2014
Evaluation of three purely polypropylene meshes of different pore sizes in an onlay position in a New Zealand white rabbit model
JEŘÁBEK, Jiří; Tomáš NOVOTNÝ; Karel VESELÝ; Jan CAGAŠ; Václav JEDLIČKA et al.Základní údaje
Originální název
Evaluation of three purely polypropylene meshes of different pore sizes in an onlay position in a New Zealand white rabbit model
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Vydání
Hernia, New York, Springer, 2014, 1265-4906
Další údaje
Jazyk
angličtina
Typ výsledku
Článek v odborném periodiku
Obor
30200 3.2 Clinical medicine
Stát vydavatele
Spojené státy
Utajení
není předmětem státního či obchodního tajemství
Impakt faktor
Impact factor: 2.050
Označené pro přenos do RIV
Ano
Kód RIV
RIV/00216224:14110/14:00078365
Organizační jednotka
Lékařská fakulta
UT WoS
EID Scopus
Klíčová slova anglicky
Hernia; Polypropylene mesh; Pore size; Shrinkage; Abdominal wall compliance; Foreign body reaction
Štítky
Příznaky
Mezinárodní význam, Recenzováno
Změněno: 4. 2. 2015 17:16, Ing. Mgr. Věra Pospíšilíková
Anotace
V originále
The aim of the study was to evaluate the influence of the pore size of a polypropylene mesh on the shrinkage and elasticity of the mesh-tissue complex and the inflammatory reaction to the implant in an open onlay hernia repair. Twenty-one 10 x 10 cm samples of polypropylene meshes of a different pore size (3.0 x 2.8 mm-PP3, 1.0 x 0.8 mm-PP1 and 0.6 x 0.5 mm-PP.5) were implanted in an onlay position in 21 New Zealand white rabbits. After 90 days of implantation the shrinkage, elasticity and foreign body reaction (FBR) were assessed. The shrinkage of PP3 was 30.6 +/- A 4.3 %, PP1 49.3 +/- A 2.9 % and PP.5 49.5 +/- A 2.6 %. The shrinkage of PP3 was significantly lower (PP3 x PP1 p = 0.007, PP3 x PP.5 p = 0.005), PP1 and PP.5 were similar. The elasticity was similar. The strength of FBR in mesh pores was similar. The width of foreign body granuloma layers at the mesh-tissue interface was significantly reduced with increasing pore size (inner: PP3 10.1 +/- A 1.2; PP1 12.5 +/- A 2.9; PP.5 17.4 +/- A 5.2 and outer: PP3 21.2 +/- A 2.5; PP1 30.6 +/- A 6.3; PP.5 60.4 +/- A 14.9). All differences between the widths of granuloma layers were statistically significant (p < 0.010). One animal (PP1) was excluded because of a mesh infection. Implantation of polypropylene mesh of a pore size of 3 mm in an onlay position is associated with a significant reduction of shrinkage in comparison to a 1 mm pore lightweight and 0.5 mm pore heavyweight mesh. A pore size increase to 3 mm is not sufficient for an improvement of mesh-tissue complex elasticity in comparison to a 1 mm pore lightweight and 0.5 mm heavyweight mesh. Polypropylene mesh with enlarged pores to 3 mm is associated with a similar strength of FBR in mesh pores and a reduced foreign body granuloma in comparison to a 1 mm pore lightweight and 0.5 mm pore heavyweight mesh.