Repair of large abdominal wall defects with marlex® mesh - should marlex be abandoned?

Michael Zer*, Ron Bilik, Reuven Barak, Malvina Swarzfitter, Enrique Freud

*Corresponding author for this work

Research output: Contribution to journalArticlepeer-review


For the past 30 years. Marlex® mesh has been considered by many surgeons the material of choice for repair of large abdominal or diaphragmatic defects. This has been seriously challenged by the recent introduction of new absorbable materials. In order to reevaluate the substitution of Marlex by other materials, we reviewed our experience with 43 cases (33 adults and 10 infants and children). Final good results were achieved in 41 (95%). Two newborns died on the 1st postoperative day. Two major and five minor complications were recorded. We conclude that Marlex mesh, being inexpensive and satisfactory, remains the preferable material when applied extraperitoneally, but should be used with restraint when intraperitoneal application is necessary.

Original languageEnglish
Pages (from-to)78-83
Number of pages6
JournalDigestive Surgery
Issue number2
StatePublished - 1993


  • Abdominal wall defect repair
  • Hernia in scar
  • Huge inguinal hernia
  • Marlex® mesh
  • Paracolostomy hernia


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