Review of the Effectiveness of Composite Barrier Mesh Used for Laparoscopic Ventral Hernia Repair

Abstract

Background: The objective of this research is to provide an overview of the physical and biomechanical properties of composite barrier meshes frequently used in Laparoscopic Ventral Hernia Repair as well as reviewing the existing relevant literature assessing the characteristics and effectiveness of both procedures. Methods: A secondary research is used using existing literature review of the preclinical and clinical literature designed to compare the Composite prostheses with permanent barriers (COMPOSIX, VENTRIO, DUALMESH, DYNAMESH and TiMESH ) to composite prostheses with absorbable barriers ( PROCEED, C-QUR, PHYSIOMESH, PARIETEX and SEPRAMESH ). Results: Significant differences were observed between Composite prostheses with regard to its physical and biomechanical properties. Amongst the permanent barrier meshes, Dualmesh showed the highest suture retention strength. On the other hand, between the absorbable barrier meshes, Sepramesh proved to have the most significant suture retention and tears strength. Overall, all meshes established tensile strengths greater than 16-32 N/cm. Moreover, that composite meshes with absorbable barriers had less complications of adhesions, recurrences and wound infection compared with meshes with permanent barriers. Conclusion: Composite meshes with absorbable barriers proved to be superior to permanent ones. Other findings demonstrated there was no significant difference of effectiveness among absorbable barriers.