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Published in: Hernia 5/2019

01-10-2019 | Growth Factors | Original Article

Dynamic creep properties of a novel nanofiber hernia mesh in abdominal wall repair

Authors: B. East, M. Plencner, M. Otahal, E. Amler, A. C. de Beaux

Published in: Hernia | Issue 5/2019

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Abstract

Purpose

Incisional hernia is the most common complication following abdominal surgery. While mesh repair is common, none of the current meshes mimic the physiology of the abdominal wall. This study compares suture only repair with polypropylene mesh and a prototype of a novel implant (poly-epsilon-caprolactone nanofibers) and their influence on the physiology of an abdominal wall in an animal model.

Methods

27 Chinchilla rabbits were divided into six groups based on the type of the implant. Midline abdominal incision was repaired using one of the compared materials with suture alone serving as the control. 6 weeks post-surgery animals were killed and their explanted abdominal wall subjected to biomechanical testing.

Results

Both—hysteresis and maximum strength curves showed high elasticity and strength in groups where the novel implant was used. Polypropylene mesh proved as stiff and fragile compared to other groups.

Conclusion

Poly-epsilon-caprolactone nanofiber scaffold is able to improve the dynamic properties of healing fascia with no loss of maximum tensile strength when compared to polypropylene mesh in an animal model.
Literature
1.
go back to reference Meijer EJ, Timmermans L et al. The principles of abdominal wound closure. Acta Chir Belg. 2013;113(4):239–44.CrossRefPubMed Meijer EJ, Timmermans L et al. The principles of abdominal wound closure. Acta Chir Belg. 2013;113(4):239–44.CrossRefPubMed
2.
go back to reference Luijendijk RW, Hop WC et al (2000) A comparison of suture repair with mesh repair for incisional hernia. N Engl J Med 343(6):392–398CrossRefPubMed Luijendijk RW, Hop WC et al (2000) A comparison of suture repair with mesh repair for incisional hernia. N Engl J Med 343(6):392–398CrossRefPubMed
3.
go back to reference Muysoms FE, Antoniou SA et al (2015) European Hernia Society guidelines on the closure of abdominal wall incisions. Hernia 19(1):1–24CrossRefPubMed Muysoms FE, Antoniou SA et al (2015) European Hernia Society guidelines on the closure of abdominal wall incisions. Hernia 19(1):1–24CrossRefPubMed
4.
go back to reference Azimi B, Nourpanah P et al (2014) Poly (ε-caprolactone) fiber: an overview. J Eng Fibers Fabr 9(3):74–90 Azimi B, Nourpanah P et al (2014) Poly (ε-caprolactone) fiber: an overview. J Eng Fibers Fabr 9(3):74–90
5.
go back to reference Weyhe D, Belyaev O et al (2007) Improving outcomes in hernia repair by the use of light meshes—a comparison of different implant constructions based on a critical appraisal of the literature. World J Surg 31:234–244CrossRefPubMed Weyhe D, Belyaev O et al (2007) Improving outcomes in hernia repair by the use of light meshes—a comparison of different implant constructions based on a critical appraisal of the literature. World J Surg 31:234–244CrossRefPubMed
6.
7.
go back to reference Venugopal J, Low S et al (2008) Interaction of cells and nanofiber scaffolds in tissue engineering. J Biomed Mater Res B Appl Biomater 84:34–48CrossRefPubMed Venugopal J, Low S et al (2008) Interaction of cells and nanofiber scaffolds in tissue engineering. J Biomed Mater Res B Appl Biomater 84:34–48CrossRefPubMed
8.
go back to reference Rampichova M, Chvojka J et al (2012) Elastic three-dimensional poly (ε-caprolactone) nanofibre scaffold enhances migration, proliferation and osteogenic differentiation of mesenchymal stem cells. Cell Prolif 46:23–37CrossRefPubMedPubMedCentral Rampichova M, Chvojka J et al (2012) Elastic three-dimensional poly (ε-caprolactone) nanofibre scaffold enhances migration, proliferation and osteogenic differentiation of mesenchymal stem cells. Cell Prolif 46:23–37CrossRefPubMedPubMedCentral
9.
go back to reference Velayudhan S, Martin D et al (2009) Evaluation of dynamic creep properties of surgical mesh prostheses—uniaxial fatigue. J Biomed Mater Res B Appl Biomater 5:287–296CrossRef Velayudhan S, Martin D et al (2009) Evaluation of dynamic creep properties of surgical mesh prostheses—uniaxial fatigue. J Biomed Mater Res B Appl Biomater 5:287–296CrossRef
10.
go back to reference El Fray M, Prowans P et al (2006) Biocompatibility and fatigue properties of polystyrene-polyisobutylene–polystyrene, an emerging thermoplastic elastomeric biomaterial. Biomacromolecules 7:844–850CrossRefPubMed El Fray M, Prowans P et al (2006) Biocompatibility and fatigue properties of polystyrene-polyisobutylene–polystyrene, an emerging thermoplastic elastomeric biomaterial. Biomacromolecules 7:844–850CrossRefPubMed
11.
go back to reference El Fray M, Altstadt V. Fatigue behaviour of multiblock thermoplastic elastomers. II. Dynamic creep of poly(aliphatic/aromatic-ester) copolymers. Polymer 2003;44:4643–50.CrossRef El Fray M, Altstadt V. Fatigue behaviour of multiblock thermoplastic elastomers. II. Dynamic creep of poly(aliphatic/aromatic-ester) copolymers. Polymer 2003;44:4643–50.CrossRef
12.
go back to reference Lukas D, Sarkar A et al (2009) Physical principles of electrospinning (electrospinning as a nano-scale technology of the twenty-first century). Textile Progress 41:1–83CrossRef Lukas D, Sarkar A et al (2009) Physical principles of electrospinning (electrospinning as a nano-scale technology of the twenty-first century). Textile Progress 41:1–83CrossRef
13.
go back to reference Klinge U, Conze J et al (1996) Pathophysiology of the abdominal wall. Chirurg 67(3):229–233PubMed Klinge U, Conze J et al (1996) Pathophysiology of the abdominal wall. Chirurg 67(3):229–233PubMed
14.
go back to reference Eliason BJ, Frisella MM et al. Effect of repetitive loading on the mechanical properties of synthetic hernia repair materials. J Am Coll Surg. 2011;213(3):430–35.CrossRefPubMed Eliason BJ, Frisella MM et al. Effect of repetitive loading on the mechanical properties of synthetic hernia repair materials. J Am Coll Surg. 2011;213(3):430–35.CrossRefPubMed
15.
go back to reference Bhardway N, Kundu SC (2010) Electrospinning: a fascinating fiber fabrication technique. Biotechnol Adv 28:325–347CrossRef Bhardway N, Kundu SC (2010) Electrospinning: a fascinating fiber fabrication technique. Biotechnol Adv 28:325–347CrossRef
16.
go back to reference Place ES, George JH et al (2009) Synthetic polymer scaffolds for tissue engineering. Chem Soc Rev 38:1139–1151CrossRefPubMed Place ES, George JH et al (2009) Synthetic polymer scaffolds for tissue engineering. Chem Soc Rev 38:1139–1151CrossRefPubMed
17.
go back to reference Li WJ, Danielson KG et al (2003) Biological response of chondrocytes cultured in three-dimensional nanofibrous poly(e-caprolactone) scaffolds. J Biomed Mater Res A. 67:1105–1114CrossRefPubMed Li WJ, Danielson KG et al (2003) Biological response of chondrocytes cultured in three-dimensional nanofibrous poly(e-caprolactone) scaffolds. J Biomed Mater Res A. 67:1105–1114CrossRefPubMed
18.
go back to reference Li WJ, Jiang YJ, Tuan RS (2006) Chondrocyte phenotype in engineered fibrous matrix is regulated by fiber size. Tissue Eng. 12:1775–1785CrossRefPubMed Li WJ, Jiang YJ, Tuan RS (2006) Chondrocyte phenotype in engineered fibrous matrix is regulated by fiber size. Tissue Eng. 12:1775–1785CrossRefPubMed
19.
go back to reference Ma Z, Kotaki M et al (2005) Potential of nanofiber matrix as tissue-engineering scaffolds. Tissue Eng 11:101–109CrossRefPubMed Ma Z, Kotaki M et al (2005) Potential of nanofiber matrix as tissue-engineering scaffolds. Tissue Eng 11:101–109CrossRefPubMed
20.
go back to reference Agarwal S, Wendorff JH et al (2008) Use of electrospinning technique for biomedical applications. Polymer 49:5603–5621CrossRef Agarwal S, Wendorff JH et al (2008) Use of electrospinning technique for biomedical applications. Polymer 49:5603–5621CrossRef
21.
go back to reference Plencner M, East B et al. Abdominal closure reinforcement by using polypropylene mesh functionalized with poly-ε-caprolactone nanofibers and growth factors for prevention of incisional hernia formation. Int J Nanomed. 2014;9:3263–77 Plencner M, East B et al. Abdominal closure reinforcement by using polypropylene mesh functionalized with poly-ε-caprolactone nanofibers and growth factors for prevention of incisional hernia formation. Int J Nanomed. 2014;9:3263–77
22.
go back to reference Chen M, Patra PK et al (2007) Role of fiber diameter in adhesion and proliferation of NIH 3T3 fibroblast on electrospun polycaprolactone scaffolds. Tissue Eng 13:579–587CrossRefPubMed Chen M, Patra PK et al (2007) Role of fiber diameter in adhesion and proliferation of NIH 3T3 fibroblast on electrospun polycaprolactone scaffolds. Tissue Eng 13:579–587CrossRefPubMed
23.
go back to reference Sanders JE, Stiles CE et al (2000) Tissue response to single-polymer fibers of varying diameters: evaluation of fibrous encapsulation and macrophage density. J Biomed Mater Res 52:231–237CrossRefPubMed Sanders JE, Stiles CE et al (2000) Tissue response to single-polymer fibers of varying diameters: evaluation of fibrous encapsulation and macrophage density. J Biomed Mater Res 52:231–237CrossRefPubMed
24.
go back to reference Marimuthu M, Kim S (2009) Survey of the state of the art in biomaterials, cells, genes and proteins integrated into micro- and nanoscaffolds for tissue regeneration. Curr Nanosci. 5:189–203CrossRef Marimuthu M, Kim S (2009) Survey of the state of the art in biomaterials, cells, genes and proteins integrated into micro- and nanoscaffolds for tissue regeneration. Curr Nanosci. 5:189–203CrossRef
25.
go back to reference Burger JWA, Luijendijk RW et al (2004) Long-term follow-up of a randomized controlled trial of suture versus mesh repair of incisional hernia. Ann Surg 240(4):578–585PubMedPubMedCentral Burger JWA, Luijendijk RW et al (2004) Long-term follow-up of a randomized controlled trial of suture versus mesh repair of incisional hernia. Ann Surg 240(4):578–585PubMedPubMedCentral
Metadata
Title
Dynamic creep properties of a novel nanofiber hernia mesh in abdominal wall repair
Authors
B. East
M. Plencner
M. Otahal
E. Amler
A. C. de Beaux
Publication date
01-10-2019
Publisher
Springer Paris
Published in
Hernia / Issue 5/2019
Print ISSN: 1265-4906
Electronic ISSN: 1248-9204
DOI
https://doi.org/10.1007/s10029-019-01940-w

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