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4 Hernia Materials: Fundamentals ofProsthetic Characteristics
37
Table 4.1 Permanent synthetic meshes for hernia repair subdivided by the presence/absence of a
barrier, coating, or reinforcing material
Bare
Polypropylene (PP)
3D Max (Bard/Davol Inc.)
3D Max Light (Bard/Davol
a
Inc.)
Bard Mesh (Bard/Davol Inc.)
Bard Soft Mesh (Bard/Davol
Inc.)
DynaMesh-PP Light (FEG
Textiltechnik mbH)
DynaMesh-PP Standard (FEG
Textiltechnik mbH)
EASY PLUG PATCH
SYSTEM (Aspide/BG
Medical)
a
Freedom Octomesh (Insightra
Medical)
Kugel Patch/Modied Kugel
Patch (Bard/Davol Inc.)
Marlex (Bard/Davol Inc.)
MK Hernia Patch (Bard/Davol
Inc.)
Optilene Mesh (B Braun)
Optilene Mesh Elastic (B
Braun)
Optilene Mesh LP (B Braun)
Optilene Mesh Plug (B Braun)
Parietene (Covidien)
PerFix Light Plug (Bard/Davol
a
Inc.)
PerFix Plug (Bard/Davol Int.)
Polysoft Hernia Patch (Bard/
Davol Inc.)
Premilene Mesh (B Braun)
Premilene Mesh Plug (B
Braun)
PROLENE 3D Patch (Ethicon
a
Inc.)
PROLENE Mesh (Ethicon
Inc.)
PROLENE Polypropylene
Hernia System (Ethicon Inc.)
PROLENE Sort Mesh
(Ethicon Inc.)
ProFlor (Insightra Medical)
ProLite Mesh (Atrium
Barriers and coatings
Permanent
a
Permanent barrier, noncomposite
Expanded
polytetrauoroethylene (ePTFE)
CRURASOFT Patch (Bard/Davol
Inc.)
DUALMESH Biomaterial
(W.L.Gore & Assoc. Inc.)
DUALMESH PLUS Biomaterial
(W.L.Gore & Assoc. Inc.)
DULEX Mesh (Bard/Davol Inc.)
MYCROMESH Biomaterial
(W.L.Gore & Assoc. Inc.)
MYCROMESH PLUS Biomaterial
(W.L.Gore & Assoc. Inc.)
Reconix Reconstruction Patch
(Bard/Davol Inc)
Permanent barrier, composite
PP+ePTFE
Composix (Baid/Davol Inc.)
Composix E (Bard/Davol Inc.)
Composix F/X (Bard/Davol Inc.)
Composix Kugel Patch (Bard/
Davol Inc.)
Composix L/P (Bard/Davol Inc.)
CK Parastomal Hernia Patch (Bard/
Davol Inc.)
Ventralex Hernia Patch (Bard/
a
Davol Inc.)
VENTRIO Hernia Patch (Bard/
Davol Inc.)
PP+silicone
SURGIMESH XB (Aspide/BG
Medical)
Permanent coating
PP+Titanium
TIMESH Extralight (Biomet
Biologics/GfE Med. GmbH)
TIMESH Light (Biomet Biologics/
a
GtE Med. GmbH)
T1MESH Strong (Biomet
Biologics/GfE Med. GmbH)
a
Resorbable
Reinforced
Resorbable
Fibers
PP+glycolide/ε-
caprolactone
SERAMESH PA
(Serag Wiessner)
ULTRAPRO Hernia
System (Ethicon Inc.)
a
ULTRAPRO Mesh
(Ethicon Inc.)
ULTRAPRO Plug
(Ethicon Inc.)
a
PP+glycolide/lactide
VYPRO Mesh (Ethicon
Inc.)
VYPRO II Mesh
(Ethicon Inc.)
Medical Corp.)
ProLite Ultra Mesh (Atrium
Medical Corp.)
ProLoop Mesh (Atrium
Medical Corp.)
a
(continued)

38
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C. R. Deeken and S. P. Lake
Table 4.1
(continued)
Bare
SURGIMESH WN (Aspide/
BG Medical)
Surgipro Polypropylene
Monolament (Covidien)
Surgipro Multilament
Polypropylene (Covidien)
Surgipro Polypropylene Open
Weave (Covidien)
VISILEX Mesh (Bard/Davol
Inc.)
VITAMESH™ (Proxy
Biomedical.)
VITAMESH™ BLUE (Proxy
Biomedical)
Polyester (PET)
MERSILENE Mesh (Ethicon
Inc.)
Parietex Anatomic Mesh
(Covidien)
Parietex Flat Sheet 2D Weave
(TEC) Mesh (Covidien)
Parietex Flat Sheet 3D Weave
(TET) Mesh (Covidien)
Parietex Folding Mesh
(Covidien)
Parietex Easegrip Mesh
(Covidien)
Parietex Lightweight
Monolament Polyester Mesh
(Covidien)
Parietex ProGrip Self-Fixating
Mesh (Covidien)
Parietex Plug and Patch
System (Covidien)
a
Versatex (Covidien)
Polytetrauoroethylene
(PTFE)
Condensed PTFE
Omyra Mesh (B Braun)
Macroporous PTFE
INFINIT Mesh (W.L.Gore &
Assoc. Inc.)
MotifMesh (Proxy
Biomedical)
POLYVINYUDENE
FLUORIDE (PVDF)
DynaMesh-CICAI (FEG
Lextiltechnik mbH)
DynaMesh-ENDOLAP (FEG
Textiltechnik mbH)
DynaMesh-Lithtensteiri (FEG
Lextiltechnik mbH)
Barriers and coatings
Resorbable barrier, composite
PP+glycolide/ε-caprolactone
PHYSIOMESH (Ethicon Inc.)
PP+glycolide/caprolactone/trim
ethylene carbonate
Parietene DS Composite Mesh
(Medtronic)
PP+sodium hyaluronate/carbox
ymethylcellulose/polyethylene
glycol
Sepramesh (Bard/Davol Inc.)
Sepramesh IP COMPOSITE (Bard/
Davol Inc.)
Ventralex ST Hernia Patch (Bard/
Davol Inc.)
VENTRALIGHT ST Mesh (Bard/
Davol Inc.)
VENTRIO ST Hernia Patch (Bard/
Davol Inc.)
PP+oxidized regenerated
cellulose
PROCEED Surgical Mesh (Ethicon
Inc.)
PROCEED Ventral Patch (PVP)
(Ethicon Inc.)
PP+polyvinylpyrrolidone/
polyethylene glycol
Adhesix (Cousin Biotech)
PP+omega-3 fatty acid
C-QUR Mesh (Atrium Medical
Corp.)
C-QUR Mosaic Mesh (Atrium
Medical Corp.)
C-QUR TacShield (Atrium Medical
Corp.)
C-QUR V-Patch (Atrium Medical
Corp.)
PET+type 1 collagen
Parietex Composite (PCO) Mesh
(Covidien)
Parietex Composite Hiatal (PCO
2H) Mesh (Covidien)
Parietex Composite Open Skirt
(PCO OS) Mesh (Covidien)
Parietex Composite Parastomal
(PCO) Mesh (Covidien)
Parietex Composite Ventral Patch
(Covidien)
Symbotex (Covidien)
PTFE+polyglycolic acid/
trimethylene carbonate
Gore Synecor Biomaterial
(W.L Gore)
Reinforced

4 Hernia Materials: Fundamentals of Prosthetic Characteristics
39
Bare
Combinations
PTFE+PP
Rebound HRD(MMDI)
Rebound HRDV(MMDI)
PVDF+PP
DynaMesh-IPOM (FEG
Textiltechnik mbH)
Terms of Use: This table is licensed under a Creative Commons Attribution 4.0 License (https://
creativecommons.org/licenses/by/4.0/) attributed to Corey Deeken and Spencer Lake. The original
version can be found here: https://doi.org/10.1016/j.jmbbm.2017.05.008. The content of the original table is reprinted here with the addition of subcategory headings/descriptions [4]
a
Available in preformed shapes
Barriers and coatings
Gore Synecor Preperitoneal
Biomaterial (W.L.Gore)
Resorbable coating
Omega-3 fatty acid
C-QUR FX Mesh (Atrium Medical
Corp.)
C-QUR Lite Mesh (Atrium Medical
Corp.)
C-QUR CENTRIFX (Atrium
Medical Corp.)
Biological tissue-derived
PP+non-crosslinked porcine
small intestine submucosa
Zenapro
a
T
(Cook Medical)
Reinforced
Permanent synthetic meshes are also commonly paired with resorbable composite barriers, resorbable coatings, or biological tissue-derived barriers (Table4.1, column 2). Resorbable composite barriers are comprised of a variety of substances,
including: sodium hyaluronate/carboxymethylcellulose/polyethylene glycol hydrogel, omega-3 fatty acid, glycolide/caprolactone/trimethylene carbonate, type I collagen, oxidized regenerated cellulose, glycolide/ε-caprolactone,
polyvinylpyrrolidone/polyethylene glycol, and polyglycolic acid/trimethylene carbonate. Omega-3 fatty acid coating represents the only resorbable coating currently
available (C-QUR™ FX Mesh, C-QUR Lite™ Mesh, and C-QUR™Centrix Mesh,
Atrium/Maquet Getinge Group (Hudson, NH)). In addition, a permanent synthetic
base scaffold (polypropylene) has recently been combined with a biological tissuederived anti-adhesive barrier (non-crosslinked porcine small intestine submucosa),
creating a “hybrid” mesh construct that spans both synthetic and biological realms
®
(Zenapro
Hybrid Hernia Repair Device, Cook Medical, Bloomington, IN). Finally,
permanent synthetic meshes have also been combined with resorbable bers
(Table4.1, column 3) such as glycolide/ε-caprolactone or a co-polymer of glycolide
and lactide that provide initial mechanical support at the defect site and then gradually resorb, transferring the load back to the native tissue and leaving a permanent
scaffold for long-term mechanical support.
The second major category of hernia repair materials includes resorbable polymers
such as poly-4-hydroxybutyrate, ultra-pure broin derived from silk, polyglycolic
acid, a co-polymer of glycolide and lactide, aco-polymer of polyglycolic acid and
trimethylene carbonate, and a co-polymer of glycolide, lactide, and trimethylene carbonate (Table4.2). The majority of scaffolds in this category are available as bare
meshes, without coatings, barriers, or reinforcements (Table4.2, column 1) and are
designed to provide initial mechanical support to the defect without the long-term

40
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Table 4.2 Resorbable meshes for hernia repair subdivided by the presence/absence of a barrier,
coating, or reinforcing material
Bare Barriers and coatings
Poly-4-hydroxybutyrate (P4HB)
Phasix™ Mesh (Bard/Davol Inc.)
Ultra-pure broin from silk
Seri Scaffold (Sofregen Medical)
Polyglycolic acid (PGA)
Sal Mesh (B Braun)
Co-polymer of glycolide and lactide
DEXON Mesh (Covidien)
VICRYL Knitted/Woven Mesh (Ethicon Inc.)
Co-polymer of polyglycolic acid and
trimethylene carbonate
BIO-A Tissue Reinforcement (W.L.Gore &
Assoc. Inc.)
BIO-A Hernia Plug (W.L.Gore & Assoc.
Inc.)
Co-polymer of glycolide, lactide, and
trimethylene carbonate
TIGR Matrix Surgical Mesh (Insightra
Medical)
Terms of Use: This table is licensed under a Creative Commons Attribution 4.0 License (
creativecommons.org/licenses/by/4.0/) attributed to Corey Deeken and Spencer Lake. The original
version can be found here: https://doi.org/10.1016/j.jmbbm.2017.05.008. The content of the table
is reprinted here with additional descriptions of the material composition of the devices [4]
Resorbable barrier, composite
P4HB+hydrogel (sodium hyaluronate,
carboxymethylcellulose, and polyethylene
glycol
Phasix™ ST Mesh (Bard/Davol Inc.)
C. R. Deeken and S. P. Lake
https://
presence of a permanent implant. There is currently a single fully resorbable composite mesh with a resorbable barrier layer (Table4.2, column 2) that deserves mention
as a particularly unique design. This device is comprised of a biologically derived
resorbable base scaffold of poly-4-hydroxybutyrate paired with a resorbable composite barrier layer containing a hydrogel of sodium hyaluronate/carboxymethylcellulose/polyethylene glycol (Phasix™ ST Mesh, C.R. Bard, Inc./Davol, Warwick, RI).
The third fundamental category of hernia repair materials encompasses biological tissue-derived scaffolds, which are comprised of extracellular matrices (ECM)
derived from dermis, pericardium, rumen, and small intestine submucosa of human,
porcine, bovine, and ovine sources (Table4.3). The tissues are subjected to several
processing steps including decellularization and sterilization to remove native cells
and improve biocompatibility. Some of these materials are also intentionally crosslinked in an effort to improve the mechanical strength of the scaffold and resistance
to enzymatic degradation. As with the other categories described above, the majority of scaffolds in this category are bare meshes, without coatings, barriers, or reinforcements (Table 4.3, column 1). However, there are two unique designs that
warrant discussion. The rst is comprised of a non-crosslinked porcine dermis scaffold combined with an antimicrobial coating of rifampin/minocycline (Table 4.3,

4 Hernia Materials: Fundamentals ofProsthetic Characteristics
41
Table 4.3 Biological tissue-derived scaffolds for hernia repair subdivided by the presence/
absence of a barrier, coating, or reinforcing material
Bare
Barriers and coatings
Reinforced
Non-crosslinked Non-crosslinked Non-crosslinked, ovine
rumen
Bovine (fetal) dermis Porcine
dermis+antimicrobial
Permanent bers
(polypropylene)
coating (rifampin/
minocycline)
SurgiMend Collagen Matrix
(TEI Biosciences Inc.)
XenMatrix
Graft (Bard/Davol Inc.)
™
AB Surgical
OviTex Reinforced
BioScaffold with Permanent
Polymer (TELA Bio)
Bovine pericardium Permanent bers+barrier
(polypropylene)
®
Veritas
Collagen Matrix
(Insightra)
OviTex 1S Reinforced
BioScaffold with Permanent
Polymer (TELA Bio)
OviTex 2S Reinforced
BioScaffold with Permanent
Polymer (TELA Bio)
Human dermis
AlloDerm Tissue Matrix
(LifeCell Corp.)
AlloMax Surgical Graft
(Bard/Davol Inc.)
Resorbable bers
(polyglycolic acid)
OviTex Reinforced
BioScaffold with Resorbable
Polymer (TELA Bio)
FlexHD Acellular Dermis
(MTF/Ethicon Inc.)
DermaMatrix Acellular
Dermis (Synthes Inc.)
Resorbable bers+barrier
(polyglycolic acid)
OviTex 1S Reinforced
BioScaffold with Resorbable
Polymer (TELA Bio)
OviTex 2S Reinforced
BioScaffold with Resorbable
Polymer (TELA Bio)
Porcine dermis
Fortiva (RTI Biologics)
Strattice Reconstructive
Tissue Matrix (LifeCell
Corp.)
XCM Biologic Tissue Matrix
(Ethicon)
XenMatrix
™
Surgical Graft
(Bard/Davol Inc.)
Porcine liver
Miromesh Biologic Matrix
(Miromatrix Medical Inc.)
(continued)

42
C. R. Deeken and S. P. Lake
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Table 4.3 (continued)
Bare
Porcine mesothelial matrix
Medeor Matrix (Kensey Nash
Corp.)
Meso BioMatrix Scaffold
(Kensey Nash Corp.)
Porcine small intestine
submucosa
Surgisis/Biodesign Hernia
Grafts (Cook Medical)
Surgisis FM/Biodesign
Hernia Grafts (Cook
Medical)
Porcine urinary bladder
MatriStem (ACell, Inc.)
Crosslinked
Bovine pericardium
Peri-Guard Repair Patch
(Synovis)
Supple Peri-Guard Repair
Patch (Synovis)
Porcine dermis
CollaMend Implant (Bard/
Davol Inc.)
CollaMend FM Implant
(Bard/Davol Inc.)
Permacol Surgical Implant
(Covidien)
Porcine pericardium
™
XI-S+
(Colorado
Therapeutics LLC)
Barriers and coatings
Reinforced
Terms of Use: This table is licensed under a Creative Commons Attribution 4.0 License (https://
creativecommons.org/licenses/by/4.0/) attributed to Corey Deeken and Spencer Lake. The original
version can be found here: https://doi.org/10.1016/j.jmbbm.2017.05.008. The content of the table
is reprinted here with additional descriptions of the material composition of the devices [4]
column 2) designed to reduce or inhibit microbial colonization (XenMatrix™ AB
Surgical Graft, C.R. Bard, Inc./Davol, Warwick, RI). The second is a series of ovine
rumen ECM-based products that are reinforced with permanent or resorbable polymer bers, with or without barrier layers (Table4.3, column 3) (OviTex™ product
line, TELA Bio, Malvern, PA). These “hybrid” mesh constructs span both synthetic
and biological realms, and as such, provide unique characteristics and benets. In
the case of the OviTex™ Core Reinforced BioScaffolds with Permanent Polymer,
four ovine rumen ECM layers are reinforced with a sewn 6 mm pattern of

4 Hernia Materials: Fundamentals ofProsthetic Characteristics
43
permanent synthetic polypropylene bers. To this, the OviTex™ 1S and OviTex™
2S Reinforced BioScaffolds with Permanent Polymer designs (TELA Bio, Inc.,
Malvern, PA) add two additional layers of ECM with a 25mm pattern on either one
or both sides for a total of 6 or 8 layers per implant, respectively. The additional
layers serve as barriers. In these designs, the biological tissue-derived matrix is
eventually remodeled, leaving behind only the permanent polypropylene bers or
layer. Alternatively, the ovine rumen ECM is reinforced with resorbable polyglycolic acid bers in the OviTex™Core Reinforced BioScaffolds with Resorbable
Polymer design. Here again, the OviTex™ 1S and OviTex™ 2S Reinforced
BioScaffolds with Resorbable Polymer designs (TELA Bio, Inc., Malvern, PA) add
two layers on one or both sides, creating fully resorbable, reinforced constructs.
This design strategy seeks to optimize initial support of the defect without the disadvantages of a long-term, permanent implant.
In addition to composition, surgeons must also understand the physical and
mechanical characteristics associated with these materials in order to inform mesh
selection. Physical characteristics such as pore size/lament diameter, thickness,
and area density are typically determined through morphometric analysis, laser
micrometry, and the use of an electronic balance, respectively [7, 8]. The physical
properties of hernia repair materials have previously been dened along a continuum of increasing foreign material in order to unify the terminology used to describe
these biomaterials and to provide insight into the amount of foreign material in a
given design [7, 8]. Pore size was previously dened as microporous (diameter:
2
<100 μm; area: <0.008 mm
), small pores (diameter: 100–600 μm; area: 0.008–
0.28mm2), medium pores (diameter: 600–1000μm; area: 0.28–0.79mm2), large
pores (diameter: 1000–2000μm; area: 0.79–3.14mm2), or very large pores (diameter: >2000 μm; area: >3.14 mm2). Fiber diameter was dened as very large
(>200μm), large (175–200μm), medium (150–175μm), small (125–150μm), or
very small (<125μm). Thickness was dened as extra thick (>1.5mm), thick (1.0–
1.5mm), medium (0.75–1.0mm), thin (0.5–0.75), or very thin (<0.5mm). Finally,
2
area density was dened as heavy-weight (>90g/m
), medium-weight (50–90g/
m2), light-weight (35–50g/m2), and ultra-light-weight (<35g/m2). Multiple clinical
studies have documented improved abdominal compliance with less restriction,
pain, and foreign body sensation with increasing pore size and decreasing area density [9–11]. These results are conrmed in the preclinical literature: Klinge etal.
reported improved tissue integration with less inammation associated with an
ultra-light-weight, large pore mesh compared to a heavy-weight, small pore mesh in
a rat model [12]. Similarly, Lake etal. reported a signicant impact of pore size and
shape in a porcine study of prototype meshes with varying pore size, shape, and area
density [13]; tissue ingrowth strength, as well as neovascularization and brosis,
were signicantly improved in meshes with larger pores, particularly those of a
hexagonal shape.
In addition to physical characteristics, mechanical characteristics play an important role in hernia repair. Mechanical properties of mesh materials are determined
through a variety of techniques, including suture retention, tear resistance, ball
burst, uniaxial tensile, and planar biaxial tensile testing [7, 8, 14]. Suture retention

44
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C. R. Deeken and S. P. Lake
testing is performed by passing a suture surrogate, typically a stainless steel wire,
through the material 1cm from the edge and applying tension to the material until
failure occurs. Suture retention strength is dened as the maximum load sustained
prior to failure [7, 8]. Tear resistance testing is typically performed in an effort to
understand the resistance that a material provides against the propagation of a tear
once a tear has been initiated. To accomplish this, a small tear of a dened length
(typically 2.54cm long) is created in the mesh, leaving two tabs on either side of the
tear. Tension is applied to the tabs, and the force required to fully propagate the tear
across the mesh is recorded as the tear resistance strength [7, 8]. Ball burst testing is
another common method of material characterization. In ball burst testing, the mesh
is clamped in a test xture, and a stainless steel ball is applied against the mesh in
compression until failure occurs and the ball bursts through the mesh [7, 8]. Uniaxial
tensile testing is accomplished by subjecting a strip of mesh to tension in a single
direction, while planar biaxial tensile testing applies tension in two, orthogonal
directions [7, 8, 14]. Material properties such as ultimate tensile strength, stiffness,
and strain can be calculated from ball burst testing. In addition to these properties,
tensile testing can also quantify anisotropy (i.e., direction dependence of the
mechanical response). Planar biaxial testing realistically simulates the conditions of
the human abdomen and provides additional insight into properties such as nonlinearity and hysteresis, providing a signicant advantage over other methods of
testing.
Guidelines for appropriate mechanical properties of biomaterials utilized for hernia repair applications have been derived from the results of both preclinical studies
and theoretical calculations. In a bench top study in which hernia repair materials
were attached to porcine abdominal wall tissue with various xation devices, Melman
etal. reported that a single polypropylene suture resisted a maximum load of 20N
when the mesh-tissue construct was subjected to lap shear testing [15]. Failure
occurred in the porcine tissue, while the mesh remained intact. It was therefore recommended that hernia repair materials withstand at least 20N at each suture point in
order to reinforce the tissue to which it is attached. This rationale was also extended
to guidelines for tear resistance values. In another series of studies, the human abdomen was modeled as a thin-walled pressure vessel [
7, 8]. A range of possible tensile
stress values were calculated when intra-abdominal pressure and abdominal circumference were varied to account for a range of possible patient scenarios. The largest
abdominal circumference with the greatest intra-abdominal pressure resulted in the
greatest tensile stress on the human abdomen (47.8N/cm); a threshold value of 50N/
cm (ball burst strength) was selected to account for this theoretical scenario.
Specimens of abdominal wall tissue obtained from human cadavers exhibited strain
values in the range of 10–30% during tensile testing, leading Junge etal. to recommend this range of values for hernia repair applications [16].
The physical and mechanical characteristics of over 50 hernia repair materials
have been comprehensively characterized by our group [7, 8, 14, 17–22] and others
[12, 23–41] and are summarized in Tables 4.4 and 4.5 [4]. These tables demonstrate
the wide range of both physical and mechanical properties available in current hernia repair materials, with the greatest variation apparent in the values reported for

4 Hernia Materials: Fundamentals ofProsthetic Characteristics
45
Table 4.4 Summary of the physical properties of a subset of available hernia repair materials,
including pore size/lament diameter, thickness, and area density
Diameter
Diameter of
pores (mm)
Area of
pores (mm
of bers
2
(μm)
)
Thickness
(mm)
Density (g/
2
m
)
References
Permanent synthetic
Bare
Bard Mesh 0.44–0.58 185.7 0.73–0.76 102.4–105 [8, 27]
Bard Soft Mesh 2.5 44 [28, 29]
Dyna-Mesh 4.16 36 [23]
INFINIT 4 116.2 0.16 65.6–70 [8, 23]
Marlex 0.46 0.63 95 [12, 29–31]
MERSILENE
1.0 33–40 [29, 32, 33]
Mesh
Optilene Mesh 1.0 7.64 36–48 [23, 28, 29,
34]
Parietene 1.0–1.6 0.53 77–78 [29, 30, 35]
Parietene Light 1.5–1.7 0.36 36–38 [28–30, 36]
Parietex Flat
2.0 1.75 338.8 0.52–0.53 100–119.2 [8, 30]
Sheet 2D Mesh
(TEC)
Parietex (TECR) 2.0 0.53 120 [30]
PROLENE Mesh 0.8–1.6 0.39 130.4 0.51–0.53 79.5–108 [8, 29–32,
37]
ProLite Mesh 0.8 0.33 151.2 0.47 85–90 [8, 29, 31,
38]
ProLite Ultra
0.34 99.0 0.39 50.1 [8]
Mesh
Serapren 0.08–0.1 116 [29, 37]
Surgipro 0.8 0.26 0.57 84–110 [23, 29–31]
Trelex 0.35–0.6 95 [29, 32, 38]
Permanent barrier, non-composite
DUALMESH
Biomaterial
0.003/0.022 n/a n/a 1.18 320–420 [7, 29, 39,
41]
MYCROMESH 0.025/0.3 [29, 40]
Permanent barrier, composite
Composix E/X 0.43 183.70 0.89 255.80 [7]
Composix L/P 6.07 163.20 0.69 187.40 [7]
Permanent coating
TIMESH
1.24 0.21 16 [30]
Extralight
TIMESH Light 1.24 0.29 33 [30]
Resorbable barrier, composite
C-QUR Mesh 0.33 151.2 0.56 321.0 [7]
Parietex
3.68 160.20 0.76 155.90 [7]
Composite
(PCO)
PROCEED 5.46 96.85 0.57 189.50 [7]
(continued)

46
C. R. Deeken and S. P. Lake
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Table 4.4
(continued)
Diameter
Sepramesh IP
Diameter of
pores (mm)
Area of
pores (mm
of bers
2
(μm)
)
0.40 155.70 0.82 240.60 [
Thickness
(mm)
Density (g/
2
m
)
References
Composite
Resorbable coating
C-QUR Lite
0.34 99.00 0.28 69.19 [
Mesh (≤6in. size
mesh)
C-QUR Lite
0.33 151.20 0.46 128.70 [
Mesh (>6in. size
mesh)
Reinforced—resorbable bers
ULTRAPRO 2.28 3.45–4.10 102.5 0.44–0.5 28–58 [
VYPRO 3.0 0.34 26 [
VYPRO II 2.6 0.39 40 [
Resorbable synthetic
Bare
BIO-A Tissue
33.8 1.57 [22]
Reinforcement
TIGR Matrix
1 ~13 ~0.5 [22, 23]
Surgical Mesh
VICRYL 13.1 0.07 [22]
PHASIX Mesh 0.26 0.51 182 [
Biological tissue-derived
Bare
AlloDerm Tissue
n/a n/a n/a 2.02 n/a [64]
Matrix
AlloMax
n/a n/a n/a 1.29 n/a [64]
Surgical Graft
CollaMend
n/a n/a n/a 1.22 n/a [64]
Implant
CollaMend FM
n/a n/a n/a 1.34 n/a [
Implant
FlexHD
n/a n/a n/a 1.15 n/a [64]
Acellular Dermis
Peri-Guard
n/a n/a n/a 0.47 n/a [
Repair Patch
Permacol
n/a n/a n/a 0.91 n/a [64]
Surgical Implant
Strattice
n/a n/a n/a 1.76 n/a [64]
Reconstructive
Tissue Matrix
SurgiMend
n/a n/a n/a 0.84 n/a [64]
Collagen Matrix
Surgisis/
n/a n/a n/a 1.37 n/a [64]
Biodesign Hernia
Grafts
7]
8]
8]
8, 23, 30]
30]
30]
27]
64]
64]
Соседние файлы в папке Библиотека им академика М.И. Перельмана
