Postoperative Complications Associated with Biomaterials Used in Hernioplasty

POSTOPERATIVE COMPLICATIONS ASSOCIATED WITH BIOMATERIALS USED IN HERNIOPLASTY (Abstract): Meshes of synthetic material are now being widely used to repair hernias (hernioplasty) but biomaterial-associated infections constitute a major clinical problem. The success of surgical repair of abdominal wall defects depends on the physico-chemical properties of biomaterials, their biocompatibility and design, preoperative handling and conditioning of implant, surgical technique and not least, the health status of the patient. The most common complications due to building materials are postoperative infection, seroma collection, bowel obstruction and enterocutaneous fistulas. The risk of such complications is minimized by using composite macroporous meshes (dual layer meshes, pore size < 1 mm) whose dimensions ensure adequate laxity without formation of folds.