Comparative study of Polypropylene versus Parietex composite®, Vicryl® and Ultrapro® meshes, regarding the formation of intraperitoneal adhesions

Biondo-Simões, Maria de Lourdes Pessole; Carvalho, Laísa Brandão; Conceição, Lucas Tavares; Santos, Kassyane Bordignon Piccinelli dos; Schiel, Wagner Augusto; Arantes, M. S. T.; Silveira, Tatiane da; Magri, J.; Gomes, Fernanda Fabrini

doi:10.1590/s0102-865020170202

Cited by 14 publications

(19 citation statements)

References 29 publications

(67 reference statements)

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“…The other 63 articles were not summarized because an identical comparison of two meshes of different types was barely found in these articles. Four articles were pooled into meta-analysis for the comparison of PP mesh and HA/CMC mesh [18][19][20][21], and five articles for the comparison of PP mesh and PC mesh [22][23][24][25][26].…”

Section: Resultsmentioning

confidence: 99%

Comparison of coated meshes for intraperitoneal placement in animal studies: a systematic review and meta-analysis

Liu

Steensel

Gielen

et al. 2019

Hernia

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Purpose Laparoscopic intraperitoneal onlay mesh in hernia repair can result in adhesions leading to intestinal obstruction and fistulation. The aim of this systematic review is to compare the effects of mesh coatings reducing the tissue-to-mesh adhesion in animal studies. Methods Pubmed and Embase were systematically searched. Animal experiments comparing intraperitoneally placed meshes with coatings were eligible for inclusion. Only studies with comparable follow-up, measurements, and species were included for data pooling and subsequent meta-analysis. Results A total of 131 articles met inclusion criteria, with four studies integrated into one comparison and five studies integrated into another comparison. Compared to uncoated polypropylene (PP) mesh, PP mesh coated with hyaluronic acid/ carboxymethyl cellulose (HA/CMC) showed significantly reduced adhesion formation at follow-up of 4 weeks measured with adhesion score of extent (random effects model, mean difference,− 0.96, 95% CI − 1.32 to − 0.61, P < 0.001, I 2 = 23%; fixed effects model, mean difference,− 0.94, 95% CI − 1.25 to − 0.63, P < 0.001, I 2 = 23%). Compared to PP mesh, polyester mesh coated with collagen (PC mesh) showed no significant difference at follow-up of 4 weeks regarding percentage of adhesion-area on a mesh, using random effects model (mean difference − 11.69, 95% CI − 44.14 to 20.76, P = 0.48, I 2 = 92%). However, this result differed using fixed effects model (mean difference − 25.55, 95% CI − 33.70 to − 7.40, P < 0.001, I 2 = 92%). Conclusion HA/CMC coating reduces adhesion formation to PP mesh effectively at a follow-up of 4 weeks, while the antiadhesive properties of PC mesh are inclusive comparing all study data.

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Section: Resultsmentioning

confidence: 99%

Comparison of coated meshes for intraperitoneal placement in animal studies: a systematic review and meta-analysis

Liu

Steensel

Gielen

et al. 2019

Hernia

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“…A hernia is a defect in the abdominal wall due to the "protrusion" of an organ [1,2]. However, repair of the hernia is a common practice to reinforce the operated muscles of the hernia to their original place with biomaterial [3].…”

Section: Introductionmentioning

confidence: 99%

One-Step Surface Functionalized Hydrophilic Polypropylene Meshes for Hernia Repair Using Bio-Inspired Polydopamine

Sanbhal

Saitaer

Peerzada

et al. 2019

Fibers

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An ideal hernia mesh is one that absorbs drugs and withstands muscle forces after mesh implantation. Polypropylene (PP) mesh devices have been accepted as a standard material to repair abdominal hernia, but the hydrophobicity of PP fibers makes them unsuitable to carry drugs during the pre-implantation of PP meshes. In this study, for the first time, one-step functionalization of PP mesh surfaces was performed to incorporate bio-inspired polydopamine (PDA) onto PP surfaces. All PP mesh samples were dipped in the same concentration of dopamine solution. The surface functionalization of PP meshes was performed for 24 h at 37 °C and 80 rpm. It was proved by scanning electron microscopic (SEM) images and Fourier Transform Infrared Spectroscopy (FTIR) results that a thin layer of PDA was connected with PP surfaces. Moreover, water contact angle results proved that surface functionalized PP meshes were highly hydrophilic (73.1°) in comparison to untreated PP mesh surfaces (138.5°). Thus, hydrophilic PP meshes with bio-inspired poly-dopamine functionalization could be a good choice for hernia mesh implantation.

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“…The lack of and "ideal" mesh lead to the development of a series of composed meshes, mixing different types of materials [1][2][3][4] . The main advantage of the composed meshes it is the possibility of intraperitoneal placement, with minimal adhesion formation.…”

Section: ■ Introductionmentioning

confidence: 99%

“…Regardless of the large spectrum of brand options available, almost all manufacturers still use the same three basic materials -polypropylene, polyester or polytetrafluoroethylene (PTFE). These materials are used in combination one with another or with a variety of different materials, such as titanium, omega 3, monocryl, polyvinylidene-fluoride (PVDF) and hyaluronate [2][3][4] .…”

Section: ■ Introductionmentioning

confidence: 99%

“…Standart meshes or heavy-weight tend to produce a rather intense fibrotic tissue response, granting its adhesion to the abdominal wall, but, also, to the intrabdominal structures. Nevertheless, microporous meshes and ePTFE based meshes present with lower fibrotic tissue growth, decreasing the formation of adhesions, but at the same time reducing its ability to adhere to the abdominal wall 2,3,6 .…”

Section: ■ Introductionmentioning

confidence: 99%

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Comparative study of intraperitoneal adhesions related to light-weight polypropylene mesh and type I polymerized and purified bovine collagen coated light-weight polypropylene mesh in rabbits

Garcia

Santos²,

Nunes

et al. 2017

Acta Cir. Bras.

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Comparative study of intraperitoneal adhesions related to light-weight polypropylene mesh and type I polymerized and purified bovine collagen coated light-weight polypropylene mesh in rabbits 1 2-Experimental SurgeryActa Cir Bras. 2017;32(11):903-912 AbstractPurpose: To compare the effectiveness of light-weight polypropylene mesh coated with polymerized and purified bovine type I collagen (Surgidry HNB) in the treatment of abdominal wall defect and the degree of adhesion formation. Methods: Two types of polypropylene mesh were implanted after creation of defect measuring 6.0cm X 5.5cm in the anterior abdominal wall of 32 male New Zealand breed rabbits, divided in two groups (n = 32): (1) light-weigh macroporous polypropylene, (2) type I polymerized and purified bovine collagen coated light-weigh macroporous polypropylene. These animals were further accessed for adhesions, histological evaluation of inflammation and wall's thickness. Results:The percentage of the area adhered in group 1 (62.31 ± 16.6) was higher compared to group 2 (22.19 ± 14.57) (p <0.05). There was an association between the percentage of the covered area by adhesions and the type of adhesion, toughness and the scores obtained by the adhesion score by correlation analysis (p <0.05). There was no difference between the groups in any variables in relation to the degree of inflammation. Conclusion:The purified type I bovine collagen coated light-weigh polypropylene mesh showed to be effective in the repair of abdominal wall defects and reducing adhesion formation. 903Comparative study of intraperitoneal adhesions related to light-weight polypropylene mesh and type I polymerized and purified bovine collagen coated light-weight polypropylene mesh in rabbits Garcia DPC et al. Acta Cir Bras. 2017;32(11):903-912

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Comparative study of Polypropylene versus Parietex composite®, Vicryl® and Ultrapro® meshes, regarding the formation of intraperitoneal adhesions

Cited by 14 publications

References 29 publications

Comparison of coated meshes for intraperitoneal placement in animal studies: a systematic review and meta-analysis

Comparison of coated meshes for intraperitoneal placement in animal studies: a systematic review and meta-analysis

One-Step Surface Functionalized Hydrophilic Polypropylene Meshes for Hernia Repair Using Bio-Inspired Polydopamine

Comparative study of intraperitoneal adhesions related to light-weight polypropylene mesh and type I polymerized and purified bovine collagen coated light-weight polypropylene mesh in rabbits

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