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Characterizing the ex vivo mechanical properties of synthetic polypropylene surgical mesh
Abstract
The use of synthetic polypropylene mesh for hernia surgical repair and the correction of female pelvic organ prolapse have been controversial due to increasing post-operative complications, including mesh erosion, chronic pain, infection and support failure. These morbidities may be related to a mismatch of mechanical properties between soft tissues and the mesh. The aim of this study was to gain a better understanding of the biomechanical behavior of Prolene polypropylene mesh (Ethicon, Sommerville, NJ, USA), which is widely used for a variety of surgical repair procedures. The stiffness and permanent deformation of Prolene mesh were compared in different directions by performing uniaxial tensile failure tests, cyclic and creep tests at simulated physiological loads in the coursewise (0°), walewise (90°) and the diagonal (45°) directions. Failure tests suggest that the mechanical properties of the mesh is anisotropic; with response at 0° being the most compliant while 90° was the stiffest. Irreversible deformation and viscoelastic behavior were observed in both cyclic and creep tests. The anisotropic property may be relevant to the placement of mesh in surgery to maximize long term mesh performance. The considerable permanent deformation may be associated with an increased risk of post-operative support failure.
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When polypropylene mesh undergoes cyclical testing, its stress/strain curves show a rightward shift of the hysteresis loop, indicating permanent elongation of the mesh and possible long-term viscous creep.
“When undergoing cyclical testing, the stress/strain curves for PP show a rightward shift of the hysteresis loop, indicating permanent elongation of the mesh and possible long‐term viscous creep [56].”
From How Can We Improve the Assessment and Indifferent Outcomes From Pelvic Organ Prolapse Management From Conservative and Surgical Therapies? ICI‐RS 2025 (2026) · cites this paper as [56]
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Metadata
- Authors
- Li, X., Kruger, J. A., Jor, J. W. Y., Wong, V., Dietz, H. P., Nash, M. P., & Nielsen, P. M. F.
- Affiliations
- University of Auckland (NZ)
- The University of Sydney (AU)
- Corresponding author
- Nielsen, Poul M.F.
- Venue
- Journal of the Mechanical Behavior of Biomedical Materials
- Publisher
- Elsevier BV
- Published
- 2014-09
- Volume
- 37
- Pages
- 48-55
- ISSN
- 1751-6161 (ISSN-L)
- OpenAlex
- W2017096048
- Cited by
- 68
- References
- 30
- Citations by year
- 2026: 7 · 2025: 2 · 2024: 2 · 2023: 3 · 2022: 9 · 2021: 6 · 2020: 3 · 2019: 7 · 2018: 9 · 2017: 9 · 2016: 6 · 2015: 5
- FWCI
- 6.61
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- Journal of the mechanical behavior of biomedical materials/Journal of mechanical behavior of biomedical materials (publishedVersion)
- PubMed (publishedVersion)
- ResearchSpace (University of Auckland) (submittedVersion)
- Topics
- Health Sciences › Medicine › Surgery › Hernia repair and management
- Health Sciences › Medicine › Surgery › Surgical Sutures and Adhesives
- Physical Sciences › Engineering › Biomedical Engineering › Elasticity and Material Modeling
- Keywords
- Prolene mesh, hernia repair, pelvic organ prolapse, anisotropy, creep, cyclic loading, viscoelasticity, permanent deformation, mesh erosion, postoperative complications
- MeSH terms
- Elasticity, Materials Testing, Polypropylenes, Surgical Mesh, Viscosity, Anisotropy, Mechanical Phenomena
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