Implant rejection in alloplasty of abdominal hernias: analysis of causes and surgical correction methods

Abstract

Hernias of the anterior abdominal wall, particularly postoperative ones, remain an ever-present problem in modern abdominal surgery. The introduction of alloplasty using mesh implants has significantly improved the results of surgical treatment of abdominal hernias, reducing the recurrence rate to 8 – 20 % and with hybridlaparoscopic techniques to 2.7 %. However, the use of mesh implants is accompanied by specific complications. Unsatisfactory results of the mesh integration process after alloplasty are explained by the distorted course of the local inflammatory reaction, namely, the transformation of aseptic inflammation into bacterial inflammation.