includes both resorbable vicryl, made from polyglycolic acid, and prolene, a non-resorbable polypropylene.[3]

Data of mechanical and biological behaviors of mesh in vivo may not always be reflective of conditions within the human body due to testing in non-human organisms. Most published reports experiment on mice, thus creating the likelihood of possible differences when inserted into the human body. Also, most published research reports reference meshes that are currently disallowed from the medical device market due to complications post-surgery. Additionally, the absence of FDA-approved regulatory protocols and universal standard operating procedures leads to a variety of different testing methods from researcher to researcher. Experimentation may find differing outcomes for some meshes.[citation needed][original research?]

  1. ^ "Information on Surgical Mesh for Pelvic Organ Prolapse and Stress Urinary Incontinence". Medical Devices Safety Communications. Food and Drug Administration. 20 November 2012. Retrieved 2 March 2013.
  2. ^ Hjort, H.; Mathisen, T.; Alves, A.; Clermont, G.; Boutrand, J.P. (2012). "Three-year results from a preclinical implantation study of a long-term resorbable surgical mesh with time-dependent mechanical characteristics". Hernia. 16 (2): 191–197. doi:10.1007/s10029-011-0885-y. PMC 3895198. PMID 21972049. After 36 months, the test mesh was fully resorbed
  3. ^ "Vipro 2 mesh". Ethicon product guide. Ethicon. Retrieved 2 March 2013.

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Surgical mesh

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Surgical mesh is a medical implant made of loosely woven mesh, which is used in surgery as either a permanent or temporary structural support for organs...

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Pelvic organ prolapse

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complications are "not rare." Evidence does not support the use of transvaginal surgical mesh compared with native tissue repair for anterior compartment prolapse...

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material handling. Woven meshes are basic to screen printing. Surgical mesh is used to provide a reinforcing structure in surgical procedures like inguinal...

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halt the sale and distribution of transvaginal surgical mesh implants for failure to prove their mesh products were safe and effective for the repair...

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Transvaginal mesh

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Transvaginal mesh, also known as vaginal mesh implant, is a net-like surgical tool that is used to treat pelvic organ prolapse (POP) and stress urinary...

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Biomesh

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Biomesh (or biologic mesh) is a type of surgical mesh made from an organic biomaterial (such as porcine dermis, porcine small intestine submucosa, bovine...

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synthetic mesh. Generally, mesh may be considered in instances where the connective tissue is weak or absent, if there is an empty space at the surgical site...

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Ethicon

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with transvaginal mesh devices. This escalated in 2011 when the agency received more than 1,000 adverse effect reports from surgical mesh manufacturers....

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Boston Scientific

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several manufacturers of a medical device called transvaginal mesh, a type of surgical mesh used to treat pelvic organ prolapse. Experts concluded that...

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creating a stronger point of resistance to the intruding bladder wall. Surgical mesh is sometimes used to strengthen the anterior vaginal wall. It has a...

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Vaginal vault

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that limited data are available on optimal surgical approaches, including the use of transvaginal surgical mesh devices, in the form of a patch or sling...

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Polypropylene

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on Serious Complications Associated with Transvaginal Placement of Surgical Mesh for Pelvic Organ Prolapse: FDA Safety Communication, FDA, July 13, 2011...

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Inguinal hernia surgery

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unresponsive to pain medications, further surgical intervention is often required. Removal of the implanted mesh, in combination with bisection of regional...

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Instruments used in general surgery

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There are many different surgical specialties, some of which require very specific kinds of surgical instruments to perform. General surgery is a specialty...

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free repair method using a synthetic mesh. Incisional hernias are usually caused by a weakness of the surgical wounds, which may be caused by hematoma...

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Systemic inflammatory response syndrome

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possible. In cases caused by an implanted mesh, removal (explantation) of the polypropylene surgical mesh implant may be indicated. The concept of SIRS...

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Stress incontinence

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a result of implanted mesh; the FDA released a safety communication in 2008, and led to the reclassification of surgical mesh to a class 3 or high risk...

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Hernia

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and pain around the mesh area. Continuous discharge from the scar is likely for a while after the mesh has been removed. A surgically treated hernia can...

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Emma Hardy

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Chair of the All Party Parliamentary Group on Mesh, and campaigned to suspend the use of vaginal surgical mesh in the NHS. In October 2018, the National Institute...

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Polyhydroxyalkanoates

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(including interference screws), bone plates and bone plating systems, surgical mesh, repair patches, slings, cardiovascular patches, orthopedic pins (including...

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Urethral hypermobility

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Pubovaginal sling Mini sling Surgical meshes have come to the public attention due to safety concerns with vaginal mesh used to treat pelvic organ prolapse...

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Biomaterial

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Stents Nerve conduits Surgical sutures, clips, and staples for wound closure Pins and screws for fracture stabilisation Surgical mesh Biomaterials must be...

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Carl Heneghan

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to three UK All Parliamentary Party Groups, including on the use of surgical mesh, and has advised the World Health Organisation's clinical trials registry...

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General anaesthesia

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General anaesthesia is generally performed in an operating theater to allow surgical procedures that would otherwise be intolerably painful for a patient, or...

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