Structural and thermal properties of polypropylene mesh used in treatment of stress urinary incontinence

Besides material biocompatibility, it is possible to infer that both vaginal and urethral erosion rates associated with sub-urethral synthetic slings may be related to the mechanical properties of the meshes and also to their other properties. With the aim of understanding what distinguishes the dif...

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Veröffentlicht in:Acta of bioengineering and biomechanics 2009, Vol.11 (3), p.27-33
Hauptverfasser: Afonso, Jose S, Jorge, Renato M N, Martins, Pedro S, Soldi, Marly Da S, Alves, Oswaldo L, Patricio, Belmiro, Mascarenhas, Teresa, Sartori, Marair G F, Girao, Manoel J B C
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container_end_page 33
container_issue 3
container_start_page 27
container_title Acta of bioengineering and biomechanics
container_volume 11
creator Afonso, Jose S
Jorge, Renato M N
Martins, Pedro S
Soldi, Marly Da S
Alves, Oswaldo L
Patricio, Belmiro
Mascarenhas, Teresa
Sartori, Marair G F
Girao, Manoel J B C
description Besides material biocompatibility, it is possible to infer that both vaginal and urethral erosion rates associated with sub-urethral synthetic slings may be related to the mechanical properties of the meshes and also to their other properties. With the aim of understanding what distinguishes the different polypropylene meshes, used for the treatment of the stress urinary incontinence (SUI), their structural and thermal properties were investigated. Five different mesh types were tested (Aris, Auto Suture, Avaulta, TVTO and Uretex). Differential scanning calorimetry (DSC) and infrared spectroscopy (FTIR) tests were performed. Furthermore, geometry (electron microscope), linear density and relative density (pyknometer) of the meshes were investigated. The meshes are made of the isotactic polypropylene homopolymer. Aris mesh presented the smallest fibre diameter, linear density and the level of crystallinity among all the meshes used for the treatment of the SUI. This study shows that there is a direct relationship between the fibre diameter, linear density, level of crystallinity and flexural stiffness of the polypropylene meshes used for the treatment of the SUI.
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source MEDLINE; EZB-FREE-00999 freely available EZB journals
subjects Biocompatible Materials - adverse effects
Biocompatible Materials - chemistry
Biomechanical Phenomena
Calorimetry, Differential Scanning
Female
Humans
Materials Testing
Microscopy, Electron, Scanning
Polypropylenes - adverse effects
Polypropylenes - chemistry
Spectroscopy, Fourier Transform Infrared
Suburethral Slings - adverse effects
Surgical Mesh - adverse effects
Urinary Incontinence, Stress - surgery
title Structural and thermal properties of polypropylene mesh used in treatment of stress urinary incontinence
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