Characterization and in vivo evaluation of a fabricated absorbable poly(vinyl alcohol)-based hernia mesh

The most widely taken medical approach toward hernia repair involves the implementation of a prosthetic mesh to cover the herniated site and reinforce the weakened area of the abdominal wall. Biodegradable meshes can serve as biocompatible grafts with a low risk of infection. However, their major complication is associated with a high rate of degradation and hernia recurrence. We proposed a facile and cost-effective method to fabricate a poly(vinyl alcohol)-based mesh, using the solution casting technique. The inclusion of zinc oxide nanoparticles, citric acid, and three cycles of freeze-thaw were intended to ameliorate the mechanical properties of poly(vinyl alcohol). Several characterization, cell culture, and animal studies were conducted. Swelling and water contact angle measurements confirmed good water uptake capacity and wetting behavior of the final mesh sample. The synthesized mesh acquired a high mechanical strength of 52.8 MPa, and its weight loss was decreased to 39 %. No cytotoxicity was found in all samples. In vivo experiments revealed that less adhesion and granuloma formation, greater tissue integration, and notably higher neovascularization rate were resulted from implanting this fabricated hernia mesh, compared to commercial Prolene® mesh. Furthermore, the amount of collagen deposition and influential growth factors were enhanced when rats were treated with the proposed mesh instead of Prolene®. •A PVA-based hernia mesh was fabricated by the solution casting technique with three modifications including incorporating ZnO NPs, adding CA, and performing three freeze-thaw cycles.•Hydrophobicity and anti-adhesive properties of the PVA-ZnO-PX-CA mesh were enhanced.•The mechanical strength and degradation rate of the PVA-ZnO-PX-CA sample were 52.8 MPa and 39 %, respectively which may lead to lower rates of hernia recurrence compared to unmodified PVA.•In vivo, PVA-ZnO-PX-CA outperformed Prolene® mesh, exhibiting reduced adhesion, better tissue integration, and increased collagen deposition..