Adhesions and meshes: synthetic versus bioprosthetic.

Kristin C. Turza, Charles E. Butler

Research output: Contribution to journalArticlepeer-review

25 Scopus citations


Adhesions are common after intra-abdominal surgery and are associated with significant morbidity, including bowel obstruction, pain, and infertility. Abdominal wall reconstruction carries the risk of adhesion formation, notably to synthetic or bioprosthetic mesh. This article reviews the pathophysiology of adhesion formation, adhesion grading, and adhesions to synthetic and biologic mesh in vitro and clinically. Bioprosthetic mesh in vitro appears to elicit fewer lower-grade adhesions than synthetic mesh. However, direct comparisons in humans of adhesions with synthetic versus bioprosthetic mesh are lacking. Future studies are warranted to determine whether there are significant differences in clinical outcomes, especially regarding secondary complications from adhesions.

Original languageEnglish (US)
JournalPlastic and Reconstructive Surgery
Issue number5 Suppl 2
StatePublished - Jan 1 2012

ASJC Scopus subject areas

  • Surgery


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