Structural alterations of prosthetic meshes in humans
The use of prosthetic mesh in abdominal wall hernia surgery is a well-accepted practice. What is not settled, however, is the type of prosthesis that best suits the purpose. The narrow choice today means a prosthesis of polyester or polypropylene. These are available in many designs, configuration o...
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| Veröffentlicht in: | Hernia : the journal of hernias and abdominal wall surgery 2003-03, Vol.7 (1), p.29-34 |
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| container_title | Hernia : the journal of hernias and abdominal wall surgery |
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| creator | CODA, A BENDAVID, R BOTTO-MICCA, F BOSSOTTI, M BONA, A |
| description | The use of prosthetic mesh in abdominal wall hernia surgery is a well-accepted practice. What is not settled, however, is the type of prosthesis that best suits the purpose. The narrow choice today means a prosthesis of polyester or polypropylene. These are available in many designs, configuration of weave, thickness of weave and strand, and size of pore. There has been a pervasive feeling that these materials "shrink". To what extent they do has not been accurately defined. This study was designed to measure such "shrinkage". Interestingly, our measurements revealed that prosthetic meshes could "expand" as well as "shrink". The extent to which they do varies between -40% and 58.5%. Whereas it was felt that fibrocyte activity and its eventual scar formation accounted for the "shrinkage" of the mesh, we have discovered that structural alterations in the size of the mesh pores can be affected by distilled water, saline, blood, formalin, bleach, as well as in vivo implantation. Prosthetic meshes are, therefore, not the inert materials they are claimed to be and can expand as well as shrink. We have, unfortunately, not been able to correlate the degree or direction of change to any known parameter. |
| doi_str_mv | 10.1007/s10029-002-0089-6 |
| format | Article |
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What is not settled, however, is the type of prosthesis that best suits the purpose. The narrow choice today means a prosthesis of polyester or polypropylene. These are available in many designs, configuration of weave, thickness of weave and strand, and size of pore. There has been a pervasive feeling that these materials "shrink". To what extent they do has not been accurately defined. This study was designed to measure such "shrinkage". Interestingly, our measurements revealed that prosthetic meshes could "expand" as well as "shrink". The extent to which they do varies between -40% and 58.5%. Whereas it was felt that fibrocyte activity and its eventual scar formation accounted for the "shrinkage" of the mesh, we have discovered that structural alterations in the size of the mesh pores can be affected by distilled water, saline, blood, formalin, bleach, as well as in vivo implantation. 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Graft diseases ; Surgical Mesh - adverse effects ; Technology. Biomaterials. 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What is not settled, however, is the type of prosthesis that best suits the purpose. The narrow choice today means a prosthesis of polyester or polypropylene. These are available in many designs, configuration of weave, thickness of weave and strand, and size of pore. There has been a pervasive feeling that these materials "shrink". To what extent they do has not been accurately defined. This study was designed to measure such "shrinkage". Interestingly, our measurements revealed that prosthetic meshes could "expand" as well as "shrink". The extent to which they do varies between -40% and 58.5%. Whereas it was felt that fibrocyte activity and its eventual scar formation accounted for the "shrinkage" of the mesh, we have discovered that structural alterations in the size of the mesh pores can be affected by distilled water, saline, blood, formalin, bleach, as well as in vivo implantation. Prosthetic meshes are, therefore, not the inert materials they are claimed to be and can expand as well as shrink. We have, unfortunately, not been able to correlate the degree or direction of change to any known parameter.</description><subject>Adult</subject><subject>Aged</subject><subject>Aged, 80 and over</subject><subject>Biological and medical sciences</subject><subject>Device Removal</subject><subject>Female</subject><subject>Hernia, Ventral - surgery</subject><subject>Humans</subject><subject>Male</subject><subject>Medical sciences</subject><subject>Microscopy, Electron, Scanning</subject><subject>Middle Aged</subject><subject>Polyethylene Terephthalates - adverse effects</subject><subject>Polypropylenes - adverse effects</subject><subject>Prosthesis Design - adverse effects</subject><subject>Prosthesis Failure</subject><subject>Prosthesis Implantation</subject><subject>Recurrence</subject><subject>Surgery (general aspects). Transplantations, organ and tissue grafts. Graft diseases</subject><subject>Surgical Mesh - adverse effects</subject><subject>Technology. Biomaterials. Equipments</subject><subject>Treatment Failure</subject><issn>1265-4906</issn><issn>1248-9204</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2003</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><sourceid>ABUWG</sourceid><sourceid>AFKRA</sourceid><sourceid>BENPR</sourceid><sourceid>CCPQU</sourceid><recordid>eNpFkEtLAzEUhYMotlZ_gBsZBJfRJJNJMkspvqDgQl2HTB50yjxqkln4772lA13k5ML97r2Hg9AtJY-UEPmUQFmNQeCpGosztKSMK1wzws8Ptagwr4lYoKuUdgQgLtQlWkCDMllXS1R95TjZPEXTFabLPprcjkMqxlDs45jy1ufWFr1PW5-Kdii2U2-GdI0ugumSv5n_Ffp5fflev-PN59vH-nmDLRN1xqxhIriaVMISZ0vnA6soCQY8EuFCI0trSiuIEaWU3LkKvHrOGkeDAF6WK3R_3Atefiefst6NUxzgpGZEsoqVSgFEj5AFwyn6oPex7U3805ToQ076mJMG0YectICZu3nx1PTenSbmYAB4mAGTrOlCNINt04njikqmWPkPsilveA</recordid><startdate>200303</startdate><enddate>200303</enddate><creator>CODA, A</creator><creator>BENDAVID, R</creator><creator>BOTTO-MICCA, F</creator><creator>BOSSOTTI, M</creator><creator>BONA, A</creator><general>Springer</general><general>Springer Nature B.V</general><scope>IQODW</scope><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>3V.</scope><scope>7T5</scope><scope>7X7</scope><scope>7XB</scope><scope>88E</scope><scope>8AO</scope><scope>8FI</scope><scope>8FJ</scope><scope>8FK</scope><scope>ABUWG</scope><scope>AFKRA</scope><scope>BENPR</scope><scope>CCPQU</scope><scope>FYUFA</scope><scope>GHDGH</scope><scope>H94</scope><scope>K9.</scope><scope>M0S</scope><scope>M1P</scope><scope>PQEST</scope><scope>PQQKQ</scope><scope>PQUKI</scope><scope>PRINS</scope></search><sort><creationdate>200303</creationdate><title>Structural alterations of prosthetic meshes in humans</title><author>CODA, A ; BENDAVID, R ; BOTTO-MICCA, F ; BOSSOTTI, M ; BONA, A</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c269t-2b26fd9056c0dc3def2510fa12406dfb73ca3c60a63774dd5490e42bd1f6dc373</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2003</creationdate><topic>Adult</topic><topic>Aged</topic><topic>Aged, 80 and over</topic><topic>Biological and medical sciences</topic><topic>Device Removal</topic><topic>Female</topic><topic>Hernia, Ventral - surgery</topic><topic>Humans</topic><topic>Male</topic><topic>Medical sciences</topic><topic>Microscopy, Electron, Scanning</topic><topic>Middle Aged</topic><topic>Polyethylene Terephthalates - adverse effects</topic><topic>Polypropylenes - adverse effects</topic><topic>Prosthesis Design - adverse effects</topic><topic>Prosthesis Failure</topic><topic>Prosthesis Implantation</topic><topic>Recurrence</topic><topic>Surgery (general aspects). Transplantations, organ and tissue grafts. Graft diseases</topic><topic>Surgical Mesh - adverse effects</topic><topic>Technology. Biomaterials. Equipments</topic><topic>Treatment Failure</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>CODA, A</creatorcontrib><creatorcontrib>BENDAVID, R</creatorcontrib><creatorcontrib>BOTTO-MICCA, F</creatorcontrib><creatorcontrib>BOSSOTTI, M</creatorcontrib><creatorcontrib>BONA, A</creatorcontrib><collection>Pascal-Francis</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>ProQuest Central (Corporate)</collection><collection>Immunology Abstracts</collection><collection>Health & Medical Collection</collection><collection>ProQuest Central (purchase pre-March 2016)</collection><collection>Medical Database (Alumni Edition)</collection><collection>ProQuest Pharma Collection</collection><collection>Hospital Premium Collection</collection><collection>Hospital Premium Collection (Alumni Edition)</collection><collection>ProQuest Central (Alumni) (purchase pre-March 2016)</collection><collection>ProQuest Central (Alumni Edition)</collection><collection>ProQuest Central UK/Ireland</collection><collection>ProQuest Central</collection><collection>ProQuest One Community College</collection><collection>Health Research Premium Collection</collection><collection>Health Research Premium Collection (Alumni)</collection><collection>AIDS and Cancer Research Abstracts</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>Health & Medical Collection (Alumni Edition)</collection><collection>Medical Database</collection><collection>ProQuest One Academic Eastern Edition (DO NOT USE)</collection><collection>ProQuest One Academic</collection><collection>ProQuest One Academic UKI Edition</collection><collection>ProQuest Central China</collection><jtitle>Hernia : the journal of hernias and abdominal wall surgery</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>CODA, A</au><au>BENDAVID, R</au><au>BOTTO-MICCA, F</au><au>BOSSOTTI, M</au><au>BONA, A</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Structural alterations of prosthetic meshes in humans</atitle><jtitle>Hernia : the journal of hernias and abdominal wall surgery</jtitle><addtitle>Hernia</addtitle><date>2003-03</date><risdate>2003</risdate><volume>7</volume><issue>1</issue><spage>29</spage><epage>34</epage><pages>29-34</pages><issn>1265-4906</issn><eissn>1248-9204</eissn><abstract>The use of prosthetic mesh in abdominal wall hernia surgery is a well-accepted practice. What is not settled, however, is the type of prosthesis that best suits the purpose. The narrow choice today means a prosthesis of polyester or polypropylene. These are available in many designs, configuration of weave, thickness of weave and strand, and size of pore. There has been a pervasive feeling that these materials "shrink". To what extent they do has not been accurately defined. This study was designed to measure such "shrinkage". Interestingly, our measurements revealed that prosthetic meshes could "expand" as well as "shrink". The extent to which they do varies between -40% and 58.5%. Whereas it was felt that fibrocyte activity and its eventual scar formation accounted for the "shrinkage" of the mesh, we have discovered that structural alterations in the size of the mesh pores can be affected by distilled water, saline, blood, formalin, bleach, as well as in vivo implantation. Prosthetic meshes are, therefore, not the inert materials they are claimed to be and can expand as well as shrink. We have, unfortunately, not been able to correlate the degree or direction of change to any known parameter.</abstract><cop>Paris</cop><pub>Springer</pub><pmid>12612795</pmid><doi>10.1007/s10029-002-0089-6</doi><tpages>6</tpages></addata></record> |
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| subjects | Adult Aged Aged, 80 and over Biological and medical sciences Device Removal Female Hernia, Ventral - surgery Humans Male Medical sciences Microscopy, Electron, Scanning Middle Aged Polyethylene Terephthalates - adverse effects Polypropylenes - adverse effects Prosthesis Design - adverse effects Prosthesis Failure Prosthesis Implantation Recurrence Surgery (general aspects). Transplantations, organ and tissue grafts. Graft diseases Surgical Mesh - adverse effects Technology. Biomaterials. Equipments Treatment Failure |
| title | Structural alterations of prosthetic meshes in humans |
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