Intraabdominal adhesion formation of polypropylene mesh Influence of coverage of omentum and polyglactin

Conze, Joachim; Junge, K.; Klinge, U.; Weiss, Carl A.; Polivoda, M. D.; Oettinger, A. P.; Schumpelick, Volker

doi:10.1007/s00464-004-2192-5

Cited by 39 publications

(29 citation statements)

References 19 publications

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“…As the implant material disappears, the adhesion may also disappear [5]. As seen in the fibrin glue group, the absorbable fixation material had few or no adhesions within 15 days postoperatively.…”

Section: Discussionmentioning

confidence: 81%

“…Dense adhesions followed by fistula formation have continuously reported with an intra-abdominally applied polypropylene mesh graft [3,5]. To avoid adhesions, Attwood et al recommended preperitoneal placement of the mesh graft with the remaining unbreached peritoneum [15].…”

Section: Discussionmentioning

confidence: 99%

“…Foreign bodies are well recognized causes for intraperitoneal adhesions [11]. The foreign body reaction is directly correlated with the amount of foreign material and influences adhesive potential of the peritoneum [5]. Inflammation depresses peritoneal fibrinolytic activity.…”

Section: Discussionmentioning

confidence: 99%

“…In general, the technique consists of a reduction in the hernia contents, transabdominal insertion of an appropriate size and type of mesh, opening of the mesh intraperitoneally, and its fixation over the hernia defect on the posterior surface of the anterior abdominal wall [4][5][6][7]. As in open surgery, the most important complication of LVHR is visceral organ adhesions to the intraperitoneally placed prosthetic mesh graft.…”

Section: Introductionmentioning

confidence: 99%

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Comparative Evaluation of Adhesions to Intraperitoneally Placed Fixation Materials: A Laparoscopic Study in Rats

et al. 2010

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After laparoscopic ventral hernia repair, the nature of the adhesions to fixation materials or to mesh had not been clarified. We examined adhesion formation specific to the fixation material in rats. We designed an experimental laparoscopy setup, and placed four intraperitoneal fixation materials on the peritoneum of rats without a mesh graft. Another group of researchers documented the incidence and intensity of postoperative adhesion formation. The adhesion scores for the nickeltitanium anchor were significantly greater than those for polylactic acid (p=0.004), a titanium tacker (p<0.0001), and fibrin glue (p<0.0001). No adhesions occurred in the fibrin glue group. Fibrin glue is the preferred fixation material because it produced no postoperative adhesions. The nickel-titanium anchor produced heavy adhesions but may be applicable for recurrent hernia cases and in patients with thin abdominal walls.

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Section: Discussionmentioning

confidence: 81%

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

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Comparative Evaluation of Adhesions to Intraperitoneally Placed Fixation Materials: A Laparoscopic Study in Rats

et al. 2010

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“…A foreign body reaction was investigated by measuring the diameter (in μm) of the perifilamental granuloma at the graft-tissue interface. According to the method described by Conze et al, two granuloma rings were identified [5]. The inner ring represents the inflammatory infiltrate, whereas the outer one represents fibrotic tissue reaction.…”

Section: Light Microscopymentioning

confidence: 99%

Pancreatic Anastomosis Healing

Hać¹,

Pęksa²,

Dobosz³

et al. 2012

OJPathology

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Background: Pancreatoduodenectomy (PD) is a complex procedure with a relatively high risk of complications. There is an increasing trend showing that the success of pancreato-enteral anastomosis depends on surgical skill and the material used. Methods: We present four cases of pancreato-enteral anastomosis resected 37 -114 days after primary surgery and the analysis of the healing process, i.e., morphology of the pancreatic parenchyma, pancreatic duct, and digestive tract mucosa, as well as the pancreatic reaction to the sewing material by microscopic morphometry. Results: Evidence of regeneration in the columnar-lined mucosa of main pancreatic ducts in all cases of pancreato-enterostomy was observed. The inflammatory foreign-body reaction around monofilament stitch was present without an evident infection. There were no microscopic signs of pancreatic duct damage. Total foreign body reaction varied between 138.1 μm and 207.3 μm. Conclusions: This observation supports the beneficial use of thin monofilament threads for pancreato-enteral anastomosis. There was no evidence of harmful action from gastric or intestinal juices on pancreatic remnant or the Wirsung duct.

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Degradation of mesh coatings and intraperitoneal adhesion formation in an experimental model

Schreinemacher

Emans

Gijbels

et al. 2009

British Journal of Surgery

132

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Intraabdominal adhesion formation of polypropylene mesh Influence of coverage of omentum and polyglactin

Cited by 39 publications

References 19 publications

Comparative Evaluation of Adhesions to Intraperitoneally Placed Fixation Materials: A Laparoscopic Study in Rats

Comparative Evaluation of Adhesions to Intraperitoneally Placed Fixation Materials: A Laparoscopic Study in Rats

Pancreatic Anastomosis Healing

Degradation of mesh coatings and intraperitoneal adhesion formation in an experimental model

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