The Effect of a Polypropylene Implant Treated With Thyrothricin on the Hypogastric Tissues of the Abdominal Wall in Rats

Abstract

Introduction. The study of tissue reactions to the placement of polymeric materials (polypropylene mesh), used for the treatment of hernias, remains relevant. The paper examines the hypothesis regarding the existence of certain differences in tissue reactions to polypropylene implants without and with treatment of the latter with an antimicrobial agent. Objective of this study is to investigate the reaction of the tissues of the peritoneum and the muscle-aponeurotic layer of the abdominal wall to a polypropylene implant treated with thyrothricin, used for the treatment of complicated variants of inguinal hernias.
 Materials and methods. Experimental studies were conducted on laboratory sexually mature male Wistar rats. Experimental animals made up 4 groups of 5 animals each. The 1st group included control animals (intact). In the rats of the 2nd group, a defect of the abdominal wall of the hypogastric region was surgically modeled. In the animals of the 3rd experimental group, after modeling the defect of the abdominal wall, a polypropylene mesh implant was placed between the peritoneum and the inner leaf of the aponeurosis of the rectus abdominis muscles. The 4th experimental group consisted of animals in which the polypropylene implant was additionally treated with a thyrothricin solution.
 Results. During the experimental study, the integration of tissue elements of the peritoneal walls and the muscle-aponeurotic layer of the abdominal wall with the material of polypropylene meshes was revealed. Active processes of collagenogenesis were observed in the boundary zones and the area of integration with the implant, as well as pronounced manifestations of vascularization of the newly formed connective tissue. The morphological features of the connective tissue formed in the area and around intact implants and meshes treated with thyrothricin did not significantly differ from each other, but significantly prevailed over the condition of the tissues in intact animals. No particular difference between the above-mentioned changes in the tissues of animals of the 3rd and 4th groups was found.
 Conclusion. The obtained results indicate positive biocompatibility of body tissues and polypropylene implants. There is no negative effect of polypropylene nets treated with thyrothricin on body tissues and their regenerative potential.