Clinical Challenges in Hernia Surgery: Mesh Selection for Hernia Repair

Behind The Knife: The Surgery Podcast

Science, Health & Fitness, Medicine, Education

4.8 • 1.4K Ratings

🗓️ 5 June 2025

⏱️ 41 minutes

🔗️ Recording | iTunes | RSS

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Summary

Join Drs. Michael Rosen, Benjamin T. Miller, Sara Maskal, and Ryan Ellis as they review mesh materials used in hernia repair and the general properties surgeons who perform hernia repairs should know.

Hosts:
- Sara Maskal, MD, Cleveland Clinic
- Ryan Ellis, MD, Cleveland Clinic
- Benjamin T. Miller, MD, Cleveland Clinic
- Michael Rosen, MD, Cleveland Clinic

Learning Objectives:
- Understand common mesh materials
- Review properties of the different mesh materials
- Understand how to apply knowledge of the different mesh properties to different patient scenarios

References:
- Ellis R, Miller BT. Mesh selection in abdominal wall reconstruction: an update on biomaterials. Surgical Clinics. 2023 Oct 1;103(5):1019-28. https://pubmed.ncbi.nlm.nih.gov/37709387/
- Krpata DM, Petro CC, Prabhu AS, Tastaldi L, Zolin S, Fafaj A, Rosenblatt S, Poulose BK, Pierce RA, Warren JA, Carbonell AM. Effect of hernia mesh weights on postoperative patient-related and clinical outcomes after open ventral hernia repair: a randomized clinical trial. JAMA surgery. 2021 Dec 1;156(12):1085-92. https://pubmed.ncbi.nlm.nih.gov/34524395/
- Rosen MJ, Krpata DM, Petro CC, Carbonell A, Warren J, Poulose BK, Costanzo A, Tu C, Blatnik J, Prabhu AS. Biologic vs synthetic mesh for single-stage repair of contaminated ventral hernias: a randomized clinical trial. JAMA surgery. 2022 Apr 1;157(4):293-301. https://pubmed.ncbi.nlm.nih.gov/35044431/
- Maskal S, Miller B, Ellis R, Phillips S, Prabhu A, Beffa L, Krpata D, Rosenblatt S, Rosen M, Petro C. Mediumweight polypropylene mesh fractures after open retromuscular ventral hernia repair: incidence and associated risk factors. Surgical Endoscopy. 2023 Jul;37(7):5438-43. https://pubmed.ncbi.nlm.nih.gov/37038022/
- Harris HW, Primus F, Young C, Carter JT, Lin M, Mukhtar RA, Yeh B, Allen IE, Freise C, Kim E, Sbitany H. Preventing recurrence in clean and contaminated hernias using biologic versus synthetic mesh in ventral hernia repair: the PRICE randomized clinical trial. https://pubmed.ncbi.nlm.nih.gov/33443907/
- Olavarria OA, Bernardi K, Dhanani NH, Lyons NB, Harvin JA, Millas SG, Ko TC, Kao LS, Liang MK. Synthetic versus biologic mesh for complex open ventral hernia repair: a pilot randomized controlled trial. Surgical Infections. 2021 Jun 1;22(5):496-503. https://pubmed.ncbi.nlm.nih.gov/33259771/

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Transcript

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0:00.0	Behind the Knife.
0:24.3	This is Patrick Georgeoff.
0:25.4	I want you to imagine this.
0:26.8	It's 2 a.m.
0:27.7	and you're rushing a hypotensive trauma patient to the operating room for exploration.
0:32.2	Maybe you need to go into the neck, the chest, or the abdomen.
0:35.4	Are you prepared for what you might find?
0:38.9	Trauma educational resources are extremely limited. That's why we created the trauma surgery video atlas.
0:43.4	24 challenging scenarios with high-yield text, beautiful illustrations, and stunning
0:47.7	professional grade video that walks you through the approach and management of devastating
0:51.9	injuries in a step-by-step fashion.
0:55.6	Check out the link in the show notes.
0:58.1	For more, there are group discounts available as well.
1:01.9	Now, enjoy the episode and dominate the day.
1:07.9	Hello, and welcome to another episode from Behind the Knife with the Hernia Team at Cleveland Clinic.
1:10.0	I'm Sarah Maskell here with Ryan Ellis.
1:10.6	Michael Rose. Ben Miller. And today we're going to do a deep dive into the clinical challenge
1:15.5	of mesh materials for hernia repair. Even though general surgeons are using mesh and hernia
1:20.2	repairs on a daily basis and there's a multitude of options, there's very little education during
1:24.4	training on this topic. And if you want to learn more about a specific material, it can be hard to find through manufacturer websites. Now, Dr. Miller, we're going to have
1:32.5	a reference as part of the podcast, is your chapter in surgical clinics on mesh selection of
1:37.4	mesh types. Now, I helped you put together a lot of the data for this and the information. And what
	...

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