Mesh techniques are now the standard in the treatment of hernias. For the majority of hernia types, evidence-based data currently demonstrates that the use of a mesh results in a lower recurrence rate without increasing the chronic pain rate. However, time and time again there are reports of mesh-related complications, giving rise to controversial debate about the use of meshes. In addition, there are complex hernias and emergency situations at higher risk of mesh complications. Furthermore, it is hoped that innovative mesh developments, such as biological and biosynthetic meshes, will help to prevent any potential mesh-related problems. It is therefore important to take stock of the current state of scientific knowledge on this topic so that appropriate action recommendations can be issued. These should address, in particular, the following aspects:
1. Complications associated with the use of intra-abdominal meshes
2. Use of meshes in an emergency situation
3. Treatment of mesh complications
4. When are biological meshes indicated?
5. What do biosynthetic meshes achieve?
6. Heavyweight vs lightweight meshes – is there a difference in outcome?
7. What are the long-term outcomes of synthetic meshes?
8. Mesh fixation – when and how?
Mesh techniques are now the standard in the treatment of hernias. For the majority of hernia types, evidence-based data currently demonstrates that the use of a mesh results in a lower recurrence rate without increasing the chronic pain rate. However, time and time again there are reports of mesh-related complications, giving rise to controversial debate about the use of meshes. In addition, there are complex hernias and emergency situations at higher risk of mesh complications. Furthermore, it is hoped that innovative mesh developments, such as biological and biosynthetic meshes, will help to prevent any potential mesh-related problems. It is therefore important to take stock of the current state of scientific knowledge on this topic so that appropriate action recommendations can be issued. These should address, in particular, the following aspects:
1. Complications associated with the use of intra-abdominal meshes
2. Use of meshes in an emergency situation
3. Treatment of mesh complications
4. When are biological meshes indicated?
5. What do biosynthetic meshes achieve?
6. Heavyweight vs lightweight meshes – is there a difference in outcome?
7. What are the long-term outcomes of synthetic meshes?
8. Mesh fixation – when and how?