fig1

Figure 1. This is a figure representing the GRIP concept. Forces acting on the abdominal wall are considered as linked chains. Failure mainly occurs at the mesh-tissue interface. Cyclic load is delivered on a bench test and can assess the influence of the different forces. A load limit CRIP must be surpassed for a durable reconstruction. A shakedown process as a prerequisite for healing requires a sufficient GRIP of the reconstruction CRIP: critical resistance to impacts related to pressure; GRIP: gained resistance to impacts related to pressure.