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Published in: Hernia 3/2005

01-10-2005 | Original Article

Evaluation of implant/host tissue interactions following intraperitoneal implantation of porcine dermal collagen prosthesis in the rat

Author: Ronald N. Kaleya

Published in: Hernia | Issue 3/2005

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Abstract

An ideal prosthesis for ventral hernia repair should minimize development of postoperative adhesions. This study evaluates adhesion formation following intraperitoneal implantation of acellular porcine dermal collagen (PDC) and polypropylene (PP) mesh in 16 rats. Implant placement alternated left/right. Sacrifice (4 or 12 weeks) was randomized. Methods included adhesion grading (extent, severity, required dissection method) and histological evaluation. At 4 weeks, 7 of 8 PDC specimens and 0 of 8 PP implants were adhesion-free; results were identical at 12 weeks. Four-week adhesions were less developed than 12-week adhesions. Histology showed mononuclear cell foreign body reaction and disorganized collagen deposition for PPs compared to infiltration with neovascular channels and qualitatively less intense foreign body reaction for PDCs. PDC exhibits fewer adhesions and more favorable cellular response than PP in the rat.
Literature
1.
go back to reference Luijendijk RW, Hop WCJ, van den Tol MJ et al (2000) A comparison of suture repair with mesh repair for incisional hernia. N Engl J Med 343:392–398CrossRefPubMed Luijendijk RW, Hop WCJ, van den Tol MJ et al (2000) A comparison of suture repair with mesh repair for incisional hernia. N Engl J Med 343:392–398CrossRefPubMed
2.
go back to reference Hesselink VJ, Luijendijk RW, de Wilt JH, Heide R, Jeekel J (1993) An evaluation of risk factors in incisional hernia recurrence. Surg Gynecol Obstet 176:228–234PubMed Hesselink VJ, Luijendijk RW, de Wilt JH, Heide R, Jeekel J (1993) An evaluation of risk factors in incisional hernia recurrence. Surg Gynecol Obstet 176:228–234PubMed
4.
go back to reference George CD, Ellis H (1986) The results of incisional hernia repair: a twelve year review. Ann R Coll Surg Engl 68:185–187PubMed George CD, Ellis H (1986) The results of incisional hernia repair: a twelve year review. Ann R Coll Surg Engl 68:185–187PubMed
5.
go back to reference Flum DR, Horvath K, Koepsell T (2003) Have outcomes of incisional hernia repair improved with time? A population-based analysis. Ann Surg 237:129–135CrossRefPubMed Flum DR, Horvath K, Koepsell T (2003) Have outcomes of incisional hernia repair improved with time? A population-based analysis. Ann Surg 237:129–135CrossRefPubMed
6.
go back to reference Korenkov M, Sauerland S, Arndt M, Bograd L, Neugebauer EA, Troidl H (2002) Randomized clinical trial of suture repair, polypropylene mesh or autodermal hernioplasty for incisional hernia. Br J Surg 89:50–56CrossRefPubMed Korenkov M, Sauerland S, Arndt M, Bograd L, Neugebauer EA, Troidl H (2002) Randomized clinical trial of suture repair, polypropylene mesh or autodermal hernioplasty for incisional hernia. Br J Surg 89:50–56CrossRefPubMed
7.
go back to reference Rios A, Rodriguez JM, Munitiz V, Alcaraz P, Perez D, Parrilla P (2001) Factors that affect recurrence after incisional herniorrhaphy with prosthetic material. Eur J Surg 167:855–859CrossRefPubMed Rios A, Rodriguez JM, Munitiz V, Alcaraz P, Perez D, Parrilla P (2001) Factors that affect recurrence after incisional herniorrhaphy with prosthetic material. Eur J Surg 167:855–859CrossRefPubMed
8.
go back to reference Anthony T, Bergen PC, Kim LT et al (2000) Factors affecting recurrence following incisional herniorrhaphy. World J Surg 24:95–100; discussion 101CrossRefPubMed Anthony T, Bergen PC, Kim LT et al (2000) Factors affecting recurrence following incisional herniorrhaphy. World J Surg 24:95–100; discussion 101CrossRefPubMed
9.
go back to reference LeBlanc KA, Bellanger D, Rhynes KVt, Baker DG, Stout RW (2002) Tissue attachment strength of prosthetic meshes used in ventral and incisional hernia repair. A study in the New Zealand White rabbit adhesion model. Surg Endosc 16:1542–1546CrossRefPubMed LeBlanc KA, Bellanger D, Rhynes KVt, Baker DG, Stout RW (2002) Tissue attachment strength of prosthetic meshes used in ventral and incisional hernia repair. A study in the New Zealand White rabbit adhesion model. Surg Endosc 16:1542–1546CrossRefPubMed
10.
go back to reference Jenkins SD, Klamer TW, Parteka JJ, Condon RE (1983) A comparison of prosthetic materials used to repair abdominal wall defects. Surgery 94:392–398PubMed Jenkins SD, Klamer TW, Parteka JJ, Condon RE (1983) A comparison of prosthetic materials used to repair abdominal wall defects. Surgery 94:392–398PubMed
11.
go back to reference Langer S, Christiansen J (1985) Long-term results after incisional hernia repair. Acta Chir Scand 151:217–219PubMed Langer S, Christiansen J (1985) Long-term results after incisional hernia repair. Acta Chir Scand 151:217–219PubMed
12.
go back to reference DeBord JR (1994) Prostheses and hernia surgery: The evolution of the ideal material. In: Bendavid R (ed) Prostheses and abdominal wall hernias. R.G. Landes Company, Austin, pp 7–32 DeBord JR (1994) Prostheses and hernia surgery: The evolution of the ideal material. In: Bendavid R (ed) Prostheses and abdominal wall hernias. R.G. Landes Company, Austin, pp 7–32
13.
go back to reference Baykal A, Yorganci K, Sokmensuer C, Hamaloglu E, Renda N, Sayek I (2000) An experimental study of the adhesive potential of different meshes. Eur J Surg 166:490–494CrossRefPubMed Baykal A, Yorganci K, Sokmensuer C, Hamaloglu E, Renda N, Sayek I (2000) An experimental study of the adhesive potential of different meshes. Eur J Surg 166:490–494CrossRefPubMed
14.
go back to reference Morris-Stiff GJ, Hughes LE (1998) The outcomes of nonabsorbable mesh placed within the abdominal cavity: literature review and clinical experience. J Am Coll Surg 186:352–367CrossRefPubMed Morris-Stiff GJ, Hughes LE (1998) The outcomes of nonabsorbable mesh placed within the abdominal cavity: literature review and clinical experience. J Am Coll Surg 186:352–367CrossRefPubMed
15.
go back to reference Bellon JM, Contreras LA, Bujan J, Carrera-San Martin A (1997) The use of biomaterials in the repair of abdominal wall defects: a comparative study between polypropylene meshes (Marlex) and a new polytetrafluoroethylene prosthesis (Dual Mesh). J Biomater Appl 12:121–135PubMed Bellon JM, Contreras LA, Bujan J, Carrera-San Martin A (1997) The use of biomaterials in the repair of abdominal wall defects: a comparative study between polypropylene meshes (Marlex) and a new polytetrafluoroethylene prosthesis (Dual Mesh). J Biomater Appl 12:121–135PubMed
16.
go back to reference Besim H, Yalcin Y, Hamamci O et al (2002) Prevention of intraabdominal adhesions produced by polypropylene mesh. Eur Surg Res 34:239–243CrossRefPubMed Besim H, Yalcin Y, Hamamci O et al (2002) Prevention of intraabdominal adhesions produced by polypropylene mesh. Eur Surg Res 34:239–243CrossRefPubMed
17.
go back to reference Farmer L, Ayoub M, Warejcka D, Southerland S, Freeman A, Solis M (1998) Adhesion formation after intraperitoneal and extraperitoneal implantation of polypropylene mesh. Am Surg 64:144–146PubMed Farmer L, Ayoub M, Warejcka D, Southerland S, Freeman A, Solis M (1998) Adhesion formation after intraperitoneal and extraperitoneal implantation of polypropylene mesh. Am Surg 64:144–146PubMed
18.
go back to reference Leber GE, Garb JL, Alexander AI, Reed WP (1998) Long-term complications associated with prosthetic repair of incisional hernias. Arch Surg 133:378–382CrossRefPubMed Leber GE, Garb JL, Alexander AI, Reed WP (1998) Long-term complications associated with prosthetic repair of incisional hernias. Arch Surg 133:378–382CrossRefPubMed
19.
go back to reference Franklin ME Jr, Gonzalez JJ Jr, Michaelson RP, Glass JL, Chock DA (2002) Preliminary experience with new bioactive prosthetic material for repair of hernias in infected fields. Hernia 6:171–174CrossRefPubMed Franklin ME Jr, Gonzalez JJ Jr, Michaelson RP, Glass JL, Chock DA (2002) Preliminary experience with new bioactive prosthetic material for repair of hernias in infected fields. Hernia 6:171–174CrossRefPubMed
20.
go back to reference Harper C (2001) Permacol: clinical experience with a new biomaterial. Hosp Med 62:90–95PubMed Harper C (2001) Permacol: clinical experience with a new biomaterial. Hosp Med 62:90–95PubMed
21.
go back to reference Yelimlies B, Alponat A, Cubukcut A, Kuru M, Oz S, Ercin C, Gonullu N (2003) Carboxymethylcellulose coated on visceral face of polypropylene mesh prevents adhesion without impairing wound healing in incisional hernia model in rats. Hernia 7:130CrossRefPubMed Yelimlies B, Alponat A, Cubukcut A, Kuru M, Oz S, Ercin C, Gonullu N (2003) Carboxymethylcellulose coated on visceral face of polypropylene mesh prevents adhesion without impairing wound healing in incisional hernia model in rats. Hernia 7:130CrossRefPubMed
22.
go back to reference Malazgirt Z, Ulusoy AN, Gok Y, karagoz F, Tac K (2000) Bioabsorbable membrane prevents adhesions to polypropylene mesh in rats. Hernia 4:129–133CrossRef Malazgirt Z, Ulusoy AN, Gok Y, karagoz F, Tac K (2000) Bioabsorbable membrane prevents adhesions to polypropylene mesh in rats. Hernia 4:129–133CrossRef
23.
go back to reference Steinleitner A, Lambert H, Kazensky C, Cantor B (1991) Poloxamer 407 as an intraperitoneal barrier materialfor the prevention of postsurgical adhesion formation and reformation in rodent models for reproductive surgery. Obstet Gynecol 77:48–51PubMed Steinleitner A, Lambert H, Kazensky C, Cantor B (1991) Poloxamer 407 as an intraperitoneal barrier materialfor the prevention of postsurgical adhesion formation and reformation in rodent models for reproductive surgery. Obstet Gynecol 77:48–51PubMed
24.
go back to reference Dabrowiecki S, Svanes K, Lekven J, Grong K (1991) Tissue reaction to polypropylene mesh: a study of oedema, blood flow, and inflammation in the abdominal wall. Eur Surg Res 23:240–249PubMedCrossRef Dabrowiecki S, Svanes K, Lekven J, Grong K (1991) Tissue reaction to polypropylene mesh: a study of oedema, blood flow, and inflammation in the abdominal wall. Eur Surg Res 23:240–249PubMedCrossRef
25.
go back to reference James NL, Poole-Warren LA, Schindhelm K et al (1991) Comparative evaluation of treated bovine pericardium as a xenograft for hernia repair. Biomaterials 12:801–809CrossRefPubMed James NL, Poole-Warren LA, Schindhelm K et al (1991) Comparative evaluation of treated bovine pericardium as a xenograft for hernia repair. Biomaterials 12:801–809CrossRefPubMed
26.
go back to reference Elliott MP, Juler GL (1979) Comparison of Marlex mesh and microporous Teflon sheets when used for hernia repair in experimental animals. Am J Surg 137:342–344CrossRefPubMed Elliott MP, Juler GL (1979) Comparison of Marlex mesh and microporous Teflon sheets when used for hernia repair in experimental animals. Am J Surg 137:342–344CrossRefPubMed
27.
go back to reference Law NW, Ellis H (1988) Adhesion formation and peritoneal healing on prosthetic materials. Clin Mater 3:95–101CrossRef Law NW, Ellis H (1988) Adhesion formation and peritoneal healing on prosthetic materials. Clin Mater 3:95–101CrossRef
29.
go back to reference Bobyn JD, Wilson GJ, MacGregor DC, Pilliar RM, Weatherly GC (1982) Effect of pore size on the peel strength of attachment of fibrous tissue to porous-surfaced implants. J Biomed Mater Res 16:571–584CrossRefPubMed Bobyn JD, Wilson GJ, MacGregor DC, Pilliar RM, Weatherly GC (1982) Effect of pore size on the peel strength of attachment of fibrous tissue to porous-surfaced implants. J Biomed Mater Res 16:571–584CrossRefPubMed
30.
go back to reference Simmermacher RK, Schakenraad JM, Bleichrodt RP (1994) Reherniation after repair of the abdominal wall with expanded polytetrafluoroethylene. J Am Coll Surg 178:613–616PubMed Simmermacher RK, Schakenraad JM, Bleichrodt RP (1994) Reherniation after repair of the abdominal wall with expanded polytetrafluoroethylene. J Am Coll Surg 178:613–616PubMed
31.
go back to reference Chavpil M, Holusa R, Kliment K et al (1969) Some chemical and biologic characteristics of a new collagen-polymer compound material. J Biomed Mater Res 3:315–322CrossRefPubMed Chavpil M, Holusa R, Kliment K et al (1969) Some chemical and biologic characteristics of a new collagen-polymer compound material. J Biomed Mater Res 3:315–322CrossRefPubMed
32.
go back to reference Claerhout f, Deprest J, Zheng F (2003) Long term evaluation of the tissue response and mechanical properties of two collagen based and polypropylene implants in a rabbit model off abdominal wall repair, International Continence Society, Florence, Italy Claerhout f, Deprest J, Zheng F (2003) Long term evaluation of the tissue response and mechanical properties of two collagen based and polypropylene implants in a rabbit model off abdominal wall repair, International Continence Society, Florence, Italy
33.
go back to reference Dalla Vecchia L, Engum S, Kogon B, Jensen E, Davis M, Grosfeld J (1999) Evaluation of small intestine submucosa and acellular dermis as diaphragmatic prostheses. J Pediatr Surg 34:167–171CrossRefPubMed Dalla Vecchia L, Engum S, Kogon B, Jensen E, Davis M, Grosfeld J (1999) Evaluation of small intestine submucosa and acellular dermis as diaphragmatic prostheses. J Pediatr Surg 34:167–171CrossRefPubMed
34.
go back to reference Cumberland VH (1952) Preliminary report on the use of prefabricated nylon weave in the repair of ventral hernias. Med J Aust 1:143–144PubMed Cumberland VH (1952) Preliminary report on the use of prefabricated nylon weave in the repair of ventral hernias. Med J Aust 1:143–144PubMed
35.
go back to reference Read RC (1994) Prostheses and abdominal wall hernia surgery. In: Bendavid R (ed) Prostheses and abdominal wall hernias. R.G. Landes Company, Austin, pp 2–6 Read RC (1994) Prostheses and abdominal wall hernia surgery. In: Bendavid R (ed) Prostheses and abdominal wall hernias. R.G. Landes Company, Austin, pp 2–6
Metadata
Title
Evaluation of implant/host tissue interactions following intraperitoneal implantation of porcine dermal collagen prosthesis in the rat
Author
Ronald N. Kaleya
Publication date
01-10-2005
Publisher
Springer-Verlag
Published in
Hernia / Issue 3/2005
Print ISSN: 1265-4906
Electronic ISSN: 1248-9204
DOI
https://doi.org/10.1007/s10029-005-0003-0

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