Skip to main content
Top
Published in: International Urogynecology Journal 10/2012

01-10-2012 | Original Article

Biomechanical effects of polyglecaprone fibers in a polypropylene mesh after abdominal and rectovaginal implantation in a rabbit

Authors: Yves Ozog, Edoardo Mazza, Dirk De Ridder, Jan Deprest

Published in: International Urogynecology Journal | Issue 10/2012

Login to get access

Abstract

Introduction and hypothesis

To investigate the biomechanical effects of polyglecaprone fibers in lightweight meshes implanted into the vaginal and abdominal wall of parous rabbits.

Methods

New Zealand White rabbits (n = 24) were implanted with polypropylene meshes (32 g/m2), with (Prolift plus M, n = 12) or without (Prolift minus M, n = 12) polyglecaprone fibers. Following implantation in the posterior vaginal and abdominal wall, local side effects were evaluated and explants underwent uniaxial tensiometry after 120 and 180 days.

Results

The vaginal extrusion rate was at least 50 %, coinciding with a minimum of 20 % of contraction. There were no measurable effects of the addition of polyglecaprone on tensiometric strength and compliance in abdominal explants.

Conclusions

The addition of polyglecaprone fibers did not compromise the biomechanical properties nor did it prevent vaginal extrusion and contraction. The latter as well as some other limitations preclude the rabbit vagina to be a suitable model for biomechanical testing.
Literature
1.
go back to reference Klosterhalfen B, Junge K, Klinge U (2005) The lightweight and large porous mesh concept for hernia repair. Expert Rev Med Devices 2:103–117PubMedCrossRef Klosterhalfen B, Junge K, Klinge U (2005) The lightweight and large porous mesh concept for hernia repair. Expert Rev Med Devices 2:103–117PubMedCrossRef
2.
go back to reference Klosterhalfen B, Klinge U, Rosch R, Junge K (2003) Long-term inertness of meshes. In: Schumpelick V, Nyhus LM (eds) In meshes: benefits and risks. Springer p 479 Klosterhalfen B, Klinge U, Rosch R, Junge K (2003) Long-term inertness of meshes. In: Schumpelick V, Nyhus LM (eds) In meshes: benefits and risks. Springer p 479
3.
go back to reference Epstein LB, Graham CA, Heit MH (2008) Correlation between vaginal stiffness index and pelvic floor disorder quality-of-life scales. Int Urogynecol J Pelvic Floor Dysfunct 19:1013–1018PubMedCrossRef Epstein LB, Graham CA, Heit MH (2008) Correlation between vaginal stiffness index and pelvic floor disorder quality-of-life scales. Int Urogynecol J Pelvic Floor Dysfunct 19:1013–1018PubMedCrossRef
4.
go back to reference Altman D, Vayrynen T, Engh ME, Axelsen S, Falconer C (2011) Anterior colporrhaphy versus transvaginal mesh for pelvic-organ prolapse. N Engl J Med 364:1826–1836PubMedCrossRef Altman D, Vayrynen T, Engh ME, Axelsen S, Falconer C (2011) Anterior colporrhaphy versus transvaginal mesh for pelvic-organ prolapse. N Engl J Med 364:1826–1836PubMedCrossRef
5.
go back to reference Maher CF, Feiner B, Decuyper EM, Nichlos CJ, Hickey KV, O'Rourke P Laparoscopic sacral colpopexy versus total vaginal mesh for vaginal vault prolapse: a randomized trial. Am J Obstet Gynecol 204:360. e1–360.e7CrossRef Maher CF, Feiner B, Decuyper EM, Nichlos CJ, Hickey KV, O'Rourke P Laparoscopic sacral colpopexy versus total vaginal mesh for vaginal vault prolapse: a randomized trial. Am J Obstet Gynecol 204:360. e1–360.e7CrossRef
6.
go back to reference Fatton B, Amblard J, Debodinance P, Cosson M, Jacquetin B (2007) Transvaginal repair of genital prolapse: preliminary results of a new tension-free vaginal mesh (Prolift technique)—a case series multicentric study. Int Urogynecol J Pelvic Floor Dysfunct 18:743–752PubMedCrossRef Fatton B, Amblard J, Debodinance P, Cosson M, Jacquetin B (2007) Transvaginal repair of genital prolapse: preliminary results of a new tension-free vaginal mesh (Prolift technique)—a case series multicentric study. Int Urogynecol J Pelvic Floor Dysfunct 18:743–752PubMedCrossRef
7.
go back to reference Ozog Y, Konstantinovic ML, Werbrouck E, De Ridder D, Mazza E, Deprest J (2011) Persistence of polypropylene mesh anisotropy after implantation: an experimental study. BJOG 118:1180–1185PubMedCrossRef Ozog Y, Konstantinovic ML, Werbrouck E, De Ridder D, Mazza E, Deprest J (2011) Persistence of polypropylene mesh anisotropy after implantation: an experimental study. BJOG 118:1180–1185PubMedCrossRef
8.
go back to reference Ozog Y, Konstantinovic ML, Verschueren S, Spelzini F, De Ridder D, Deprest J (2009) Experimental comparison of abdominal wall repair using different methods of enhancement by small intestinal submucosa graft. Int Urogynecol J Pelvic Floor Dysfunct 20:435–441CrossRef Ozog Y, Konstantinovic ML, Verschueren S, Spelzini F, De Ridder D, Deprest J (2009) Experimental comparison of abdominal wall repair using different methods of enhancement by small intestinal submucosa graft. Int Urogynecol J Pelvic Floor Dysfunct 20:435–441CrossRef
9.
go back to reference Konstantinovic ML, Ozog Y, Spelzini F, Pottier C, De Ridder D, Deprest J (2010) Biomechanical findings in rats undergoing fascial reconstruction with graft materials suggested as an alternative to polypropylene. Neurourol Urodyn 29:488–493 Konstantinovic ML, Ozog Y, Spelzini F, Pottier C, De Ridder D, Deprest J (2010) Biomechanical findings in rats undergoing fascial reconstruction with graft materials suggested as an alternative to polypropylene. Neurourol Urodyn 29:488–493
10.
go back to reference Abramowitch SD, Feola A, Jallah Z, Moalli PA (2009) Tissue mechanics, animal models, and pelvic organ prolapse: a review. Eur J Obstet Gynecol Reprod Biol 144 [Suppl 1]:S146–S158PubMedCrossRef Abramowitch SD, Feola A, Jallah Z, Moalli PA (2009) Tissue mechanics, animal models, and pelvic organ prolapse: a review. Eur J Obstet Gynecol Reprod Biol 144 [Suppl 1]:S146–S158PubMedCrossRef
11.
go back to reference Abramov Y, Webb AR, Miller JJ et al (2006) Biomechanical characterization of vaginal versus abdominal surgical wound healing in the rabbit. Am J Obstet Gynecol 194:1472–1477PubMedCrossRef Abramov Y, Webb AR, Miller JJ et al (2006) Biomechanical characterization of vaginal versus abdominal surgical wound healing in the rabbit. Am J Obstet Gynecol 194:1472–1477PubMedCrossRef
12.
go back to reference Abramov Y, Golden B, Sullivan M et al (2007) Histologic characterization of vaginal vs. abdominal surgical wound healing in a rabbit model. Wound Repair Regen 15:80–86PubMedCrossRef Abramov Y, Golden B, Sullivan M et al (2007) Histologic characterization of vaginal vs. abdominal surgical wound healing in a rabbit model. Wound Repair Regen 15:80–86PubMedCrossRef
13.
go back to reference Pierce LM, Grunlan MA, Hou Y, Baumann SS, Kuehl TJ, Muir TW (2009) Biomechanical properties of synthetic and biologic graft materials following long-term implantation in the rabbit abdomen and vagina. Am J Obstet Gynecol 200(549):e1–e8 Pierce LM, Grunlan MA, Hou Y, Baumann SS, Kuehl TJ, Muir TW (2009) Biomechanical properties of synthetic and biologic graft materials following long-term implantation in the rabbit abdomen and vagina. Am J Obstet Gynecol 200(549):e1–e8
14.
go back to reference Pierce LM, Rao A, Baumann SS, Glassberg JE, Kuehl TJ, Muir TW (2009) Long-term histologic response to synthetic and biologic graft materials implanted in the vagina and abdomen of a rabbit model. Am J Obstet Gynecol 200(546):e1–e8 Pierce LM, Rao A, Baumann SS, Glassberg JE, Kuehl TJ, Muir TW (2009) Long-term histologic response to synthetic and biologic graft materials implanted in the vagina and abdomen of a rabbit model. Am J Obstet Gynecol 200(546):e1–e8
15.
go back to reference Huffaker RK, Muir TW, Rao A, Baumann SS, Kuehl TJ, Pierce LM (2008) Histologic response of porcine collagen-coated and uncoated polypropylene grafts in a rabbit vagina model. Am J Obstet Gynecol 198(582):e1–e7PubMed Huffaker RK, Muir TW, Rao A, Baumann SS, Kuehl TJ, Pierce LM (2008) Histologic response of porcine collagen-coated and uncoated polypropylene grafts in a rabbit vagina model. Am J Obstet Gynecol 198(582):e1–e7PubMed
16.
go back to reference Higgins EW, Rao A, Baumann SS et al (2009) Effect of estrogen replacement on the histologic response to polypropylene mesh implanted in the rabbit vagina model. Am J Obstet Gynecol 201(505):e1–e9PubMed Higgins EW, Rao A, Baumann SS et al (2009) Effect of estrogen replacement on the histologic response to polypropylene mesh implanted in the rabbit vagina model. Am J Obstet Gynecol 201(505):e1–e9PubMed
17.
go back to reference Li X, Kruger JA, Nash MP, Nielsen PM (2010) Anisotropic effects of the levator ani muscle during childbirth. Biomech Model Mechanobiol 10:485–494PubMedCrossRef Li X, Kruger JA, Nash MP, Nielsen PM (2010) Anisotropic effects of the levator ani muscle during childbirth. Biomech Model Mechanobiol 10:485–494PubMedCrossRef
18.
go back to reference Rubod C, Boukerrou M, Brieu M, Dubois P, Cosson M (2007) Biomechanical properties of vaginal tissue. I. New experimental protocol. J Urol 178:320–325, discussion 325PubMedCrossRef Rubod C, Boukerrou M, Brieu M, Dubois P, Cosson M (2007) Biomechanical properties of vaginal tissue. I. New experimental protocol. J Urol 178:320–325, discussion 325PubMedCrossRef
19.
go back to reference Haylen BT, Freeman RM, Swift SE et al (2011) An International Urogynecological Association (IUGA)/International Continence Society (ICS) joint terminology and classification of the complications related directly to the insertion of prostheses (meshes, implants, tapes) and grafts in female pelvic floor surgery. Neurourol Urodyn 30:2–12PubMedCrossRef Haylen BT, Freeman RM, Swift SE et al (2011) An International Urogynecological Association (IUGA)/International Continence Society (ICS) joint terminology and classification of the complications related directly to the insertion of prostheses (meshes, implants, tapes) and grafts in female pelvic floor surgery. Neurourol Urodyn 30:2–12PubMedCrossRef
20.
go back to reference Hilger WS, Walter A, Zobitz ME, Leslie KO, Magtibay P, Cornella J (2006) Histological and biomechanical evaluation of implanted graft materials in a rabbit vaginal and abdominal model. Am J Obstet Gynecol 195:1826–1831PubMedCrossRef Hilger WS, Walter A, Zobitz ME, Leslie KO, Magtibay P, Cornella J (2006) Histological and biomechanical evaluation of implanted graft materials in a rabbit vaginal and abdominal model. Am J Obstet Gynecol 195:1826–1831PubMedCrossRef
21.
go back to reference Walter AJ, Morse AN, Leslie KO, Zobitz ME, Hentz JG, Cornella JL (2003) Changes in tensile strength of cadaveric human fascia lata after implantation in a rabbit vagina model. J Urol 169:1907–1910; discussion 1910PubMedCrossRef Walter AJ, Morse AN, Leslie KO, Zobitz ME, Hentz JG, Cornella JL (2003) Changes in tensile strength of cadaveric human fascia lata after implantation in a rabbit vagina model. J Urol 169:1907–1910; discussion 1910PubMedCrossRef
22.
go back to reference Walter AJ, Morse AN, Leslie KO, Hentz JG, Cornella JL (2006) Histologic evaluation of human cadaveric fascia lata in a rabbit vagina model. Int Urogynecol J Pelvic Floor Dysfunct 17:136–142PubMedCrossRef Walter AJ, Morse AN, Leslie KO, Hentz JG, Cornella JL (2006) Histologic evaluation of human cadaveric fascia lata in a rabbit vagina model. Int Urogynecol J Pelvic Floor Dysfunct 17:136–142PubMedCrossRef
23.
go back to reference Bendavid R (2004) Recurrences: the fault of the surgeon. In: Schumpelick V, Nyhus LM (eds) In meshes: benefits and risks. Springer Verlag, Berlin, pp 51–62CrossRef Bendavid R (2004) Recurrences: the fault of the surgeon. In: Schumpelick V, Nyhus LM (eds) In meshes: benefits and risks. Springer Verlag, Berlin, pp 51–62CrossRef
24.
go back to reference De Tayrac R, Alves A, Therin M (2007) Collagen-coated vs noncoated low-weight polypropylene meshes in a sheep model for vaginal surgery. A pilot study. Int Urogynecol J Pelvic Floor Dysfunct 18:513–520PubMedCrossRef De Tayrac R, Alves A, Therin M (2007) Collagen-coated vs noncoated low-weight polypropylene meshes in a sheep model for vaginal surgery. A pilot study. Int Urogynecol J Pelvic Floor Dysfunct 18:513–520PubMedCrossRef
25.
go back to reference Ozog Y, Konstantinovic ML, Werbrouck E, De Ridder D, Edoardo M, Deprest J (2011) Shrinkage and biomechanical evaluation of lightweight synthetics in a rabbit model for primary fascial repair. Int Urogynecol J Pelvic Floor Dysfunct 22:1099–1108CrossRef Ozog Y, Konstantinovic ML, Werbrouck E, De Ridder D, Edoardo M, Deprest J (2011) Shrinkage and biomechanical evaluation of lightweight synthetics in a rabbit model for primary fascial repair. Int Urogynecol J Pelvic Floor Dysfunct 22:1099–1108CrossRef
26.
go back to reference Mirnajafi A, Raymer JM, McClure LR, Sacks MS (2006) The flexural rigidity of the aortic valve leaflet in the commissural region. J Biomech 39:2966–2973PubMedCrossRef Mirnajafi A, Raymer JM, McClure LR, Sacks MS (2006) The flexural rigidity of the aortic valve leaflet in the commissural region. J Biomech 39:2966–2973PubMedCrossRef
Metadata
Title
Biomechanical effects of polyglecaprone fibers in a polypropylene mesh after abdominal and rectovaginal implantation in a rabbit
Authors
Yves Ozog
Edoardo Mazza
Dirk De Ridder
Jan Deprest
Publication date
01-10-2012
Publisher
Springer-Verlag
Published in
International Urogynecology Journal / Issue 10/2012
Print ISSN: 0937-3462
Electronic ISSN: 1433-3023
DOI
https://doi.org/10.1007/s00192-012-1739-6

Other articles of this Issue 10/2012

International Urogynecology Journal 10/2012 Go to the issue