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RICHARD H. ADLER, M.D.

AMA Arch Surg. 1962;85(5):836-844.

	Since this article does not have an abstract, we have provided the first 150 words of the full text PDF and any section headings.

An extensive literature has accumulated on the use of various tissues, metals, and synthetic materials for reinforcing hernia repairs and for bridging tissue defects. There is a wide difference of opinion concerning the necessity and value of such prostheses in hernia repair. It would appear that, too often, the use of these substances is based more on the personal experience and philosophy of the practicing surgeon than on factual data. A comprehensive review of the literature reveals that most laboratory studies have been concerned with evaluation of tissue reaction to an implanted material and its tolerance in the presence of infection. Little attention has been paid to the effects of such added material upon wound healing and ultimate tensile strength. The extensive clinical literature has concerned itself mainly with the number of complications from implanted prostheses and the incidence of hernia recurrence. Critical evaluation of the worth of prostheses becomes . . . [Full Text PDF of this Article]

Author Affiliations
BUFFALO

From the Buffalo General Hospital and The University of Buffalo School of Medicine.

Footnotes
Presented at the 19th Annual Meeting of the Central Surgical Association, Cincinnati, Feb. 21-24, 1962.

Supported by the Research and Development Division, Office of the Surgeon General, Department of the Army, under Contract No. DA-49-007-MD-750.

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