Investigación en pared abdominalFuturo de los materiales en cirugía de la hernia

  1. JM Suárez Grau 1
  2. C Méndez García 2
  3. C Rubio Chaves 3
  4. S García Ruiz 4
  1. 1 Hospital General Básico de Riotinto. Minas de Riotinto. Huelva.
  2. 2 Hospital de Jerez de la Frontera. Cádiz.
  3. 3 Hospital Universitario Virgen del Rocío. Sevilla.
  4. 4 Clínica Asunción de Tolosa. Guipúzcoa.
Journal:
Cirugía Andaluza

ISSN: 2695-3811 1130-3212

Year of publication: 2018

Volume: 29

Issue: 2

Pages: 136-139

Type: Article

More publications in: Cirugía Andaluza

Abstract

The future of the materials used in surgery of the abdominal wall is hopeful, after a time in which innovative products have advanced and others have been practically in disuse. It is accepted that the self-adhesive materials and adhesives (biological or synthetic) are present, and on the other hand the biological meshes have remained only or for some very specific cases, without being able to standardize their use that was so broad at the beginning. The most recent advances have been in the form of new synthetic prostheses, with less amount of material and also combining long-time synthetic absorbable materials. On the horizon we can see two interesting lines: cell therapy (stem cells) and 3D bioprinting technology. At this time it is not clear whether the two lines will prevail or one will predominate over the other. In any case these are the innovations that we can expect in the next years. In this clinical case, the technical aspect of the laparoscopic approach and resolution of a case of compression of the hepatic post-transplant celiac trunk is described.

Bibliographic References

  • Suarez Grau JM, García Ruiz S, Rubio Chaves C. Líneas estratégicas en investigación: Futuro de los materiales en cirugía de la hernia. Cir. Andal. 2013; 24: 296-299
  • Scott JR, Deeken CR, Martindale RG, Rosen MJ. Evaluation of a fully absorbable poly-4-hydroxybutyrate/absorbable barrier composite mesh in a porcine model of ventral hernia repair. Surg Endosc. 2016 Sep;30(9):3691-701.
  • Suárez-Grau JM. Biomechanical three-dimensionally printed implant will be the future reconstructive surgery (letter). Ann Thorac Surg 2018;105:1575.
  • Bellon J. Revisión de una clasificación de materiales protésicos destinados a la reparación herniaria: correlación entre estructura y comportamiento en los tejidos receptores. Rev hispanoam hernia. 2014;2(2):49–57
  • Suárez-Grau JM, de Luna FFA, Jurado JFG (2015) Research into Materials Used in Abdominal Wall Repair. Pharmaceut Reg Affairs 4:139.
  • Köckerling F, Alam NN, Antoniou SA, Daniels IR, Famiglietti F, Fortelny RH, Heiss MM, Kallinowski F, Kyle-Leinhase I, Mayer F, Miserez M, Montgomery A, Morales-Conde S, Muysoms F, Narang SK, Petter-Puchner A, Reinpold W, Scheuerlein H, Smietanski M, Stechemesser B, Strey C, Woeste G, Smart NJ. What is the evidence for the use of biologic or biosynthetic meshes in abdominal wall reconstruction? Hernia. 2018 Apr;22(2):249-269.
  • Suárez-Grau JM, Morales-Conde S, González Galán V, Martín Cartes JA, Docobo Durantez F, Padillo Ruiz FJ. Antibiotic embedded absorbable prosthesis for prevention of surgical mesh infection: experimental study in rats. Hernia. 2015 Apr;19(2):187-94.
  • Klinger A, Kawata M, Villalobos M, Jones RB, Pike S, Wu N, Chang S, Zhang P, DiMuzio P, Vernengo J, Benvenuto P, Goldfarb RD, Hunter K, Liu Y, Carpenter JP, Tulenko TN. Living scaffolds: surgical repair using scaffolds seeded with human adipose-derived stem cells. Hernia. 2016 Feb;20(1):161-70.
  • Blázquez R, Sánchez-Margallo FM, Álvarez V, Usón A, Marinaro F, Casado JG. Fibrin glue mesh fixation combined with mesenchymal stem cells or exosomes modulates the inflammatory reaction in a murine model of incisional hernia. Acta Biomater. 2018 Apr 15;71:318-329.
  • Zhang Y, Zhou Y, Zhou X, Zhao B, Chai J, Liu H, Zheng Y, Wang J, Wang Y, Zhao Y. Preparation of a nano- and micro-fibrous decellularized scaffold seeded with autologous mesenchymal stem cells for inguinal hernia repair. Int J Nanomedicine. 2017 Feb 21;12:1441-1452.
  • Habib A, Sathish V, Mallik S, Khoda B. 3D Printability of Alginate-Carboxymethyl Cellulose Hydrogel. Materials (Basel). 2018 Mar 20;11(3)
  • Ouyang L, Yao R, Zhao Y, Sun W. Effect of bioink properties on printability and cell viability for 3D bioplotting of embryonic stem cells. Biofabrication. 2016 Sep 16;8(3):035020
  • Zhang XY, Yanagi Y, Sheng Z, Nagata K, Nakayama K, Taguchi T. Regeneration of diaphragm with bio-3D cellular patch. Biomaterials. 2018 Jun;167:1-14.