2013, Number 1
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An Med Asoc Med Hosp ABC 2013; 58 (1)
Mesh for ventral hernia repair comparison. Study in laboratory rats
Valanci AS, Castañeda ML, Hernández BMC, Esparza IR
Language: Spanish
References: 8
Page: 17-20
PDF size: 169.57 Kb.
ABSTRACT
Incisional hernias occur in 5-20% of patients after abdominal surgery. Suture repair has been abandoned because of their recurrence rate. The goal of a successful repair is to diminish recurrence, pain and complications. The use of substitution materials has reduced recurrence from 50 to 24%. In occasions this material has to be in direct contact with abdominal viscera or peritoneum, which in return can lead to complications like adhesions, fistulas or occlusion. The purpose of this study is to compare different mesh materials with an animal model. Mesh was placed by laparoscopy on the abdominal wall and the animals were explored at 7, 14 and 21 days to classify the state of adhesions. Visual scales were used and our study revealed that depending of the different days the Proceed mesh was the one with the least adhesions, although it doesn’t mean it won’t produce some of them.
REFERENCES
van ‘t Riet M, de Vos van Steenwijk PJ, Bonthuis F, Marquet RL, Steyerberg EW, Jeekel J, Bonjer HJ. Prevention of adhesion to prosthetic mesh comparison of different barriers using an incisional hernia model. Ann Surg 2003; 237 (1): 123-128.
Schreinemacher MH, Emans PJ, Gijbels MJ, Greve JW, Beets GL, Bouvy ND. Degradation of mesh coatings and intraperitoneal adhesion formation in an experimental model. Br J Surg 2009; 96: 305-313.
Goldenberg A, Matone J, Marcondes W et al. Comparative study of inflammatory response and adhesions formation after fixation of different meshes for inguinal hernia repair in rabbits. Acta Cir Bras 2005; 20 (5): 347-352.
Bellón J, Serrano N, Rodríguez M et al. Prótesis compuestas en las reparaciones de defectos de pared abdominal. Estudio comparativo del empleo de barreras físicas o químicas. Cir Esp 2005; 77 (6): 351-356.
Bellón JM, Rodríguez M, García-Honduvilla N, Pascual G, Gómez Gil V, Buján J. Peritoneal effects of prosthetic meshes used to repair abdominal wall defects: Monitoring adhesion by sequential laparoscopy. J Laparoendosc Adv Surg Tech A 2007; 17 (2): 160-166.
Sebben G, Rocha S, Von Bahten L et al. Infection on the meshes implantation area in the abdominal wall of rats with induced bacterial peritonitis. Acta Cir Bras 2006; 21 (3): 155-160.
Luijendijk R, de Lange D, Wauters C et al. Foreign material in postoperative adhesions. Ann Surg 1996; 223 (3): 242-248.
Bringman S, Conze J, Cuccurullo D et al. Hernia repair: the search for ideal meshes. Hernia 2010; 14: 81-87.