Concept of visible mesh and possibilities for analysis of mesh migration and shrinkage

Abstract

After incorporation, textile meshes change their appearance markedly because of tissue ingrowth and integration into scar tissue. Migration and erosion, shrinkage and deformation, and fistula formation are rare but severe complications. To appreciate the clinical relevance, we have to keep in mind that 1.5 million meshes are implanted per year worldwide [1]. After mesh implantation, a significant number of patients will present to a doctor with mesh-related problems sooner or later. Among these may be either newly developed pain in the groin, functional problems in the hiatus if the mesh was placed around the oesophagus, or manifestation of fistulas to the intestines. © 2010 Springer-Verlag Berlin Heidelberg.