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HERNIA AND ITS REPAIR
BY
HARSHAD KHAN SIRAJ
GROUP 16
TBILISI STSTE MEDICAL UNIVERSITY
HERNIA
• A hernia occurs when an organ or internal
tissue breaks through a hole in the muscles.
Hernia repair surgery or herniorrhaphy
involves returning the displaced tissues to
their proper position. It is one of the most
common surgeries performed in US and
around the globe.
Hernioplasty (mesh repair)
Herniorrhaphy (tissue repair)
TYPES OF HERNIAL MESH
• Patches
• Plugs
• Sheets
• Absorbable hernial mesh
• Non absorbable hernial mesh
• Synthetic hernial mesh
• Coated or composite hernial mesh
• Animal derived hernial mesh
PATCHES
• Designed to go over or
under the weakened or
damaged tissue
PLUGS
• Fit inside the hole in the
tissue
SHEETS
• Can be custom cut and
fitted for the patient’s
specific hernia
ABSORBABLE HERNIAL MESH
Absorbable mesh degrades and loses strength
over time. It is not used to provide long-term
reinforcement to the repaired hernia. “As the
material degrades, new tissue growth is
intended to provide strength to the repair,”
NON ABSORBABLE HERNIAL MESH
• Non-absorbable mesh is a permanent implant.
It remains in the body indefinitely. Non-
absorbable mesh is supposed to provide
lasting reinforcement to the repair site.
SYNTHETIC HERNIAL MESH
• Hernia mesh made of synthetic materials
come in woven or non-woven sheets. The
synthetic materials can be absorbable, non-
absorbable or a combination of both. The
most popular types of surgical mesh are made
from polypropylene – a synthetic plastic
ANIMAL DERIVED HERNIAL MESH
• Some manufacturers make hernia mesh from
animal tissue. They may use the intestine or
skin of animals. It usually comes from a pig or
cow. Manufacturers process and disinfect it.
This type of mesh is also absorbable.
COATED OR COMPOSITE HERNIAL
MESH
• At least one hernia repair technique can leave
mesh in contact with the intestines. This can
cause the intestines to adhere to the mesh,
which can result in severe complications.
Some polypropylene meshes may come
coated with absorbable fatty acids, cellulose
or collagen. Manufacturers claim these
coatings prevent adhesions.
THANK YOU

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Hernia and its repair

  • 1. HERNIA AND ITS REPAIR BY HARSHAD KHAN SIRAJ GROUP 16 TBILISI STSTE MEDICAL UNIVERSITY
  • 2. HERNIA • A hernia occurs when an organ or internal tissue breaks through a hole in the muscles. Hernia repair surgery or herniorrhaphy involves returning the displaced tissues to their proper position. It is one of the most common surgeries performed in US and around the globe. Hernioplasty (mesh repair) Herniorrhaphy (tissue repair)
  • 3.
  • 4. TYPES OF HERNIAL MESH • Patches • Plugs • Sheets • Absorbable hernial mesh • Non absorbable hernial mesh • Synthetic hernial mesh • Coated or composite hernial mesh • Animal derived hernial mesh
  • 5. PATCHES • Designed to go over or under the weakened or damaged tissue
  • 6. PLUGS • Fit inside the hole in the tissue
  • 7. SHEETS • Can be custom cut and fitted for the patient’s specific hernia
  • 8. ABSORBABLE HERNIAL MESH Absorbable mesh degrades and loses strength over time. It is not used to provide long-term reinforcement to the repaired hernia. “As the material degrades, new tissue growth is intended to provide strength to the repair,”
  • 9. NON ABSORBABLE HERNIAL MESH • Non-absorbable mesh is a permanent implant. It remains in the body indefinitely. Non- absorbable mesh is supposed to provide lasting reinforcement to the repair site.
  • 10. SYNTHETIC HERNIAL MESH • Hernia mesh made of synthetic materials come in woven or non-woven sheets. The synthetic materials can be absorbable, non- absorbable or a combination of both. The most popular types of surgical mesh are made from polypropylene – a synthetic plastic
  • 11. ANIMAL DERIVED HERNIAL MESH • Some manufacturers make hernia mesh from animal tissue. They may use the intestine or skin of animals. It usually comes from a pig or cow. Manufacturers process and disinfect it. This type of mesh is also absorbable.
  • 12. COATED OR COMPOSITE HERNIAL MESH • At least one hernia repair technique can leave mesh in contact with the intestines. This can cause the intestines to adhere to the mesh, which can result in severe complications. Some polypropylene meshes may come coated with absorbable fatty acids, cellulose or collagen. Manufacturers claim these coatings prevent adhesions.