scholarly journals Evaluation of peritoneal adhesions formation and tissue response to polypropylene - poli (2-hydroxyethyl methacrylate)-(polyHEMA) implant on rats' abdominal wall

2010 ◽  
Vol 25 (4) ◽  
pp. 337-341 ◽  
Author(s):  
Neusa Margarida Paulo ◽  
Sonia Maria Malmonge ◽  
Liliana Borges de Menezes ◽  
Flávia Gontijo de Lima ◽  
Aline de Moraes Faria ◽  
...  
Keyword(s):  
Abdominal Wall ◽  
Polypropylene Mesh ◽  
Histopathological Examination ◽  
Adhesion Formation ◽  
Foreign Body Response ◽  
Tissue Response ◽  
Female Rats ◽  
Hydroxyethyl Methacrylate ◽  
Peritoneal Adhesions ◽  
Body Response

PURPOSE: To verify if the composit poli (2-hydroxyethyl methacrylate)-PolyHEMA/polypropylene mesh implanted in the female rat's abdominal wall could be suitable for the prevention of peritoneal adhesions, and for the evaluation of the tecidual response produced by this biomaterial. METHODS: Polypropylene meshes (Group PP, n=20) and polypropylene meshes coated with a layer of poli (2-hydroxyethyl methacrylate)-PolyHEMA (Group PH, n=20) were implanted on the abdominal wall of Wistar female rats. Ten animals from each group were submitted to euthanasia at 15 and 30 days of the postoperative period. RESULTS: The animals from the group PP presented visceral adhesions on the mesh surface, which was not observed in the ones from group PH. At the histopathological examination foreign body response was observed in both groups, whilst there was a greater intensity of inflammatory response in group PH on both moments. CONCLUSION: The poli (2-hydroxyethyl methacrylate) polyHEMA hydrogel associated to polypropylene mesh reduces visceral adhesion formation in rats, although it may be associated to greater inflammatory reaction.

Examinations of a new long-term degradable electrospun polycaprolactone scaffold in three rat abdominal wall models

2017 ◽  
Vol 31 (7) ◽  
pp. 1077-1086 ◽  
Author(s):  
Hanna Jangö ◽  
Søren Gräs ◽  
Lise Christensen ◽  
Gunnar Lose
Keyword(s):  
Pelvic Organ Prolapse ◽  
Foreign Body ◽  
Abdominal Wall ◽  
Muscle Fiber ◽  
Pelvic Organ ◽  
Foreign Body Response ◽  
Heavy Load ◽  
Tissue Construct ◽  
Body Response

Alternative approaches to reinforce native tissue in reconstructive surgery for pelvic organ prolapse are warranted. Tissue engineering combines the use of a scaffold with the regenerative potential of stem cells and is a promising new concept in urogynecology. Our objective was to evaluate whether a newly developed long-term degradable polycaprolactone scaffold could provide biomechanical reinforcement and function as a scaffold for autologous muscle fiber fragments. We performed a study with three different rat abdominal wall models where the scaffold with or without muscle fiber fragments was placed (1) subcutaneously (minimal load), (2) in a partial defect (partial load), and (3) in a full-thickness defect (heavy load). After 8 weeks, no animals had developed hernia, and the scaffold provided biomechanical reinforcement, even in the models where it was subjected to heavy load. The scaffold was not yet degraded but showed increased thickness in all groups. Histologically, we found a massive foreign body response with numerous large giant cells intermingled with the fibers of the scaffold. Cells from added muscle fiber fragments could not be traced by PKH26 fluorescence or desmin staining. Taken together, the long-term degradable polycaprolactone scaffold provided biomechanical reinforcement by inducing a marked foreign-body response and attracting numerous inflammatory cells to form a strong neo-tissue construct. However, cells from the muscle fiber fragments did not survive in this milieu. Properties of the new neo-tissue construct must be evaluated at the time of full degradation of the scaffold before its possible clinical value in pelvic organ prolapse surgery can be evaluated.

Long-term evaluation of adhesion formation and foreign body response to three new meshes

2014 ◽  
Vol 29 (8) ◽  
pp. 2251-2259 ◽  
Author(s):  
R. R. M. Vogels ◽  
K. W. Y. van Barneveld ◽  
J. W. A. M. Bosmans ◽  
G. Beets ◽  
M. J. J. Gijbels ◽  
...  
Keyword(s):  
Foreign Body ◽  
Adhesion Formation ◽  
Foreign Body Response ◽  
Term Evaluation ◽  
Body Response

How safe is the use of prosthetic materials in the repair of abdominal-wall defects in malnourished subjects?

Open Medicine ◽  
2009 ◽  
Vol 4 (3) ◽  
pp. 331-336 ◽  
Author(s):  
Mehmet Karahan ◽  
Hakan Kulacoglu ◽  
Duray Seker ◽  
Zafer Ergul ◽  
Aysel Kiziltay ◽  
...  
Keyword(s):  
Wound Healing ◽  
Abdominal Wall ◽  
Polypropylene Mesh ◽  
Histopathological Examination ◽  
Abdominal Wall Defect ◽  
Infectious Complications ◽  
Abdominal Wall Defects ◽  
Tissue Samples ◽  
Significant Difference ◽  
Histopathological Studies

AbstractIncisional hernias and abdominal-wall defects consume large amounts of healthcare resources. Use of mesh is effective in treatment of these disorders and can decrease the rate of recurrence. This experimental study focused on the safety of mesh use in the setting of malnutrition, a condition that impairs wound healing. Rats were divided into two groups: normally fed and food-restricted. An abdominal-wall defect, 2 by 2 cm, was covered with polypropylene mesh, 2.5 by 2.5 cm. After sacrifice of the rats at the 21st and 60th days, tissue samples were sent for tensiometric and histopathological studies. No significant difference in infectious complications was observed between the two groups. Tensiometry revealed no significant differences between the groups. On histopathological examination, the only difference noted was in the vascularization scores of normally fed rats. For malnourished subjects that survived after surgery, the use of polypropylene mesh appeared safe in the closure of abdominal-wall defects, with no increase in infection rate and satisfactory wound healing.

scholarly journals Polylactic acid film versus acellular porcine small intestinal submucosa mesh in peritoneal adhesion formation in rats

2009 ◽  
Vol 24 (2) ◽  
pp. 128-135 ◽  
Author(s):  
Ricardo Gonçalves da Costa ◽  
Marcelo Betancort Lontra ◽  
Priscila Scalco ◽  
Leandro Totti Cavazzola ◽  
Richard Ricachenewski Gurski
Keyword(s):  
Polypropylene Mesh ◽  
Rupture Strength ◽  
Adhesion Formation ◽  
Albino Rats ◽  
Peritoneal Adhesions ◽  
Barrier Methods ◽  
Group 3 ◽  
Group 2 ◽  
Intestinal Submucosa ◽  
Group 1

PURPOSE: To assess intraperitoneal adhesion formation in rats after the single implantation of intraperitoneal polypropylene mesh versus SIS mesh, and the effect of PAF as a polypropylene mesh barrier. METHODS: A total of 55 albino rats randomized into three groups were assessed. The type of adhesions, the percentage of mash covered with adhesions, and the rupture strength of the adhesions were evaluated. RESULTS: The type 2 and 3 adhesions were more frequent in group 1 (polypropylene mesh) and group 3 (Polypropylene+PAF), while type 0 and 1 adhesions were more frequent in group 2 (SIS). The mean rupture strength was 1,58 N (±0,719N) in group 1, 0,42 N (±0,432N) in group 2 and 1,23 N (±0,432N) in group 3. Over 50% of the mash was covered with adhesions in 12 (80%) cases of the group 1, in 4 (20%) cases of the group 2 and in 16 (84,2%) cases of the group 3. Group 2 differed significantly (p<0.001) from the other groups. CONCLUSIONS: Implantation of intraperitoneal polypropylene mesh yielded higher rates of adhesion and the use of PAF as a mesh barrier didn't reduced the rates of adhesion. SIS mesh implantation revealed lower rates of peritoneal adhesions.

scholarly journals COMPARATIVE ULTRASTRUCTURAL CHARACTERISTICS OF THE EFFECT OF “LIGHTWEIGHT” AND “HEAVYWEIGHT” POLYPROPYLENE MESHES ON THE PRO-CESSES OF ANTERIOR ABDOMINAL WALL TISSUE REGENERATION WHEN PERFORMING RETROMUSCULAR ALLOGENEOPLASTY

2018 ◽  
Vol 17 (2) ◽  
pp. 76-83
Author(s):  
V. I. Pyatnochk ◽  
I. Ya. Dzyubanovsʹkyy ◽  
K. S. Volkov
Keyword(s):  
Abdominal Wall ◽  
Polypropylene Mesh ◽  
Anterior Abdominal Wall ◽  
Tissue Reaction ◽  
Tissue Response ◽  
Ultrastructural Changes ◽  
Lightweight Mesh ◽  
Aseptic Inflammation ◽  
Ultrastructural Studies ◽  
Tissue Reactions

The ultrastructural changes of the tissues of musculo-aponeurotic layer of anterior abdominal wall after implantation of the “lightweight” and “heavyweight” polypropylene meshes into the retrometallic space were studied in the experiment. Significant differences of the tissue reactions at different periods of the experiment on the implanted material were evidenced. The presence of a moderately pronounced inflammatory tissue reaction was noticed on the 14th day of the study in the area of the implantation of the “lightweight” polypropylene mesh compared to the “heavyweight” one: the inflammatory response included acute manifestations of aseptic inflammation with a significant tissue response. On the 28th day of the experiment, in cases of implantation of the “lightweight” mesh, the stabilization of tissue reaction to the implant with reduction of inflammatory changes was observed, as evidenced by a significantly smaller number of leukocyte infiltration sites, a significant improvement in vascularization and development of collagen fibres around the mesh material with fibroblasts, which was not observed in the area of implantation of the “heavyweight” polypropylene mesh. The conducted morphological and ultrastructural studies have prioritized the use of “lightweight” meshes when choosing material to perform allohernioplasty.

scholarly journals 2-hydroxyethyl methacrylate composite - polypropylene mesh for preventing peritoneal adhesions in female dogs

2010 ◽  
Vol 25 (4) ◽  
pp. 342-346 ◽  
Author(s):  
Marcelo Seixo de Brito e Silva ◽  
Renato Miranda de Melo ◽  
Liliana Borges de Menezes ◽  
Sonia Maria Malmonge ◽  
Leandro Guimarães Franco ◽  
...  
Keyword(s):  
Polypropylene Mesh ◽  
Abdominal Muscle ◽  
The Other ◽  
Hydroxyethyl Methacrylate ◽  
Peritoneal Adhesion ◽  
Peritoneal Adhesions

PURPOSE: To evaluate whether the lining facing the visceral side of polypropylene mesh made with 2-hydroxyethyl methacrylate (p(HEMA)) hydrogel could avoid peritoneal adhesion in female dogs. METHODS: Eight animals (group PP) had a polypropylene mesh implanted to correct a defect in the rectal abdominal muscle, whereas in the other group (group PH) the polypropylene mesh was coated with p(HEMA) composite on the surface facing the peritoneal area. RESULTS: Adhesions were observed on the mesh in 62.5% of the PP group. In the PH group adhesions were present only on the suture lines. CONCLUSION: p(HEMA) hydrogel was well tolerated and effective in avoiding visceral and omental adhesions on the surface of the polypropylene mesh.

scholarly journals An effect of hyaluronan as abdominal post-operative anti-adhesive in dogs, macroscopic, laparoscopic and histopathological study

2016 ◽  
Vol 40 (1) ◽  
pp. 108-115
Author(s):  
Shatha M. Hashim
Keyword(s):  
Connective Tissue ◽  
Abdominal Wall ◽  
Histopathological Examination ◽  
Adhesion Formation ◽  
Sodium Hyaluronate ◽  
Control Group ◽  
Low Grade ◽  
Significant Difference ◽  
Group A ◽  
Group B

     The aim of this study was to evaluate the effectiveness of hyaluronan as abdominal anti-adhesive. Sixteen healthy adult local breed dogs, aged between (1-2 years) and weighed (15-20) kg were used. They were divided into two equal groups. First group is considered as a control group (A), the second group is the hyaluronic acid group (B); both groups underwent celiotomy under the effect of general anesthesia (combination of ketamine-xylazine at the dose rate of 15mg /kg and 5mg/kg B.W, respectively). Three sero-muscular incisions were 3cm long created at anti-mesenteric border in the descending colon and sutured with simple continuous suture using4-0chromic cat gut, abdominal wall closed in routine manner, in control group. The same procedure was performed in group B but 2 ml of 1%sodium hyaluronate was applied intra peritoneally prior to abdominal closure. Evaluation of the results was based on macroscopic, laparoscopic and microscopic examinations. Macroscopic examination showed severe adhesions in all animals in both 7th, 30thpost operative days with high grade scores (grade 3-4), except in one animal there was no adhesion in group A. While in group B, all dogs had developed mild adhesion formation at 7thpost operative day in low grade score (grade, 1). By 30thpost operative day there was no adhesion (grade, zero) except mild adhesion, in one case between omentum and abdominal wall (grade, 1). Histopathological examination showed dense fibrous connective tissue with congested blood vessels and irregular collagen fibersin group A. While in group B there were fine bundles of cellular connective tissue, granulation tissue with mononuclear cells infiltration. There were significant differences (P<0.05) between group B (1.00±0.00) and group A (3.50±0.28) at 7th, also at 30thpost operation a significant difference (P<0.05) was found between group B (*0.25±0.25) and group A (2.75±0.94) macroscopically. Histopathological examination also revealed a significant difference (P < 0.05) between group B(*1.00±0.81)and group A(2.75±0.50) at 7th and 30thpost operative days group B(*1.00±0.81) and group A(2.25±0.95).The study revealed, the effectiveness of hyaluronan in reducing intra-abdominal adhesions that occurred after abdominal surgery in dogs, in comparison with control group.

Effects of methylene blue, indigo carmine solution and autologous erythrocyte suspension on formation of adhesions after injection into rats

Reproduction ◽  
2000 ◽  
pp. 225-229 ◽  
Author(s):  
A Gul ◽  
C Kotan ◽  
I Dilek ◽  
T Gul ◽  
A Tas ◽  
...  
Keyword(s):  
Methylene Blue ◽  
Macrophage Activation ◽  
Indigo Carmine ◽  
Adhesion Formation ◽  
Albino Rats ◽  
Erythrocyte Suspension ◽  
Peritoneal Adhesions ◽  
Tubal Patency ◽  
Macrophage Activity ◽  
Group Score

The aim of this study was to determine whether autologous erythrocyte suspension can be used as a dye for evaluation of tubal patency and whether it has any advantages over methylene blue or indigo carmine solutions. Reproductively healthy female nulliparous Wistar Albino rats (n = 30), aged 6 months, mass 165-195 g, were assigned randomly to three groups. Rats received a 1 ml i.p. injection of 5% (w/v) methylene blue solution (methylene blue group: n = 10), 5% (w/v) indigo carmine solution (indigo carmine group: n = 10) or 5% (v/v) fresh autologous erythrocyte suspension (autologous erythrocyte group: n = 10). At 4 weeks after injection, a small sterile opening was made in the peritoneal cavity of each rat. The cavity was rinsed once with TCM-199 to collect macrophages. The rinsed peritoneal contents were cultured overnight to evaluate macrophage activation. The peritoneal opening was expanded for evaluation of adhesion formation. Only one rat from the autologous erythrocyte group had intra-peritoneal adhesions (score 2), whereas all rats in the methylene blue group (score 1: n = 1; score 2: n = 4; score 3: n = 4; and score 4: n = 1) and seven rats in the indigo carmine group (score 1: n = 1; score 2: n = 2; score 3: n = 3; and score 4: n = 1) had intra-abdominal adhesions. Macrophage activity was observed in the cultured peritoneal contents collected from the methylene blue and indigo carmine groups but not from the autologous erythrocyte group. Adhesion formation could be due to macrophage activation caused by methylene blue and indigo carmine solutions. These results indicate that tubal patency can be observed by laparoscopy using autologous erythrocyte suspension. The results of this study are believed to be the first to indicate that a patient's own erythrocyte suspension could be used during observation of tubal patency by laparoscopy. However, further studies are required.

The effect of dexamethasone on mucosal immunity of uterine tissue during pregnancy in rat

2019 ◽  
Vol 20 (1) ◽  
pp. 75-84
Keyword(s):  
Early Pregnancy ◽  
Histopathological Examination ◽  
Early Period ◽  
Interleukin 10 ◽  
Treated Group ◽  
Female Rats ◽  
Male Rats ◽  
Mrna Levels ◽  
Uterine Tissue ◽  
Leukocytic Infiltration

Disturbances in early pregnancy immunity affect embryo development, endometrial receptivity, placental development, fetal growth and lead to subfertility, dexamethasone is a synthetic glucocorticoid used for treatment of various complications. Immune cells and cytokines were examined during the early pregnancy in twenty-four female rats and six male rats for mating. Rats were grouped into two group control and dexamethasone treated by a dose of 50µgm/kgm body weight daily starting from one week before mating and persisted for one week after pregnancy. Blood samples were collected from each rat at 5hrs and at 1,3,7 day of pregnancy. Extracted RNA was subjected to real time PCR to determine mRNA levels for immune related genes interleukin1a(IL1A) and interleukin 10(IL10). Histopathological examination was done to uterus in order to detect leukocyte infiltration in uterine tissue. Results showed that significant increase in white blood cell count mainly eosinophil at 5hrs and lymphocyte at three and seven day of pregnancy of dexamethasone treated group. Moreover, TNF, C-reactive protein and progesterone were increased mainly at seven day of pregnancy of dexamethasone treated group. Similarly, interleukin 1alpha and interleukin 10 significantly increased at 5hrs and one day of pregnancy of dexamethasone treated group. In contrast, serum levels of total antioxidant capacity and estrogen were decreased significantly at 5hrs and seven day in dexamethasone treated group. Histopathological examination of uterus revealed leukocytic infiltration especially neutrophil and few eosinophils at five hours and one day of gestation then eosinophil become absent at 3day and seven day of dexamethasone group. Epithelial height and uterine gland diameter significantly increased at 5hrs, three day and seven days of gestation of dexamethasone treated group. The present investigation demonstrated that using of dexamethasone by dose of 50µgm/kgm during early pregnancy had a conflicting impact on some immune cytokines and parameters and may reflect a harmful response of immune system toward early period of pregnancy

scholarly journals Prospective study to assess the tissue response to HPC-coated p48 flow diverter stents compared to uncoated devices in the rabbit carotid artery model

2019 ◽  
Vol 3 (1) ◽  
Author(s):  
Tim Lenz-Habijan ◽  
Pervinder Bhogal ◽  
Catrin Bannewitz ◽  
Ralf Hannes ◽  
Hermann Monstadt ◽  
...  
Keyword(s):  
Foreign Body ◽  
Flow Diverter ◽  
Foreign Body Response ◽  
Tissue Response ◽  
Acute Setting ◽  
Significant Difference ◽  
And Performance ◽  
Surface Modified ◽  
Common Carotid Arteries

Abstract Background Flow diverters (FDs) are widely used in the treatment of intracranial aneurysms, but the required medication increases the risk of haemorrhagic complications and limits their use in the acute setting. Surface modified FDs may limit the need for dual antiplatelet therapy (DAPT). Hydrophilic polymer coating (HPC) may reduce the need of medication. Methods This explorative study, approved by the local authorities and the local welfare committee, compared stent behaviour and overall tissue response between HPC-coated FDs and uncoated FDs, both implanted into the common carotid arteries of eight New Zealand white rabbits. Endothelialisation, inflammatory response, and performance during implantation were assessed. Angiographic follow-up was performed to observe the patency of the devices after implantation and after 30 days. Histological examinations were performed at 30 days to assess foreign body reaction and endothelialisation. Kruskal-Wallis and Wilcoxon tests were used to compare non-parametric variables. Results Angiography showed that both coated and uncoated FDs performed well during implantation. All devices remained patent during immediate follow-up and after 30 days. Histopathology showed no significant difference in inflammation within the vessel wall between the two cohorts (2.12 ± 0.75 vs. 1.96 ± 0.79, p = 0.7072). Complete endothelialisation of the stent struts was seen with very similar (0.04 ± 0.02 mm vs. 0.04 ± 0.03 mm, p = 0.892) neoendothelial thickness between the two cohorts after 30 days. Conclusion Taking into account the limitation in sample size, non-significant differences between the HPC-coated and uncoated FDs regarding implantation, foreign body response, and endothelialisation were found.

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