Implantes biológicos en la cirugía de las hernias de la pared abdominal / Biological implants in abdominal wall hernia surgery

Los materiales sintéticos permanentes son de elección en la actualidad para la reparación de las hernias de la pared abdominal. Sin embargo, no son ideales y se describen complicaciones relacionadas con ellos a corto y largo plazo. Fruto de la investigación y desarrollo de nuevos materiales han surgido los implantes biológicos derivados de la matriz extracelular (IBMEC). En los últimos años han aparecido varios tipos de IBMEC, cada uno con características propias de manufacturación y diferentes a los demás. En este trabajo se analiza el panorama actual de los IBMEC xenogénicos disponibles en nuestro medio, el laberinto que suponen, las incógnitas que plantean a largo plazo y la experiencia clínica disponible en las hernias incisionales e inguinales (AU)

Permanent synthetic materials are currently of choice for abdominal wall hernia repair. However, they are not ideal as short- and long-term complications with these have been reported. Extracellular matrix-derived biological implants (EMDBI) have emerged as a result of research and development into new materials. Several types of EMDBI have appeared in the last few years, each with its own manufacture characteristics and different from the rest. The current panorama of the xenogeneic EMDBI available in Spain is analysed, their complications, the unknown factors arising in the long-term, and the clinical experience available on incisional and inguinal hernias (AU)

[Biological implants in abdominal wall hernia surgery]. / Implantes biológicos en la cirugía de las hernias de la pared abdominal.

Permanent synthetic materials are currently of choice for abdominal wall hernia repair. However, they are not ideal as short- and long-term complications with these have been reported. Extracellular matrix-derived biological implants (EMDBI) have emerged as a result of research and development into new materials. Several types of EMDBI have appeared in the last few years, each with its own manufacture characteristics and different from the rest. The current panorama of the xenogeneic EMDBI available in Spain is analysed, their complications, the unknown factors arising in the long-term, and the clinical experience available on incisional and inguinal hernias.