Textile Polypropylene Allografts and their Postoperative Tissue Reaction in the Surgery of Inguinal Hernia

Abstract

The usage of prosthetic devices in the surgery of parietal defect is, nowadays, essential for a good abdominal wall recovery and prevention of the hernia recurrence. A good and suitable textile allograft should poses one or more, ideally all, of the following characteristics: pliable, strong, non-allergenic and with perfect tissue integration behavior. The aim of this paper is to evaluate the immediate and long term tissue reaction of different textile allografts used in open surgery of inguinal hernia repair.

Using Polypropylene for Bronchial Stump Closure After Pulmonary Resections

“…[6,7] Certain studies proved the fact that, after introducing the polypropylene prosthesis within the human organism, on the abdominal wall, at the level of the place of implantation an initial local inflammation with a reduced fibroblastic reaction is produced, and in time a resistant scar is produced [8]. It was also demonstrated the fact that, compared to other heterologous materials placed at the level of the human tissue, the inflammatory reaction induced by polypropylene is considerably reduced [9,10].…”

Study of Biointegration and Tissue Reaction of Polyethylene Terephtalate 3D and Polypropylene Surgical Meshes in Rat Model

“…Another clinical retrospective study shows that the contact of tissues with the polypropylene mesh produces a local inflammatory response but the evolution towards surgical complications is limited and the advantage of the polypropylene is the favorable quality to price ratio [22].…”

A comparative Histologic and Immunohistochemistry Evaluation Between Normal Aponeurotic Tissue, Fibrotic Aponeurotic Scars and Polypropylene Embedded Aponeurotic Scars

“…The explanation could be the tissue requirement for correcting the parietal defect, a material that in a tissue cure involves local or neighboring tissues with already modified tissue structure (causing the defect), the healing process, the collagen proliferation and implicitly the inflammatory response required being higher. [8,9] The polypropylene allograft is the most widely used in the past 20 years due to its resistance, stability and low tissue reaction [10]. The existence of a prosthetic material with the characteristics of polypropylene that replaces the defect, causes a lower inflammatory process than pure tissue healing.…”