https://www.laparoscopyhospital.com/SERV01.HTM <br /><br />At the 8th World Congress of Laparoscopic Surgeons (WALS) 2025, Dr. Neeraj Goel presented a groundbreaking session on the use of fully absorbable mesh for hernia repair. His talk explored the evolution, benefits, and clinical outcomes associated with this innovative approach to hernia surgery. <br /><br />Why Fully Absorbable Mesh? <br /><br />Traditional synthetic meshes, though effective, have been associated with foreign body reactions, chronic pain, and mesh-related complications. Fully absorbable meshes, composed of biodegradable polymers, offer a temporary scaffold for tissue regeneration, ultimately being replaced by native collagen. <br /><br />Key Advantages of Fully Absorbable Mesh <br /><br />✅ Reduced Risk of Chronic Inflammation – Since the mesh dissolves over time, the risk of chronic foreign body reactions is minimized. <br />✅ Lower Infection Rates – Unlike permanent meshes, absorbable materials reduce long-term infection risks. <br />✅ Enhanced Tissue Integration – Promotes natural collagen deposition and healing. <br />✅ Ideal for Contaminated Fields – Suitable for cases where traditional synthetic meshes may pose infection risks. <br /><br />Clinical Evidence & Surgical Applications <br /><br />Dr. Goel presented clinical studies demonstrating favorable results in selected cases, particularly in: <br />🔹 Inguinal and Incisional Hernia Repair <br />🔹 Contaminated Surgical Fields <br />🔹 Young and Active Patients – Avoiding permanent foreign bodies in younger patients with long life expectancy. <br /><br />He also discussed the limitations of absorbable mesh, including: <br />🔸 Cost Considerations – Higher initial costs compared to traditional meshes. <br />🔸 Risk of Recurrence – Requires meticulous patient selection to ensure long-term success. <br /><br />Future of Hernia Repair with Absorbable Mesh <br /><br />With advancements in biomaterials and tissue engineering, fully absorbable mesh is paving the way for a more physiological and complication-free hernia repair approach. However, ongoing studies are needed to establish long-term durability and cost-effectiveness. <br /><br />Dr. Neeraj Goel’s insights at WALS 2025 emphasized that while fully absorbable meshes are not yet a universal replacement for synthetic meshes, they represent a valuable option in select cases where minimizing foreign body presence is a priority.
