The choice of the optimal mesh implant for hernioplasty operations depending on the properties of mesh implants

Silver and titanium were the first used elements in the era of hernia-strengthening biomaterials about a hundred years ago, reaching up to 150 types nowadays. The uniqueness of Deeken and Lake Mesh Classification system is its dependence of the properties of the used materials in classifying them, where three main categories of meshes was established; permanent synthetic, absorbable (of biological origin) derived; furtherly divided into composite, non-composite types, and hybrid meshes. The physical characteristics of each category are determined by the pore size, thread diameter, thickness and density. Moreover, tear resistance, suture retention, uniaxial tensile and planar biaxial tensile testing, ball burst, make it possible to refine the properties of the mesh implant. This article is devoted to understanding the types of mesh materials used for repair of the anterolateral abdominal wall hernias by highlighting the properties of their scaffold materials, coating and barriers, as well as their improvement through coating by different several materials improving their properties in order to meet the needs of sufficient and satisfactory hernia repair seeking for leadership in choosing mesh implants.