BACKGROUND: Abdominal wall defect repair method in recent years has been improved and innovated. The application of biomaterials makes abdominal wall defect repair improved to some extent, and significantly reduces the recurrence of various lateral ventral syndromes and the occurrence of lateral ventral syndrome after large defect repair.
OBJECTIVE: To evaluate the clinical effect of different repairing materials of abdominal wall defect and biocompatibility of the host after repairing abdominal wall defect.
METHODS: Taking “abdominal wall defect, repair, polypropylene patch, silica gel, mucous membrane, transplant, compatibility” in Chinese and English as search terms to retrieve the correlated articles between January 2005 and October 2010. The articles about traumatic abdominal wall repairing materials and the application of different repairing materials in the abdominal wall defect were included.
RESULTS AND CONCLUSION: At present, the materials used to repairing abdominal wall defect are more in clinic. A variety of abdominal wall repair materials had been tried. Mainly in the following categories: biological materials, including autologous tissue (fascia, muscle flap, autologous dermis), allograft tissue (amnion, cerebral dura mater), heterogeneous allograft tissue (pig pericardium, diaphragm, cow peritoneum); non-biological materials, including metal mesh fabric (silver, platinum alloys, stainless steel), high molecular compound (malex, teflon, dacron). Expanded polytetrafiuoroethylene is is used more often in the abdominal wall repair material, but its anti-infections ability is poor. Once infected often need to remove the patch. Therefore, finding good biological, plant material or autologous, allogeneic composite materials is imperative.