RT Book, Section A1 Brady, Mary S. A2 Bristow, Robert E. A2 Chi, Dennis S. SR Print(0) ID 1115056282 T1 Bioprosthetic and Prosthetic Materials in Abdominal Wall Reconstruction and Hernia Repair T2 Radical and Reconstructive Gynecologic Cancer Surgery YR 2015 FD 2015 PB McGraw-Hill Education PP New York, NY SN 9780071808095 LK hemonc.mhmedical.com/content.aspx?aid=1115056282 RD 2024/10/07 AB Prosthetic materials for abdominal wall reconstruction and hernia repair have been available to surgeons for repair of the groin and abdominal wall since the mid-twentieth century. Indeed, use of these materials by either an open or laparoscopic technique is the standard method of repairing incisional or groin hernia in most centers in North America and Europe. The first prosthetic materials used for hernia repair were synthetic meshes made of polypropylene or polyester.1,2 They were introduced in an attempt to decrease the high risk of recurrent hernia observed in patients undergoing direct suture repair. Eventually, prospective randomized trials were conducted that demonstrated repair of even small incisional hernias without the use of mesh (primary closure repair) was associated with a significantly higher risk of recurrence (Figure 20-1), and nonmesh repair of all but the smallest abdominal wall defects was abandoned.3,4,5