Biomechanical Studies of Novel Hernia Meshes with Enhanced Surface Behaviour

Research on hernia implants, especially less-invasive implantation techniques, is an impor-tant focus of study around the world. Practitioners require that these elaborate structures, which are primarily designed using textile technology, possess biomimetic behaviour to significantly reduce post-implantation complications. Novel textile hernia implants are de-signed with surface modifications that prevent prosthesis migration after implantation. The specialised structural design and enhanced prosthesis surface with stitched loops enables increased surface contact with the fascia, which improves the integration of connective tis-sue with the prosthesis without overgrowth (thick scar formation). The main intra-operative clinical benefit of the novel implant is its potential utility in suture-less techniques. The aim of this study was to compare novel hernia implant designs to clinically proven, com-mercially available knitted hernia meshes in vitro. TEMA MOTION 3.5 software was used to analyse motion and estimate the tendency of the non-fixed implants to remain in a stable position at the sublay in a simulated hydrodynamic model of the abdominal wall hernia sys-tem. The mechanical resistance of the implant against simulated maximal intra-abdomina