Critical evaluation of prosthetic materials in repair of abdominal wall hernias

Arnaud, Jean‐Pierre; Eloy, R; Adloff, M; Grenier, J F

doi:10.1016/0002-9610(77)90542-6

Cited by 81 publications

(31 citation statements)

References 7 publications

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“…Its resistance to infection is not absolute but compares most favorably with the available prosthetic materials [Arnaud 1977, Cerise 1977, Rath 1996]. …”

Section: Discussionmentioning

confidence: 98%

Surgical treatment of post-operative incisional hernias by intra-peritoneal insertion of a Dacron mesh

Arnaud

Cervi

Tuech

et al. 1997

Hernia

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Summary: The authors report a series of 220 cases of post-operative incisional hernias, treated between 1982 and 1996, by the insertion of a Dacron mesh within the intra-peritoneal cavity. Post-operative mortality was recorded to be 1%. Five patients (2.27%) developed a deep seated infection which necessitated removal of the mesh. Eight patients presented with a recurrence (3.6%). This retrospective study tends to show that giant abdominal wall hernias can be efficiently treated by the intraperitoneal positioning of a Dacron mesh.Key words: Incisional hernia --Dacron mesh --Intra-peritoneal mesh The therapeutic problems attendant upon giant incisional hernias of the abdominal wall are often difficult to resolve. Patients are often obese, with several previous operations and multiple systems pathology. Their abdominal wall musculature is often of poor quality and in certain cases, the herniated visceral mass is such that the right of domicile has been lost. The chronicity of some of these hernias is such that the eviscerated organs have adapted to their extra-abdominal site while the abdominal cavity retracts, enlarging the size of the fibrotic hernial ring. These various factors imply a difficult if not impossible primary repair.The resulting tension would spell an early recurrence and possibly, deterioration beyond the state of the original herniation. Cardiac and pulmonary complications must not be overlooked since they can be the result of the forceful reintegration of viscera within a diminished abdominal cavity [Rives 1973;Stoppa 1979].

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“…Its resistance to infection is not absolute but compares most favorably with the available prosthetic materials [Arnaud 1977, Cerise 1977, Rath 1996]. …”

Section: Discussionmentioning

confidence: 98%

Surgical treatment of post-operative incisional hernias by intra-peritoneal insertion of a Dacron mesh

Arnaud

Cervi

Tuech

et al. 1997

Hernia

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“…Now, although they have been established criteria for the implantation of meshs in the incisional hernias in adults, they are used broadly in the smallest muscle-aponeurotic defects and, especially, in the great eventrations 9,10,22,29 define the gold standard in the repair of the incisional hernias have been necessary. Several experimental models were used for anatomical, histological, physiologic, biochemistries and mechanics evaluations with favorable results 13,14,15,16,17,18 . This research created an experimental model for the study of the tissue activity and cicatrization of abdominal wall defects, using an optical method of analysis, the biospeckle.…”

Section: Discussionmentioning

confidence: 99%

“…Although to exist many available prosthetic materials, the polypropylene mesh was chosen due to the better results presented, in experimental 13,14,167,17,18 studies and in surgical practice 2,3,6,9,10,12,20,21 . Researchs show that two places exist for the fixation of the mesh in a medium laparotomy: between the posterior layer of the abdominal muscles and in the posterior aponeurosis above to the parietal peritoneum 10 .…”

Section: Discussionmentioning

confidence: 99%

“…Several studies have been associated with different methods of evaluation of the bio-compatibility of the prosthetic materials, in experimental 13,14,15,16,17,18,19 works and clinical 2,3,6,10,12,20,21,22 experimental Models allow detailed studies of these interactions, in the field of the anatomy, of the physiology, of the biochemistry, of the microbiology and of the mechanics, but little on tissue activity 13 .…”

Section: Introductionmentioning

confidence: 99%

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The optical analysis of the abdominal wall using the biospeckle after implants of polypropylene mesh in rats

Nieri

Peres

Silva³

et al. 2009

Acta Cir. Bras.

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Purpose:To evaluate an experimental animal model to study the abdominal tissue activity considering its interaction with a polypropylene mesh, through the use of one of the optical phenomena of light Laser, the biospeckle. Methods: Fifty Wistar male rats were divided into four groups: Group 1: ten animals not submitted to surgery; Group 2: ten animals submitted to surgery without polypropylene mesh; Group 3: 20 animals submitted to surgery followed by the mesh placement; Group 4: (sham) with ten animals. None of the animals presented post surgical complications being submitted to the optical tests at the 20th postoperative day. Results: The analysis from the biospeckle tests, comparing the medians and standard deviations with T Student test, indicated that no significative difference was observed on the abdominal wall tissue activity in the four groups considered, with and without polypropylene mesh prosthesis implantation. Conclusion: The animal model is viable and the biospeckle open ways for a great number of experiments to be developed in evaluating tissue activity. Key words: Hernia, Abdominal. Polypropylenes. Lasers. Rats. RESUMO Objetivo:Avaliar o modelo experimental animal para o estudo da atividade tecidual da parede abdominal em sua interação com a prótese de polipropileno, através da utilização de um dos fenômenos ópticos da luz Laser, o biospeckle. Métodos: Foram utilizados 50 ratos Wistar machos, divididos em quatro grupos: Grupo 1 com 10 animais não operados e controles; Grupo 2 com 10 animais submetidos a cirurgia sem a colocação de prótese; Grupo 3 com 20 animais submetidos a cirurgia com colocação de prótese de polipropileno pré-peritonial; Grupo 4 (Sham) com 10 animais. Nenhum animal apresentou complicações pós-operatórias, sendo que no 20º PO foram submetidos ao ensaio óptico. Resultados: A comparação das médias e o desvio padrão das medidas da atividade tecidual da parede abdominal, com e sem implantação da prótese de polipropileno obtidas dos grupos de animais, pelo teste T de Student, não evidenciou diferença estatística significativa (p>0.05). Conclusão: A análise dos dados obtidos permitiu concluir que o modelo animal é viável e que o biospeckle abre caminhos para toda uma linha de experimentos a ser desenvolvida em avaliar atividade tecidual.

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“…The average was calculated and the overall averages for all animals at a given period of time were compared using the test of Newmann-Kculs. The ratio between the number of inflammatory cells and fibroblasts at the different postoperative days was calculated (2,3,5).…”

Section: A Te Ria Ls and M E Th O D Smentioning

confidence: 99%

<i>In vivo </i>Exploration of the Tensile Strength of the Abdominal Wall after Repair with Different Prosthetic Materials

Arnaud¹,

Eloy²,

Adloff³

et al. 1979

Eur Surg Res

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The problem of parietal herniation seems to be a simple mechanical one for which there should be a safe method of repair. In the present study, the bursting strength of abdominal wounds was explored by mechanical investigation and the repair process evaluated at a cellular level by quantitative microscopy. Both methods of investigation show that mesh materials have advantages over nonporous cloth materials in the repair of large defects of the abdominal wall.

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Critical evaluation of prosthetic materials in repair of abdominal wall hernias

Cited by 81 publications

References 7 publications

Surgical treatment of post-operative incisional hernias by intra-peritoneal insertion of a Dacron mesh

Surgical treatment of post-operative incisional hernias by intra-peritoneal insertion of a Dacron mesh

The optical analysis of the abdominal wall using the biospeckle after implants of polypropylene mesh in rats

<i>In vivo </i>Exploration of the Tensile Strength of the Abdominal Wall after Repair with Different Prosthetic Materials

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