scholarly journals Use of polypropylene mesh in superior posterior thoracoplasty

2019 ◽  
Vol 178 (1) ◽  
pp. 45-48 ◽  
Author(s):  
S. A. Belov ◽  
A. A. Grigoryuk

Theobjectivewas to evaluate the possibilities of using the polypropylene mesh “Surgipro” to increase the compression and reduce the operational injury in extrapleural superior posterior thoracoplasty.Material and methods.64 cases of surgical treatment of fibrous-cavernous tuberculosis were studied. The volume of compression of the lung tissue and the effectiveness of the intervention were compared.Results.Clinical and radiologic examination of patients in three weeks after the operation indicates that occurrence of exacerbation, preservation of bacterial excretion and lack of compression are much lower in the group using polypropylene mesh. The use of polypropylene mesh “Surgipro” increases the degree of compression in the field of intervention and the effectiveness of thoracoplasty.Conclusion.The use of a mesh implant in thoracoplasty is reasonable and effective.

2018 ◽  
Vol 5 ◽  
pp. 11-19
Author(s):  
Dmitro Atanasov

The aim of the research is to determine morphological changes in the area of implantation of the polypropylene mesh implant and to determine the effect on the integration of the prosthesis of locally introduced adipose tissue and platelet rich plasma. Materials and methods. The experiment was performed on 36 sexually mature males of the Wistar line rats. The experiment simulated, studied and quantified local morphological responses and changes in developing in biological tissues that are in contact with implanted highly porous lightweight (80 g/m2) mesh implant in isolation and also in conditions of local administration of fatty graft and platelet rich plasma. Results: Assuming introduction of adipose tissue and platelet rich plasma in the zone of integration of mesh alloprosthesis under the influence of introduced regenerative cytokines as well as stromal stem cells activated by them there is an earlier activation of regenerative processes, enhanced angiogenesis which determines the optimal nature of the integration of the prosthesis with the formation of thin collagen fibers in more early terms minimizing excess peri-prosthetic fibrosis. Isolated introduction into the implantation zone of fatty suspension determines similar changes that have a slightly less pronounced character. These changes are quantitatively studied and the results obtained are statistically significant. Conclusions: Applying a fatty graft together with platelet rich plasma in the area of implantation of the lung polypropylene prosthesis, there was an accelerated tissue reaction from the integration of the prosthesis. Mesenchymal stem cells of adipose tissue that is a target for plasma cytokines enriched with thrombocytes have a more pronounced effect in stimulating reparative processes provided that they are simultaneously administered with PRP compared with isolated administration without PRP. The use of platelet rich plasma and adipose tissue design has a significant positive effect on local angiogenesis. Under conditions of improved angiogenesis and other stimulating factors in the conditions of introduction of adipose tissue and PRP, the integration of the prosthesis occurs with significantly lower peri-prosthetic fibrosis.


Hernia ◽  
2016 ◽  
Vol 20 (4) ◽  
pp. 623-632 ◽  
Author(s):  
D. P. Poppas ◽  
J. J. Sung ◽  
C. M. Magro ◽  
J. Chen ◽  
J. P. Toyohara ◽  
...  

1996 ◽  
Vol 105 (4) ◽  
pp. 329-330 ◽  
Author(s):  
John G. Batsakis ◽  
Adel K. El-Naggar

Cystic fibrosis is considered to be one of the most common fatal inherited diseases. Sinonasal manifestations are not outstanding as compared with those in the lower respiratory tract. Panopacification of the paranasal sinuses is, however, almost universal on radiologic examination of patients, although many of these patients do not have sinonasal symptoms. Approximately 10% to 20% of cystic fibrosis patients will eventually require surgical treatment of their sinuses. All treatment, including surgery, is transiently effective; none is curative.


Morphologia ◽  
2018 ◽  
Vol 1 (1) ◽  
pp. 59-64
Author(s):  
Ya. P. Feleshtinsky ◽  
A. V. Kokhanevich ◽  
O. O. Dyadyk ◽  
V. I. Zaritskaya ◽  
V. V. Smishchuk ◽  
...  

2021 ◽  
pp. 36-38
Author(s):  
Ankur Akela ◽  
Prashant Kumar Singh

Morgagni hernia occurs after a congenital retrosternal diaphragmatic defect; it is a rare form of diaphragmatic hernia (1-3% of cases). In general, this pathology is diagnosed in children; in adults it is frequently discovered in emergency or incidentally. Methods: We prospectively evaluated a series of 6 patients admitted to department of surgery IGIMS. Results: Out of 6 patients the laparoscopic approach was used in all cases: one conversion was recorded due to the tight adherences of the herniated viscera (gastric, colon, epiplon). In 4 cases, the surgical cure of hernia was performed by suture and in 2 cases with prosthesis: dual mesh in one case and polypropylene mesh in another case. We did not register morbidity and the mean postoperative stay was 4 days (range 2-6 days). Conclusions: Hernia Morgagni betrays a rare pathology. The most common is asymptomatic but in complicated cases it is a cause of acute surgical abdomen. Surgical treatment is indicated even for asymptomatic cases due to serious complications Morgagni hernia may develop. The laparoscopic approach is ideal, as reduction of viscera in the abdomen is easy and the defect will be repaired by suturing or using a prosthesis, depending on its size.


2020 ◽  
Vol 2020 ◽  
pp. 1-2
Author(s):  
Omar Felipe Dueñas-Garcia ◽  
Kristan Hornsby

True pelvic floor areas are uncommon conditions, but they can occur after extensive pelvic surgery including radical cystectomies or pelvic exenteration. We present the case of a patient with a persistent hernia that failed a native tissue repair and required a prosthetic mesh implant as definitive surgical treatment.


Hernia ◽  
2006 ◽  
Vol 10 (4) ◽  
pp. 354-356 ◽  
Author(s):  
Z. Szentkereszty ◽  
M. Boros ◽  
P. Sápy ◽  
S. Sz. Kiss

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