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Title

AMNIOTIC MEMBRANE-COATED POLYPROPYLENE MESH FOR THE REPAIR OFINCISIONAL HERNIA: AN EXPERIMENTAL STUDY IN A RAT MODEL OFABDOMINALWALL DEFECT

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Abstract

 Background: INCISIONAL HERNIA repairs are among common abdominal wall surgeries, can be primarily required or being reconstructedusing a synthetic or biological material. Objectives: This study aimed at evaluating intra-abdominal adhesions and incisional site healing after the repair of the abdominalwall by fresh amniotic membrane-coated polypropylene mesh in comparison to only polypropylene mesh in an experimental RATStudy. Methods: The study protocol was approved by the Cumhuriyet University Institutional Ethics Committee for Animal Experiments(Sivas-Turkiye, date 24/06/2015). Sixteen pregnant female Wistar-Albino RATS (mean weight, 275 g) were anesthetized on the 21st dayof pregnancy, and a 1-cm area of the abdominal wall was excised. The pregnancy was terminated, emerging amniotic membraneswere dissected, and eight pieces of the 1-cm2 polypropylene mesh were coated with these amniotic membranes without using anysuture or adhesive. The polypropylene meshes were sutured on the abdominal wall of eight RATS (control group), selected by simplerandom sampling. For the remaining eight RATS, the same procedure was applied with the amniotic membrane-coated polypropylenemeshes (experimental group). On the 28th postoperative day, the anterior abdominal wall was opened, and intra-abdominaladhesions were assessed macroscopically by Nair’ s adhesion scoring system. Strip-shaped biopsy samples were taken from incisionlines for histopathological examination. Results: The experimental group had significantly less intra-abdominal adhesions (i. e., Nair’ s score of 2 to 4) compared to the controlgroup (two and six RATS, respectively; P = 0. 046), and had significantly lower mean score for polymorphonuclear leukocyte infiltration(P = 0. 039), hyperemia (P = 0. 039), and epithelialization (P = 0. 039). The score for the increase in connective tissue (P = 0. 018)was significantly higher in the experimental group, and the scores for edema (P = 0. 590) and macrophage infiltration (P = 0. 590)were similar between the two groups. Conclusions: The use of polypropylene mesh coated with fresh amniotic membrane provides the advantage of decreasing postoperativeintra-abdominal adhesions along with less inflammation and higher epithelialization after abdominal wall repair surgery.

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    APA: Copy

    SOYLU, SINAN, YILDIZ, CAGLAR, BOZKURT, BIRKAN, KARAKUS, SAVAS, KURT, BEGUM, & KURT, ATILLA. (2018). AMNIOTIC MEMBRANE-COATED POLYPROPYLENE MESH FOR THE REPAIR OFINCISIONAL HERNIA: AN EXPERIMENTAL STUDY IN A RAT MODEL OFABDOMINALWALL DEFECT. IRANIAN RED CRESCENT MEDICAL JOURNAL (IRCMJ), 20(3), 0-0. SID. https://sid.ir/paper/293703/en

    Vancouver: Copy

    SOYLU SINAN, YILDIZ CAGLAR, BOZKURT BIRKAN, KARAKUS SAVAS, KURT BEGUM, KURT ATILLA. AMNIOTIC MEMBRANE-COATED POLYPROPYLENE MESH FOR THE REPAIR OFINCISIONAL HERNIA: AN EXPERIMENTAL STUDY IN A RAT MODEL OFABDOMINALWALL DEFECT. IRANIAN RED CRESCENT MEDICAL JOURNAL (IRCMJ)[Internet]. 2018;20(3):0-0. Available from: https://sid.ir/paper/293703/en

    IEEE: Copy

    SINAN SOYLU, CAGLAR YILDIZ, BIRKAN BOZKURT, SAVAS KARAKUS, BEGUM KURT, and ATILLA KURT, “AMNIOTIC MEMBRANE-COATED POLYPROPYLENE MESH FOR THE REPAIR OFINCISIONAL HERNIA: AN EXPERIMENTAL STUDY IN A RAT MODEL OFABDOMINALWALL DEFECT,” IRANIAN RED CRESCENT MEDICAL JOURNAL (IRCMJ), vol. 20, no. 3, pp. 0–0, 2018, [Online]. Available: https://sid.ir/paper/293703/en

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