POSTOPERATIVE COMPLICATIONS ASSOCIATED WITH BIOMATERIALS USED IN HERNIOPLASTY

Meshes of synthetic material are now being widely used to repairhernias (hernioplasty) but biomaterial-associated infections constitute a major clinical problem.The success of surgical repair of abdominal wall defects depends on the physico-chemicalproperties of biomaterials, their biocompatibility and design, preoperative handling andconditioning of implant, surgical technique and not least, the health status of the patient. The mostcommon complications due to building materials are postoperative infection, seroma collection,bowel obstruction and enterocutaneous fistulas. The risk of such complications is minimized byusing composite macroporous meshes (dual layer meshes, pore size < 1 mm) whose dimensionsensure adequate laxity without formation of folds.