referring first to fig1 a mesh structure comprises crossing threads which are laid substantially at right angles to each other . the interlocking may be achieved by a number of interlocking methods well known to those skilled in the art . generally the interlocking is effected when the first laid down layer is crossed by the second laid part , when threads from the underthread and needle thread pass under and over the first laid thread and are interlocked by lockthread stitching as usually used for the embroidery . different ways of interlock will give different load extension characteristics to the implant for different applications or different patients . such a mesh can be used to act as a reinforcing patch within the body . for example a patient may suffer from an incisional hernia where some of the internal tissues of the gut may protrude through the walls of the abdomen and the internal tissues are only held within the body by a thin layer of the body wall . the edges of the hernia may have weakened as a result of the hernia or from some other cause , which makes repair using conventional sutures difficult . the provision of a patch will assist the surgeon to obtain a good repair by enabling him to stitch the tissue at a site remote from the weak edges . the patch can also provide a scaffold on which a new tissue may grow . the requirements of any patch include that it shall have a high bursting strength , that it shall be easy to cut to size appropriate to the condition of the patient without fraying or unroving from the cut edges . many woven structures have good properties with regard to bursting strength , but will fray readily from a cut edge . the use of a hot knife to cut thermoplastic fibres to prevent them from fraying is undesirable because of the inconvenience of carrying out this is operating theatre conditions and the sharp edges ( and possibly toxic degradation products ) that thermal cutting often leaves . the provision of a thermoplastic monofilament patch where intersecting fibres in a mesh are thermally bonded is known , but any cut edges of the monofilament comprising the patch may be undesirably sharp and thermal bonding restricts the choice of fibres to those which are thermoplastic . the use of adhesives to bond the intersections of the mesh is inconvenient and may introduce a biologically incompatible component to the implant . according to the present invention any implantable fibre may be used , since the intersections of the mesh are stitched and are resistant to fraying when the mesh is out . the invention provides a patch for the repair of tendon or ligament . for example the rotator cuff of the shoulder is difficult to repair without the use of textile reinforcement . frequently a multiplicity of suture threads is used , but sometimes this method of reinforcement is insufficent and a reinforcing textile fabric is required . the use of a hood as described in pct international patent appln . no . wo 91 / 03993 is one example . this provides a woven or knitted flexible fabric . the openness of the mesh is chosen so as to allow tissue ingrowth without being so open that the structural integrity is lost . the present invention includes the provision of an embroidered mesh , with areas of extra strength to carry localised heavier loads . one embodiment of this aspect of the invention is shown in fig2 . the mesh is ideally provided so that the holes are spaced approximately 2 mm apart and are approximately 1 mm square . the strength of the mesh is such that it must carry a minimum load of approximately body weight . the use of embroidery to form the mesh 1 , has the advantage that the mesh can be locally reinforced using a different type of thread or higher concentration or density of treads or using a multiplicity of the same thread as illustrated by the bold lines referenced 2 . in a preferred embodiment the main mesh 1 is made using a braided polyester fibre 0 . 35 mm in diameter and the reinforcement 2 is a polyester braid of 1 . 5 mm diameter . the invention also provides an implant to form a sheet material having a different stiffness in one axis to the stiffness in the other axis . an implant of this kind , known as a stent , an example of which is disclosed in uk patent appln . no . cb 2270264 is in the form of a tube that can be compressed for insertion into the human or animal body to relieve blocking of the oesophagus or other hollow viscera by tumours or other disorders . if the coiled stent is made from stiff anisotropic sheet material and would up tightly to reduce its diameter in order to insert it within the oesophagus , the tube becomes so rigid that the stent becomes difficult to insert in some patients , for example elderly patients with stiff necks or protuberant teeth . fig3 shows a self expanding solid walled tube similar to a coil spring tube . the tube can be would tightly to form a low diameter tube , or stent , which may be inserted into hollow viscera within the body and then allowed to expand , pushing aside any blockage of the hollow viscus that may have been caused by a tumour or other disorder . one example of an application is to patients in whom the oesophagus may have become blocked by a malignant tumour , making swallowing difficult . in the embodiment of fig3 the material forming the stent is made by laying stiff fibres in one axis direction of the stent onto a base embroidery material and the other direction with less stiff or no fibres . this results in an isotropic material that when wound tightly about an axis parallel to the said other direction into a low diameter tube for insertion within the hollow viscus is much less stiff in the length axis , yet retains its springiness in the radial direction . in the embodiment shown in fig3 the stent is formed by winding a strip of fabric about an axis such that each turn other than the first slightly overlaps the preceding turn , thus forming a tube with a substantially continuous wall surface . in use the stent diameter is reduced by tightening the turns and then positioned in its desired location , for example in a hollow viscus , the lower stiffness of the stent in the axial direction making it easy to insert in position . once in position the stent is allowed to expand within the hollow viscus , pushing aside a tumour or other obstruction , yet it retains flexibility in the length direction . in a particularly preferred embodiment , the fibres are arranged as shown in fig4 the longitudinal fibres 10 are monofilament polyester of high stiffness and the lateral fibres 12 are of lower stiffness monofilament polyester . if this material is coiled into a stent of the kind shown in fig3 and heat - set into shape , the stent , when tightly coiled for insertion into the oesophagus of the patient , remains flexible in the longitudinal axis and may be more easily inserted . it may be seen from the foregoing description and examples that the invention has a wide number of applications , not confined to those described herein .
a textile surgical implant includes a base cloth , and an array of fibers provided on the base cloth . the base cloth is removable from the fibers before or after the location of the implant in a patient . a method of making a textile surgical implant is further disclosed . the method includes the step of placing an array of fibers on a base cloth by embroidery . the base cloth is removable from the fibers before or after the implant is implanted .