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聚酯与胶原蛋白及聚四氟乙烯网片在大鼠腹壁缺损修复中的对比研究

Comparative study between meshes of polyester with collagen and polytetrafluoroethylene in the repair of defects produced in abdominal wall of rats.

作者信息

Naufel Andrea Mendes de Oliveira, Czeczko Nicolau Gregori, Mafafaia Osvaldo, Ribas-Filho Jurandir Marcondes, Naufel-Junior Carlos Roberto, Dietz Ulrich Andreas, Marinho-Júnior Carlos Hespanha, Sucharski Enéas Eduardo

机构信息

Department of Surgery, Federal University of Parana, Curitiba, PR, Brazil.

出版信息

Acta Cir Bras. 2012 Jul;27(7):454-9. doi: 10.1590/s0102-86502012000700004.

Abstract

PURPOSE

To study the intraperitoneal use of polyester with collagen and polytetrafluoroethylene meshes in the correction of total ventral wall defects in rats.

METHODS

Thirty two rats were evaluated and divided randomly into four groups and underwent laparotomy and preparation of total defects of the abdominal wall. Next, the correction of the defect with the intraperitoneal placement of the chosen mesh was performed. The rats were submitted to euthanasia at 30 and 90 days after surgery. Were analyzed the macroscopic adhesions and microscopic aspects, and applied stress rupture test

RESULTS

All animals showed intraperitoneal adhesions in varying degrees, with no statistical significance difference. There was no difference also between groups in the evaluation of stress rupture tests. On the microscopic aspect, the A30 group had less inflammatory reaction and less formation of granulomas and foreign body reaction that the B30 group, with significant difference.

CONCLUSIONS

There was no difference in intraperitoneal adhesion and tensile rupture strength among groups. Group B30 presented granulomatous inflammatory reaction at the site of mesh attachment to the wall significantly higher than the A30.

摘要

目的

研究在大鼠全腹壁缺损修复中使用含胶原蛋白的聚酯和聚四氟乙烯网片进行腹腔内植入的情况。

方法

对32只大鼠进行评估并随机分为四组,进行剖腹手术并制备腹壁全层缺损。接下来,通过腹腔内放置所选网片对缺损进行修复。术后30天和90天对大鼠实施安乐死。分析宏观粘连和微观情况,并进行应力破裂试验。

结果

所有动物均表现出不同程度的腹腔内粘连,无统计学差异。在应力破裂试验评估中,各组之间也无差异。在微观方面,A30组的炎症反应、肉芽肿形成和异物反应比B30组少,差异有统计学意义。

结论

各组之间腹腔内粘连和拉伸破裂强度无差异。B30组网片与腹壁附着部位的肉芽肿性炎症反应明显高于A30组。

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