scholarly journals Textile prostheses in abdominal and pelvic surgery

2021 ◽  
Vol 72 (05) ◽  
pp. 521-527
Author(s):  
ALEXANDRU-FLORIN SĂVULESCU ◽  
CRISTIAN CÎRLAN ◽  
ANCA A. SIMIONESCU ◽  
IULIA-ANDREEA BUDRUGEAC BUDRUGEAC ◽  
MĂDĂLINA IORDACHE-PETRESCU ◽  
...  
Keyword(s):  
Postoperative Complications ◽  
Physicochemical Properties ◽  
Rational Choice ◽  
Industrial Development ◽  
Adhesion Formation ◽  
Pelvic Surgery ◽  
Thoracic Wall ◽  
Prosthetic Material ◽  
High Porosity ◽  
Surgical Meshes

Textile prostheses have been used in abdominal surgery since ancient times. Industrial development of the last one hundred years changed it from simple cloth to highly improved materials that are better integrated and provide superior functional outcomes. Understanding of the physicochemical properties of surgical meshes is essential for the rational choice of the optimal device. This needs to be closely adapted to mechanical and biological conditions of the anatomical region that will be placed in. The quality of the materials and the manufacturing technique are also of great importance, influencing both the mechanical parameters and the integration of the prosthetic material. Although a hard-to-reach concept, the ideal mesh should have high porosity, a monofilamentous structure and it should be composed of durable, non-carcinogenic, non-allergenic, and highly biocompatible materials. These qualities will ensure a good integration of the prosthesis and will make it easy to handle intraoperatively, resulting in a satisfactory clinical outcome. Based on the above considerations, this article aims to bring to light useful manufacturing information regarding textile prostheses used in surgical reconstructions, in order to support surgeons in making the correct and rational choice of the prosthetic material, based on its physicochemical properties, thus avoiding postoperative complications. Textile implants apply to various surgical fields such as abdominal or thoracic wall reconstruction, visceral defect repair, pelvic floor stabilization or tissue replacement. Postoperative complications of mesh use include chronic pain, infection, ulceration of the wound, adhesion formation, intestinal obstruction, recurrence of parietal defect, rejection of the prosthesis, and mesh granuloma

scholarly journals Effect of the Mode of Application of Cryopreserved Human Amniotic Membrane on Adhesion Formation after Abdomino-Pelvic Surgery in a Mouse Model

2016 ◽  
Vol 3 ◽  
Author(s):  
Joseph Nassif ◽  
Sehrish A. Abbasi ◽  
Mohamad Karim Kechli ◽  
Suzan S. Boutary ◽  
Labib Ghulmiyyah ◽  
...  
Keyword(s):  
Mouse Model ◽  
Amniotic Membrane ◽  
Adhesion Formation ◽  
Pelvic Surgery ◽  
Human Amniotic Membrane ◽  
Mode Of Application

scholarly journals Prevention of adhesions post-abdominal surgery: Assessing the safety and efficacy of Chitogel with Deferiprone in a rat model

PLoS ONE ◽  
2021 ◽  
Vol 16 (1) ◽  
pp. e0244503
Author(s):  
Rajan Sundaresan Vediappan ◽  
Catherine Bennett ◽  
Clare Cooksley ◽  
John Finnie ◽  
Markus Trochsler ◽  
...  
Keyword(s):  
Tensile Strength ◽  
Abdominal Surgery ◽  
Rat Model ◽  
Adhesion Formation ◽  
Pelvic Surgery ◽  
Albino Rats ◽  
Adhesion Barrier ◽  
Midline Laparotomy ◽  
Safety And Efficacy ◽  
To Receive

Introduction Adhesions are often considered to be an inevitable consequence of abdominal and pelvic surgery, jeopardizing the medium and long-term success of these procedures. Numerous strategies have been tested to reduce adhesion formation, however, to date, no surgical or medical therapeutic approaches have been successful in its prevention. This study demonstrates the safety and efficacy of Chitogel with Deferiprone and/or antibacterial Gallium Protoporphyrin in different concentrations in preventing adhesion formation after abdominal surgery. Materials and methods 112 adult (8–10 week old) male Wistar albino rats were subjected to midline laparotomy and caecal abrasion, with 48 rats having an additional enterotomy and suturing. Kaolin (0.005g/ml) was applied to further accelerate adhesion formation. The abrasion model rats were randomized to receive saline, Chitogel, or Chitogel plus Deferiprone (5, 10 or 20 mM), together with Gallium Protoporphyrin (250μg/mL). The abrasion with enterotomy rats were randomised to receive saline, Chitogel or Chitogel with Deferiprone (1 or 5 mM). At day 21, rats were euthanised, and adhesions graded macroscopically and microscopically; the tensile strength of the repaired caecum was determined by an investigator blinded to the treatment groups. Results Chitogel with Deferiprone 5 mM significantly reduced adhesion formation (p<0.01) when pathologically assessed in a rat abrasion model. Chitogel with Deferiprone 5 mM and 1 mM also significantly reduced adhesions (p<0.05) after abrasion with enterotomy. Def-Chitogel 1mM treatment did not weaken the enterotomy site with treated sites having significantly better tensile strength compared to control saline treated enterotomy rats. Conclusions Chitogel with Deferiprone 1 mM constitutes an effective preventative anti-adhesion barrier after abdominal surgery in a rat model. Moreover, this therapeutic combination of agents is safe and does not weaken the healing of the sutured enterotomy site.

scholarly journals Evaluation of Physicochemical Properties and Microbial Populations of Soil of Bagale Forest Reserve, Girei Local Government Area, Adamawa State, Nigeria

2020 ◽  
pp. 13-21
Author(s):  
G. O. Ateh ◽  
M. G. Saka ◽  
E. E. Dishan ◽  
B. B. Meer
Keyword(s):  
Local Government ◽  
Physicochemical Properties ◽  
Soil Depth ◽  
Chemical Properties ◽  
Soil Samples ◽  
Local Government Area ◽  
Microbial Populations ◽  
Available Phosphorus ◽  
High Porosity ◽  
Forest Reserve

This study evaluated the relationship between selected physicochemical properties and microbial populations of the soil of Bagale Forest Reserve, Girei Local Government Area of Adamawa State, Nigeria. Five plots of 20 x 20 m were laid. Soil samples were collected from five different positions at two soil depths of 0-15 cm and 15-30 cm. The soil samples were isolated in the laboratory for microbial populations and determination of physical and chemical properties. The results obtained revealed that fungal population (7.65 x 105 cfu/ml) was the highest at the soil depth of 0-15 cm, representing 39% of the total microbial populations in the sampled soil of the study area. The results further revealed that the population (6.84 x 105 cfu/ml) of the bacteria had a positive effect on soils of the study area in terms of nitrogen fixation by Rhizobacterial spp. Chemical properties of the soil samples revealed that the available phosphorus exhibited the highest percentage (61.7%) at 0-15 cm soil depth. Analyses of soil physical properties recorded the highest percentage (49.0%) of sand at 0-15 cm soil depth. A similar percentage (50.0%) of sand was exhibited at the depth of 15-30 cm. These percentages accounted for the high porosity (29.0%) of the soil observed at the two soil levels in the study area and could be improved through the application of lime fertilizers. Application of appropriate fertilizers like NPK to improve the soil condition of the study area is highly recommended.

scholarly journals Utero-cutaneous Fistula Following Cesarean Section Fruitful Management

2021 ◽  
Vol 30 (03) ◽  
pp. 125-127
Author(s):  
Lubna Latif ◽  
Nargis Iqbal ◽  
Nosheen Salman ◽  
Mehreen Nisar
Keyword(s):  
Postoperative Complications ◽  
Cesarean Section ◽  
Preventive Measures ◽  
Case Reports ◽  
Fistulous Tract ◽  
Pelvic Surgery ◽  
Abdominal Wound ◽  
Cutaneous Fistula ◽  
Pfannenstiel Incision

Utero‑cutaneous fistula is one of the most unusual entity and up till now only a few case reports have been published. Most Utero‑cutaneous fistulas are secondary to postoperative complications following caesarean or other pelvic surgery. A 30‑year‑old woman, Para 4+0, all LSCS noticed bleeding through Pfannenstiel incision scar, following forth cesarean section. A fistulous tract was demonstrated at examination with a probe, between abdominal wound and uterus. The women underwent laparotomy with excision of the fistulous tract and repair of uterine and abdominal walls by taking all preventive measures for recurrence. She remained well postoperatively, specimen taken from fistulous tract sent for histopathology.

scholarly journals Single-Incision versus Multiport Robotic Myomectomy: A Propensity Score Matched Analysis of Surgical Outcomes and Surgical Tips

2021 ◽  
Vol 10 (17) ◽  
pp. 3957
Author(s):  
Sa-Ra Lee ◽  
Ju-Hee Kim ◽  
Young-Jae Lee ◽  
Shin-Wha Lee ◽  
Jeong-Yeol Park ◽  
...  
Keyword(s):  
Postoperative Complications ◽  
Propensity Score ◽  
Surgical Outcomes ◽  
Single Incision ◽  
Pelvic Surgery ◽  
Perioperative Outcomes ◽  
Transfusion Rate ◽  
Minimal Risk ◽  
Postoperative Fever ◽  
Robotic Myomectomy

We aimed to compare the perioperative outcomes of single-incision robotic myomectomy (SIRM) and multiport robotic myomectomy (MPRM) and provide surgical tips. We retrospectively analyzed the medical records of 462 patients with symptomatic leiomyoma who underwent MPRM or SIRM between March 2019 and April 2021. Demographic characteristics and surgical outcomes, including the total operative time (OT), estimated blood loss (EBL), and surgical complication rate, were compared between the two groups. Patients in the SIRM group had lower a body mass index and rate of previous pelvic surgery and were younger than those in the MPRM group. The myoma type was not different between groups; however, the MPRM group had larger, and more myomas than the SIRM group. After propensity score matching, these variables were not significantly different between the groups. The total OT, EBL, difference in hemoglobin levels, transfusion rate, and postoperative fever were not different between the groups. No postoperative complications occurred in the SIRM group. In the MPRM group, one patient needed conversion to laparotomy, and two patients had postoperative complications (umbilical incisional hernia and acute kidney injury). In conclusion, both MPRM and SIRM are feasible and effective surgical options for symptomatic myomas with cosmetic benefits and minimal risk of laparotomy conversion.

scholarly journals Adhesion prevention in reproductive surgery

2005 ◽  
Vol 54 (5S) ◽  
pp. 28-29
Author(s):  
A. A. Popov ◽  
T. N. Manannikova ◽  
О. G. Kirushkina ◽  
N. А. Chausova ◽  
Е. Yu. Gluchov
Keyword(s):  
Sodium Chloride ◽  
Pelvic Pain ◽  
Chronic Pelvic Pain ◽  
Abdominal Cavity ◽  
Adhesion Formation ◽  
Pelvic Surgery ◽  
Adhesion Prevention ◽  
Isotonic Solution ◽  
Heparin Administration

Introduction. Adhesion formation in abdominal cavity is one of the leading disease. Adhesion formation after pelvic surgery is the cause of ileus, sterility and chronic pelvic pain. There is no foolproof method to prevent the adhesion constitution. There are some recommendations in the literature to prevent this process: to use crystalloids and colloids after basic operative stage, dosing irrigation the cavity with isotonic solution sodium chloride with heparin, administration of the glucocorticoid.

scholarly journals Sternal cavernous hemangioma and reconstruction of the anterior chest wall: a case report

BMC Surgery ◽  
2020 ◽  
Vol 20 (1) ◽  
Author(s):  
Liliana Fernández-Trujillo ◽  
Saveria Sangiovanni ◽  
Eliana I. Morales ◽  
Valeria Marin ◽  
Luz F. Sua ◽  
...  
Keyword(s):  
Cavernous Hemangioma ◽  
Bone Structure ◽  
Malignant Lesion ◽  
Anterior Chest Wall ◽  
Thoracic Wall ◽  
Lytic Lesion ◽  
Prosthetic Material ◽  
Palpable Mass ◽  
Sternal Reconstruction ◽  
Posterior Reconstruction

Abstract Background The sternum is considered an unusual tumor site, corresponding to 15% of all thoracic wall tumors. Primary sternal tumors are even rarer and most commonly malignant. We present the case of a young man who consulted with a painful sternal mass, which after its resection is confirmed to be a cavernous hemangioma. Case presentation A 39-year-old man, with unremarkable medical history besides a 2-year-long sternal pain, non-irradiated, which worsens over the last few months and is accompanied by the appearance of a sternal palpable mass. On physical exam, there was a bulging of the sternal manubrium, with no inflammatory changes. Thoracic CT scan shows an expansive and lytic lesion of the sternum, compromising the manubrium and extending to the third sternocostal joint, without intrathoracic compromise nor cleavage plane with mediastinal vascular structures. The patient is taken to resection of the mass and sternal reconstruction using prosthetic material and pectoral and fasciocutaneous muscular flaps. Histopathological findings: cavernous hemangioma with negative borders and no other malignant findings. Conclusions Sternal hemangiomas can cause defects in the bone structure and show an expansive growth, challenging the differentiation between a benign or malignant lesion. Therefore, they should be considered malignant until shown otherwise. Management involves radical surgery with curative purposes and posterior reconstruction to improve quality of life, as shown with our patient.

Adhesion reformation and de novo adhesion formation after reproductive pelvic surgery

1987 ◽  
Vol 47 (5) ◽  
pp. 864-866 ◽  
Author(s):  
Michael P. Diamond ◽  
James F. Daniell ◽  
Joseph Feste ◽  
Mark W. Surrey ◽  
David S. McLaughlin ◽  
...  
Keyword(s):  
De Novo ◽  
Adhesion Formation ◽  
Pelvic Surgery

Complications associated with the implantation of polypropylene mesh in dogs and cats: a retrospective study of 21 cases (1984-1996)

1998 ◽  
Vol 34 (3) ◽  
pp. 225-233 ◽  
Author(s):  
KL Bowman ◽  
SJ Birchard ◽  
RM Bright
Keyword(s):  
Retrospective Study ◽  
Postoperative Complications ◽  
Polypropylene Mesh ◽  
Tumor Resection ◽  
Seroma Formation ◽  
Thoracic Wall ◽  
Tissue Defects

Complications associated with implantation of polypropylene mesh in dogs and cats were evaluated retrospectively. Immediate postoperative complications were common (in 10 of 20 cases) but predominantly involved seroma formation which resolved with treatment. The only long-term (i.e., six months or more) complication identified was mass recurrence at the site of tumor resection (in seven of 14 cases). Recurrence was affected by resection size. The average number of ribs resected in cases of thoracic wall neoplasia (with and without mass recurrence) was 1.8 and 3.5, respectively. In this study, implantation of polypropylene mesh facilitated the reconstruction of large tissue defects and was not associated with any serious complications.

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