Properties Comparison of Intraperitoneal Hernia Meshes in Reconstruction of the Abdominal Wall - Animal Model Study

• Authors: Piotr Ławniczak , Bartłomiej Grobelski , Zbigniew Pasieka
• Languages of publication: EN

Abstracts

EN

Modern methods of hernia tension free treatment use very wide range of modern biomaterials. Most of them are used transabdominal. For the best and most convenient treatment of large hernias would be a mesh suitable for intraperitoneal use with low adhesion ability to internal organs.The aim of the study was to compare three types of intraperitoneal meshes.Material and methods. The study compared three types of intraperitoneal meshes. Sub-chronic (14 days) and chronic (90 days) macro-and microscopic examination were performed on rats (n = 69). Properties of the polypropylene mesh (PLP), Dynamesh®-iPOM and polypropylene covered with chitosan (PLP+chitosan) were evaluated and compared.Results. It has been shown that the test meshes differ slightly during the healing process.Conclusion. The PLP+chitosan mesh had the best biocompatible features of them all.

Keywords

EN

hernia meshes; biomaterials; PLP mesh; iPOM mesh; chitosan

• Publisher: De Gruyter Open
• Journal: Polish Journal of Surgery
• Year: 2011
• Volume: 83
• Issue: 1
• Pages: 19-26

Dates

published

1 - 1 - 2011

online

14 - 3 - 2011

Contributors

author

Piotr Ławniczak

• Department of Experimental Surgery, Medical University in Łódź

author

Bartłomiej Grobelski

• Department of Experimental Surgery, Medical University in Łódź

author

Zbigniew Pasieka

• Department of Experimental Surgery, Medical University in Łódź

References

• Chirurgia pod redakcją W. Noszczyka, t. 2. Wydawnictwo Lekarskie PZWL, Warszawa 2005.
• Weber T, Tracy T: Gron hernias and hydrocoeles. In: Pediatric surgery. Eds.: Ashcraft K et al. 3rd ed, W. Saunders Co. Philadelphia 2000; 654-62.
• Scherer L, Grossfeld J: Inguinal hernia and umbilical anomalny. Pediatr Clin N Am 1993; 40: 1121-34.
• Amid PK, Shulman AG, Lichtenstein IL: A critical evaluation of the Lichtenstein tension-free hernioplasty. Int Surg 1994; 79: 76-79.
• Lichtenstein IL, Shulman AG, Amid PK et al.: The tension-free hernioplasty. Am J Surg 1989; 157: 188-93.
• Kastel M, Schuh A: Inguinal hernia: diagnosis and therapy. MMW Fortschr Med 2008; Nov. 13: 150 (46). 34-36.
• van't Riet M, de Vos van Steenwijk PJ, Bonthuis F et al.: Prevention of adhesion to prosthetic mesh: comparison of different barriers using an incisional hernia model. Ann Surg 2003; 237: 123-28.
• Mathes SJ, Steinwald PM, Foster RD et al.: Complex abdominal wall reconstruction: A comparison of flap and mesh closure. Ann Surg 2000; 232, 586-96.
• Sikkink CJ, Vries de Reilingh TS, Malyar AW et al.: Adhesion formation and reherniation differ between meshes used for abdominal wall reconstruction. Hernia 2006; 10: 218-22.
• Kastel M, Schuh A: Inguinal hernia: diagnosis and therapy. MMW Fortschr Med 2008; Nov. 13. 150 (46): 34-36.
• Petter-Puchner AH, Fortelny RH, Mittermayr R et al.: Adverse effects of porcine small intestine submucosa implants in experimental ventral hernia repair. Surg Endosc 2006; 20: 942.[WoS]
• Alexander H. Petter-Puchner MD, NadjaWalder CM et al.: Fibrin Sealant (Tissucol) Enhances Tissue Integration of Condensed Polytetrafluoroethylene Meshes and Reduces Early Adhesion Formation in Experimental Intraabdominal Peritoneal Onlay Mesh Repair. J Surg Res 2008; 150: 190-95.[WoS]
• Petter-Puchner AH, Fortelny R, Mittermayr R et al.: Fibrin saling versus stapling of hernia meches In a non lay model in the rat. Hernia 2005; 9: 322.
• Courtney C A, Lee A C, Wilson C: Ventral hernia repair: a study of current practice. Hernia 2003; 7: 44-46.
• Urban E, King MW, Guidoin R et al.: Why make monofilament sutures out of polyvinylidene fluoride? ASAIO J 1994; 40(2): 145-56.[PubMed]
• Klinge U, Klosterhalfen B, Ottinger AP et al.: PVDF as a new polymer for the construction of surgical meshes. Biomaterials 2002; 23: 3487-93.[PubMed][Crossref]
• Coda A, Bendavid R, Botto-Micca F et al.: Structural alterations of prosthetic meshes in humans. Hernia 2003; 7: 29-34.
• Collaboration EU Hernia Trialists: Repair of groin hernia with synthetic mesh. Meta-analysis of randomized controlled trials. Ann Surg 2002; 235: 322-32.
• Dieter RA: Mesh plug migration into the scrotum: a New complication of hernia rep air. Int Surg 1999; 84: 57-59.
• Nowak DD, Chin AC, Singer MA et al.: Large scrotal hernia: a complicated case of mesh plug migration, ascites and bowel strangulation. Hernia 2005; 9: 96-99.
• Moorman ML, Price PD: Migrating mesh plug: complication of well-established herniarepair technique. Am Surg 2004; 70: 298-99.

Identifiers

DOI

10.2478/v10035-011-0003-y