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Published in: International Urogynecology Journal 5/2007

01-05-2007 | Review Article

Xenograft use in reconstructive pelvic surgery: a review of the literature

Authors: Emanuel C. Trabuco, Christopher J. Klingele, John B. Gebhart

Published in: International Urogynecology Journal | Issue 5/2007

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Abstract

Xenografts, bovine or porcine acellular collagen bioprostheses derived from dermis, pericardium, or small-intestine submucosa, were introduced to overcome synthetic mesh-related complications. Although there are eight commercially available xenografts, there is a paucity of empiric information to justify their use instead of the use of synthetic grafts. In addition, limited data are available about which graft characteristics are important and whether graft-reinforced repairs reduce recurrences and improve outcomes. To address these knowledge gaps, we conducted a Medline search of published reports on xenografts in animal and human trials. Histologic host response to implanted xenograft material depends primarily on chemical cross-linking and porosity, and it is limited to four responses: resorption, incorporation, encapsulation, and mixed. No clinical data unequivocally demonstrate an improved benefit to graft-reinforced repair.
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Metadata
Title
Xenograft use in reconstructive pelvic surgery: a review of the literature
Authors
Emanuel C. Trabuco
Christopher J. Klingele
John B. Gebhart
Publication date
01-05-2007
Publisher
Springer-Verlag
Published in
International Urogynecology Journal / Issue 5/2007
Print ISSN: 0937-3462
Electronic ISSN: 1433-3023
DOI
https://doi.org/10.1007/s00192-006-0288-2

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