OTDOncology Treatment Discovery3083-49962981-8079Bio-Byword Scientific Publishing Pty. Ltd.10.26689/otd.v3i1.9872ArticleEvolution and Research Progress of Mesh Fixation Methods in Abdominal Wall Herniashttps://artdesignp.com/journal/OTD/3/1/10.26689/otd.v3i1.9872ZhuYuanqing,ZhouHongbing,YangYapeng2025312025-04-03Abdominal wall hernia refers to a condition where there is a defect or weakness in the abdominal wall tissue, allowing abdominal organs or tissues to protrude through this defect or weakness and form a lump on the body surface. Surgical treatment is currently the most effective method for treating abdominal wall hernias, and mesh fixation hernia repair, as an important surgical approach, has rapidly developed and been widely used in the past 30 years. Early methods mainly relied on ligation. However, with continuous advancements in materials science and surgical techniques, and the invention of new materials and surgical instruments, various types of mesh-based methods have emerged, greatly enriching the clinical treatment options for hernia diseases and achieving good results. This article reviews the progress of mesh fixation methods over the past 20 years, provides a detailed introduction to various existing hernia repair techniques, compares their scope of application based on their respective advantages and disadvantages, and points out their respective strengths, weaknesses, and suitable patient populations. The aim is to promote further research on these surgical methods, provide more options for hernia surgeons, and bring more benefits to patients.

Shi J, Ma T, Xu X, et al., 2020, A Single-Center Retrospective Cohort Study of Peritoneal Dialysis Patients With Abdominal Wall Hernias or Scrotal Effusions. Chinese Journal of Nephrology, 36(12): 897–903.

Fu J, Wang C, Liu B, et al., 2013, Analysis of the Current Status of Laparoscopic Abdominal Wall Hernia Repair Surgery. Chinese Journal of Hernia and Abdominal Wall Surgery (Electronic Edition), 7(3): 218–220.

Du L, You X, Tang K, et al., 2015, Observation on the Efficacy of Inferior Epigastric Artery Perforator Flap in Repairing Perineal and Perianal Scar Contracture. Chinese Journal of Reparative and Reconstructive Surgery, 29(8): 992–995.

Li H, Zhang X, 1999, Repair of Giant Abdominal Wall Hernia With Hernia Sac Folding Method. Anatomy and Clinics, 4(2): 80–82.

Wang J, Zhang B, Yuan Q, et al., 2011, Preparation of Acellular Dermal Matrix by NaOH Etching Method for Repairing Abdominal Wall Hernia. Journal of Tissue Engineering and Reconstructive Surgery, 15(25): 4579–4582.

Xu B, Li S, Liu C, 2023, Application Effect and Operation Skills of Absorbable Barbed Suture in Incision Suturing of Abdominal Wall Plastic Surgery. Chinese Journal of Plastic Surgery, 39(6): 596–601.

Yue M, 2022, Preparation and Performance Evaluation of Zein/PHBV Woven and PCL/Gel@PCL Double-Layer Composite Abdominal Wall Hernia Repair Patch, thesis, Donghua University.

Huang Y, Huang B, Liu A, et al., 2023, Efficacy of Double-Pedicle Inferior Epigastric Artery Perforator Flap in Repairing Large Soft Tissue Defects of Lower Extremities. Chinese Journal of Burns and Wound Repair, 39(6): 540–545.

Li Y, 2009, Anatomical Study on the Size and Scope of the Predisposing Area of Inguinal Hernia and the Application of Synthetic Mesh in the Surgical Treatment of Inguinal Incarcerated Hernia and Abdominal Incision Hernia, thesis, Fudan University.

Wang Y, Wang Y, Kang H, et al., 2014, A Case of Inguinal Hernia Caused by Cold Abscess of Lumbar Tuberculosis. Chinese Journal of Hernia and Abdominal Wall Surgery (Electronic Edition), (2): 188–190.

Wu W, Jiang H, Meng X, et al., 2021, Application of Endoscopic Total Extraperitoneal Sublay Repair in Abdominal Wall Hernia. Chinese Journal of Hernia and Abdominal Wall Surgery (Electronic Edition), 15(1): 12–18.

Li H, Qi X, 2021, Application Value of Suturing Hernia Defect Combined With Negative Pressure Drainage in Laparoscopic Transabdominal Preperitoneal Hernia Repair. Journal of Chengdu Medical College, 16(3): 337–340.

Yang S, Chen J, 2016, Pay Attention to the Surgical Treatment of Complex Abdominal Wall Hernias. Surgery, 1(2): 9–13.

Li J, Shao X, Cheng T, et al., 2018, Progress in the Treatment of Abdominal Wall Hernia and Clinical Application of eTEP Technology. Journal of Laparoscopic Surgery, 23(10): 725–728.

Yu H, Zhang C, 2023, Selection and Application of Mesh Fixation Methods for Laparoscopic Intraperitoneal Mesh Repair in the Treatment of Abdominal Wall Hernia. Chinese Journal of Hernia and Abdominal Wall Surgery (Electronic Edition), 17(3): 274–279.

Wang X, Gong K, 2011, Application and Progress of Abdominal Wall Hernia Mesh. Chinese Journal of Minimally Invasive Surgery, 11(11): 1034–1038.

Yang H, Zhao Y, Yan X, et al., 2012, Comparison of Clinical Effects of Two Types of Meshes for Repairing Abdominal Wall Defects After TRAM Flap Harvesting. Chinese Journal of Aesthetic Medicine, 21(5): 713–715.

Wang G, Liu L, Ren Y, et al., 2011, Long-Term Effects of Artificial Mesh Repair for Intra-Abdominal Malignancies. Journal of Tissue Engineering and Reconstructive Surgery, 15(51): 9679–9682.

Liu W, 2016, Composite Mesh for Intraperitoneal Hernia Repair: Principle and Product Review. Chinese Journal of Hernia and Abdominal Wall Surgery (Electronic Edition), 10(6): 447–450.

Fang J, 2011, Biocompatibility and Application of Traumatic Abdominal Wall Defect Repair Materials. Journal of Tissue Engineering and Reconstructive Surgery, 15(12): 2209–2212.

Li J, Ji Z, Yuan C, et al., 2009, Application of Tension-Free Repair in Abdominal Wall Hernia. Chinese Journal of Hernia and Abdominal Wall Surgery (Electronic Edition), 3(2): 33–35.

Tang X, He Y, Zhou T, 2020, Application of Negative Pressure Closed Drainage and Radical Infected Mesh Resection in Infection After Tension-Free Repair of Abdominal Wall Hernia. Chinese Journal of Hernia and Abdominal Wall Surgery (Electronic Edition), 14(4): 378–380.

Li Y, Fan D, 2000, Experience of Tension-Free Mesh Hernia Repair in Primary Hospitals. Journal of Clinical Surgery, 8(3): 174–175.

Yan L, Li W, Wang X, 2016, Synthetic Material-Related Intestinal Fistula After Tension-Free Repair of Abdominal Wall Hernia. Chinese Journal of Hernia and Abdominal Wall Surgery (Electronic Edition), 10(6): 451–454.

Long Y, Duan J, Zhang R, 2013, Application of α-Cyanoacrylic Acid N-Butyl Ester Medical Adhesive in Tension-Free Repair of Abdominal Wall Hernia. Shaanxi Medical Journal, 42(2): 184–185.