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181KAT007E Hernias

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Tailored Solutions for Visceral Surgery<br />

Effective porosity<br />

During incorporation the filaments are enclosed by an internal and external granuloma.<br />

When filament distance is too small there is a risk that the whole of the intervening space will be<br />

filled with scar tissue (closed pores). The scar plates that develop in this way cause patients great<br />

discomfort. Sufficiently large pores can prevent this.<br />

Monofilament<br />

Internal granuloma<br />

(cell-rich with giant<br />

foreign body cells)<br />

External granuloma<br />

(collagen-rich connective<br />

tissue capsule = scar)<br />

Thread distance < 1.0 mm<br />

Pores closed by scar tissue<br />

(“bridging”)<br />

14<br />

Textile porosity refers to the<br />

permeable component of a mesh<br />

before the body has reacted to the<br />

implant.

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