AP has been considered responsible for adverse effects in trauma and other abdominal catastrophes as well as in recurrence of hernias.5
Reports indicate that depending patient type and activity, the intra-abdominal pressure can be up to 250 mmHg.5
Range of maximum pressures generated for each maneuver in Cobb’s study.5
Elasticity of the anterior abdominal wall and impact for reparation of incisional hernias using mesh implants.6
Abdominal wall reinforcement:
Macroporous permanent mesh
Symbotex™ Composite Mesh
Meshes long term tolerance depends on their physical and mechanical properties.
When in contact with viscera, the meshes should be protected by a continous smooth barrier to minimize visceral adhesions.
Smooth and continous resorbable barriers outperform hydrophobic permanent barriers in preclinical models.
† Based on preclinical study. Results may not correlate to performance in humans.
1. Lefranc O, Bayon Y, Montanari S, Gravagna P, Thérin M. Reinforcement materials in soft tissue repair: Key parameters
controlling tolerance and performance – current and future trends in mesh development, new techniques in genital prolapse
surgery. Springer London. 2011;275–287.
2. Based on NAMSA Study #198929. Minimizing tissue attachment barrier performance, local tissue effects and tissue integration
of Parietene™ DS composite mesh in a rat cecal abrasion model. Based on occurrence rates of cecal soft tissue attachment to the
mesh through macroscopic observations in the rat (n = 18 test articles versus n = 12 bare mesh; p < 0.05). Oct. 2016.
3. Based on internal test report #162750, Evaluating local tissue effects, tissue integration and minimizing tissue attachment
performance of Symbotex™ composite mesh versus Parietex™ optimized composite mesh. May 2013.
4. Based on a NAMSA preclinical study #163905. Symbotex™ composite mesh versus competitors in a pig bowel abrasion
model. Oct. 2013.
5. Wiiliam S. Cobb, M.D., Justin M. Burns, M.D., Kent W Kercher, M.D., Brent D. Matthews, M.M., H. James Norton, Ph.D., and B. Todd Heniford, M.D. Journal of Surgical Research 129,231-235 (2005) Normal Intraabdominal Pressure in Healthy Adults
6. K. Junge, U. Klinge, A. Prescher , P. Giboni M. Niewiera , V. Schumplelick. Hernia (2001) 5: 113-118 DOI 10.1007/s100290100019