Palavras-chave
Como Citar
Resumo
Este artigo revisa a literatura atual sobre a utilização de biomateriais avançados no fechamento de hérnias ventrais, com foco em seus resultados clínicos e econômicos. A seleção dos artigos foi realizada utilizando a base de dados PubMed com os termos biomaterials, ventral hernia. A revisão abrange estudos recentes que investigam diferentes tipos de biomateriais, incluindo telas sintéticas, biológicas e híbridas, bem como inovações como revestimentos bioativos e tecnologias antiaderentes. A conclusão aponta que os biomateriais avançados oferecem benefícios significativos, como menor taxa de complicações, melhor integração tecidual e redução das taxas de recidiva. No entanto, a escolha do material ideal deve considerar o contexto clínico e o custo-benefício, destacando a necessidade de estudos adicionais para ampliar a acessibilidade e a personalização dos tratamentos.
Referências
ALZAHRANI, A.; ALHINDI, N.; ALZIBALI, K.; et al. A systematic review and meta-analysis of randomized controlled trials for the management of ventral hernia: biologic versus synthetic mesh. Updates in Surgery, v. 76, n. 8, p. 2725-2731, 2024. DOI: 10.1007/s13304-024-02001-3.
BELUSOV, A. M.; NEPOMNYASHCHAYA, S. L.; DANILIN, V. N.; et al. The results of clinical application of the mesh with anti-adhesive fluoropolymer coating in laparoscopic intraperitoneal repair of primary ventral hernia. Khirurgiia (Mosk), n. 5, p. 86-94, 2024. DOI: 10.17116/hirurgia202405186.
CLAY, L.; STARK, B.; GUNNARSSON, U.; et al. Full-thickness skin graft vs. synthetic mesh in the repair of giant incisional hernia: a randomized controlled multicenter study. Hernia, v. 22, n. 2, p. 325-332, 2018. DOI: 10.1007/s10029-017-1712-x.
DEEKEN, C. R.; CHEN, D. C.; LOPEZ-CANO, M.; et al. Fully resorbable poly-4-hydroxybutyrate (P4HB) mesh for soft tissue repair and reconstruction: A scoping review. Frontiers in Surgery, v. 10, eCollection, 2023. DOI: 10.3389/fsurg.2023.1157661.
DEEKEN, C. R.; LAKE, S. P. Mechanical properties of the abdominal wall and biomaterials utilized for hernia repair. Journal of the Mechanical Behavior of Biomedical Materials, v. 74, p. 411-427, 2017. DOI: 10.1016/j.jmbbm.2017.05.008.
ELLIS, R.; MILLER, B. T. Mesh Selection in Abdominal Wall Reconstruction: An Update on Biomaterials. Surgical Clinics of North America, v. 103, n. 5, p. 1019-1028, 2023. DOI: 10.1016/j.suc.2023.04.010.
GRECO LUCCHINA, A.; KOLEVA RADICA, M.; COSTA, A. L.; et al. Mesh-tissue integration of synthetic and biologic meshes in wall surgery: brief state of art. European Review for Medical and Pharmacological Sciences, v. 26, Supl. 3, p. 21-25, 2022. DOI: 10.26355/eurrev_202212_30791.
GUILLAUME, O.; TEUSCHL, A. H.; GRUBER-BLUM, S.; et al. Emerging Trends in Abdominal Wall Reinforcement: Bringing Bio-Functionality to Meshes. Advanced Healthcare Materials, v. 4, n. 12, p. 1763-89, 2015. DOI: 10.1002/adhm.201500201.
HOPE, W. W.; WILLIAMS, Z. Updates in abdominal wall management. Minerva Chirurgica, v. 70, n. 5, p. 365-72, 2015.
IBRAHIM, A. M.; VARGAS, C. R.; COLAKOGLU, S.; et al. Properties of meshes used in hernia repair: a comprehensive review of synthetic and biologic meshes. Journal of Reconstructive Microsurgery, v. 31, n. 2, p. 83-94, 2015. DOI: 10.1055/s-0034-1376886.
KÖCKERLING, F.; ALAM, N. N.; ANTONIOU, S. A.; et al. What is the evidence for the use of biologic or biosynthetic meshes in abdominal wall reconstruction? Hernia, v. 22, n. 2, p. 249-269, 2018. DOI: 10.1007/s10029-018-1735-y.
LATIFI, R. Practical Approaches to Definitive Reconstruction of Complex Abdominal Wall Defects. World Journal of Surgery, v. 40, n. 4, p. 836-848, 2016. DOI: 10.1007/s00268-015-3294-z.
LIMURA, E.; GIORDANO, P. Biological Implant for Complex Abdominal Wall Reconstruction: A Single Institution Experience and Review of Literature. World Journal of Surgery, v. 41, n. 10, p. 2492-2501, 2017. DOI: 10.1007/s00268-017-4066-8.
MAJUMDER, A.; NEUPANE, R.; NOVITSKY, Y. W. Antibiotic Coating of Hernia Meshes: The Next Step Toward Preventing Mesh Infection. Surgical Technology International, v. 27, p. 147-153, 2015.
REID, C. M.; JACOBSEN, G. R. A Current Review of Hybrid Meshes in Abdominal Wall Reconstruction. Plastic and Reconstructive Surgery, v. 142, Supl. 3, p. 92S-96S, 2018. DOI: 10.1097/PRS.0000000000004860.
SHEN, Y. M.; LI, Q.; CHEN, J.; et al. Polylactide-caprolactone composite mesh for ventral hernia repair: a prospective, randomized, single-blind controlled trial. Minerva Chirurgica, v. 73, n. 2, p. 157-162, 2018. DOI: 10.23736/S0026-4733.17.07292-3.
TONOLINI, M.; IPPOLITO, S. Multidetector CT of expected findings and early postoperative complications after current techniques for ventral hernia repair. Insights into Imaging, v. 7, n. 4, p. 541-51, 2016. DOI: 10.1007/s13244-016-0501-x.
TRIPPOLI, S.; CACCESE, E.; TULLI, G.; et al. Biological meshes for abdominal hernia: Lack of evidence-based recommendations for clinical use. International Journal of Surgery, v. 52, p. 278-284, 2018. DOI: 10.1016/j.ijsu.2018.02.046.
WOESTE, G. Stellenwert und Indikation von biologischen und biosynthetischen Netzen bei der Versorgung von Narbenhernien. Zentralblatt für Chirurgie, v. 142, n. 4, p. 353-359, 2017. DOI: 10.1055/s-0043-109574.
JOSHI, M. A.; SINGH, M. B.; GADHIRE, M. A. Study of the outcome of modified shoelace repair for midline incisional hernia. Hernia, v. 19, n. 3, p. 503-508, 2015. DOI: 10.1007/s10029-014-1234-8.
KAKABADZE, Z.; JANELIDZE, M.; CHAKHUNASHVILI, D.; et al. Evaluation of novel porcine pericardial biomaterial for ventral and inguinal hernia repair: The results of a non-randomized clinical trial. Georgian Medical News, n. 311, p. 27-32, 2021.
Este trabalho está licenciado sob uma licença Creative Commons Attribution 4.0 International License.
Copyright (c) 2025 Ana Lívia Pereira de Sousa e Silva, Priscila Costa Torres Nogueira, Jayanne Alencar Firmo, Cynthia Agra de Albuquerque Pimentel, Petrúcia Cirilo de Carvalho, Larissa de Sousa Rosado Cavalcanti, Milene Trigueiro Pereira da Nóbrega, Katryene Rochelly de Oliveira Cunha, Jardyellen Matias Bezerra, Jéssica Viana Oliveira Rodrigues, Cynthia Estrela Gadelha de Queiroga