Polyvinyl alcohol sponge an inert plastic for use as a prosthesis in the repair of large hernias

Schofield, Theo L.

doi:10.1002/bjs.18004217609

Cited by 22 publications

(2 citation statements)

References 5 publications

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“…It produces a foreign-body reaction with only moderate fibrosis which is limited to the sponge itself. These observations conflict with previous reports of findings in experimental animals and man (Schofield, 1955;Wells, 1959). These suggest a much greater fibrotic response than we have found.…”

Section: Patients With Ivalon-spongecontrasting

confidence: 99%

Experiences of ivalon-sponge implant for complete rectal prolapse at St. Mark's Hospital, 1960–70

Penfold

Hawley

1972

British Journal of Surgery

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faradism, however, have not shown any objective improvement in performance.Subsequent operations for incontinence are difficult to evaluate in this series because of the small numbers involved. A few patients make an early and urgent demand for operation, while others are relieved to be rid of their prolapse, are quite happy to wear a pad to control incontinence, and do not wish to have another operation. Certainly in the present series we have not pressed additional operations on these patients, mainly because we are uncertain of success. The Thiersch operation is useful but it has a number of problems associated with it, viz., faecal impaction, and as many of these patients are constipated, this can present a serious problem. When wire is used it may fracture or cause ulcers. Nylon thread has proved to be more satisfactory.The most useful operation is the post-anal intersphincteric nylon-floss operation repair described by Parks (1967). Nevertheless, this is not an easy undertaking and there is often delay in wound healing. It is not advocated for minor degrees of incontinence or leakage.It is also clear, from our experience of I case, that colostomy is not necessarily the answer to incontinence.Lastly, there are a number of patients who might well be benefited by operations for their incontinence. The majority of these patients has declined the operation when the offer has been made, being content to be free of their prolapse. In a small number a further operation was inadvisable as their general health was poor. SUMMARYExperience of using Ivalon-sponge implants in IOI patients with complete rectal prolapse at St. Mark's Hospital is reviewed. It is a straightforward operation with minimal complications producing long-term control of the prolapse in 97 per cent of cases.Of those patients who had been incontinent, satisfactory restoration of continence was achieved in 70 per cent of cases for solid faeces and in 33 per cent for fluid faeces.Ivalon sponge is a foreign material that only produces moderate fibrosis in the tissues. It persists for at least 6 years in humans.COMPLETE rectal prolapse is a very disabling but non-lethal condition. Many operations have been devised to cure it but none has been entirely satisfactory. At the present time the Ivalon-sponge implant is being increasingly used throughout Great Britain. This paper reports our experiences using this operation during the years 1960-70. MATERIALSOne hundred and one patients underwent repair of complete rectal prolapse using an Ivalon-sponge implant (Fig. I). The youngest was ZI years and the oldest 82 years. Thirty patients had had previous surgery for the prolapse, including 14 Thiersch wire or nylon operations, 6 rectosigmoidectomies, 4Thiersch operations and rectosigmoidectomies, and 6 miscellaneous perineal repair procedures METHODSThe technique described by Wells (1959) using a 3-mm.-thick piece of polyvinyl alcohol (Ivalon) sponge placed behind the rectum was used. The sponge was perforated and soaked in saline before insertion. It was then ...

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Section: Patients With Ivalon-spongecontrasting

confidence: 99%

Experiences of ivalon-sponge implant for complete rectal prolapse at St. Mark's Hospital, 1960–70

Penfold

Hawley

1972

British Journal of Surgery

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“…Tò 1955 ô C. WeUs, καθηγητής της χειρουργικής εις το Liverpool (Μεγ. Βρεττανία), επηρεασθείς από τάς εργασίας του Schofield (1955), ό όποιος εχρησιμοποίησεν επιτυχώς φύλλα πλαστικού σπόγγου εκ πολυβινυλικής αλκοόλης δια τήν επιδιόρθωσιν ευμεγεθών κηλών, συνέλαβε την ίδέαν της χρησιμοποιήσεως του ύλικοΰ τούτου είς τήν χειρουργικήν άποκατάστασιν της πλήρους προπτώσεως του όρθοΰ. Γνωρίζων τήν ιδιό τητα του σπόγγου να προκαλή εντονον ινώδη άντίδρασιν των περιβαλλόν των ίστών, έσκέφθη ότι αυ'τη θα ήτο δυνατόν να καθήλωση Ισχυρώς το ορθόν και το όρθοσιγμοειδές εντός της προϊερας κοιλότητος καί να άποτρέψη τήν προς τα κάτω διολίσθησιν τοϋ έντερου καί τον σχηματισμόν περινεϊκής κήλης, κατά τάς τότε κρατούσας οντιλήψεις.…”

Section: μερος β'unclassified

Η Χειρουργικη Αντιμετωπισις Της Πληρους Προπτωσεως Του Ορθου Επι Ενηλικων Δια Χρησεως Προθεσεως Εκ Πολυβινυλικης Αλκοολης (Ivalon Sponge)

Μπουτσησ¹

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Use of Commerical Dacron Fabric in the Repair of Inguinal Hernias and Abdominal Wall Defects

Wolstenholme¹

1956

Arch Surg

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Polyvinyl alcohol sponge an inert plastic for use as a prosthesis in the repair of large hernias

Cited by 22 publications

References 5 publications

Experiences of ivalon-sponge implant for complete rectal prolapse at St. Mark's Hospital, 1960–70

Experiences of ivalon-sponge implant for complete rectal prolapse at St. Mark's Hospital, 1960–70

Η Χειρουργικη Αντιμετωπισις Της Πληρους Προπτωσεως Του Ορθου Επι Ενηλικων Δια Χρησεως Προθεσεως Εκ Πολυβινυλικης Αλκοολης (Ivalon Sponge)

Use of Commerical Dacron Fabric in the Repair of Inguinal Hernias and Abdominal Wall Defects

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