RUDN Journal of MedicineRUDN Journal of MedicineВестник Российского университета дружбы народов. Серия: Медицина2313-02452313-0261Peoples’ Friendship University of Russia named after Patrice Lumumba (RUDN University)4201310.22363/2313-0245-2024-28-4-499-507GZZFKWSURGERYХИРУРГИЯReview ArticleThe choice of the optimal mesh implant for hernioplasty operations depending on the properties of mesh implantsВыбор оптимального сетчатого имплантата для операций герниопластики в зависимости от свойств сетчатых имплантатовhttps://orcid.org/0000-0001-5439-92623126-7423ProtasovAndrey V.ПротасовА. В.mekhaeel60@yahoo.comhttps://orcid.org/0000-0002-0381-3379MekhaeelMekhaeel Sh. F.МекхаеэльМ. Ш. Ф.mekhaeel60@yahoo.comhttps://orcid.org/0009-0008-0690-6811SalemSameh M. A.СалемС. М. А.mekhaeel60@yahoo.comRUDN UniversityРоссийский университет дружбы народов15122024284ONCOLOGYОНКОЛОГИЯ49950716122024Copyright ©; 2024, Protasov A.V., Mekhaeel M.S., Salem S.M.Copyright ©; 2024, Протасов А.В., Мекхаеэль М.Ш., Салем С.М.2024Protasov A.V., Mekhaeel M.S., Salem S.M.Протасов А.В., Мекхаеэль М.Ш., Салем С.М.https://creativecommons.org/licenses/by-nc/4.0https://journals.rudn.ru/medicine/article/view/42013

Silver and titanium were the first used elements in the era of hernia-strengthening biomaterials about a hundred years ago, reaching up to 150 types nowadays. The uniqueness of Deeken and Lake Mesh Classification system is its dependence of the properties of the used materials in classifying them, where three main categories of meshes was established; permanent synthetic, absorbable (of biological origin) derived; furtherly divided into composite, non-composite types, and hybrid meshes. The physical characteristics of each category are determined by the pore size, thread diameter, thickness and density. Moreover, tear resistance, suture retention, uniaxial tensile and planar biaxial tensile testing, ball burst, make it possible to refine the properties of the mesh implant. This article is devoted to understanding the types of mesh materials used for repair of the anterolateral abdominal wall hernias by highlighting the properties of their scaffold materials, coating and barriers, as well as their improvement through coating by different several materials improving their properties in order to meet the needs of sufficient and satisfactory hernia repair seeking for leadership in choosing mesh implants.

Серебро и титан были первыми используемыми элементами в эру биоматериалов, укрепляющих грыжу, около ста лет назад, и в настоящее время их количество достигает 150 видов. Уникальность системы классификации сетчатых имплантатов Дикен и Лейк заключается в ее зависимости от свойств используемых материалов при их классификации, где были установлены три основные категории сетчатых имплантатов: постоянные синтетические, рассасывающиеся (биологического происхождения), далее разделенные на композитные и некомпозитные типы, а также гибридные сетчатые имплантаты. Физические характеристики каждой категории определяются размером пор, диаметром нити, толщиной и плотностью. Кроме того, прочность на разрыв, сохранение швов, испытание на одноосное растяжение и плоскостное двухосное растяжение, разрыв шарика позволяют уточнить свойства сетчатого имплантата. Статья посвящена изучению типов сетчатых материалов, используемых для лечения грыж переднебоковой стенки живота, с описанием свойств их каркасных материалов, покрытия и барьеров, а также их усовершенствованию.

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