Przydacz Mikolaj, Adli Oussama El Yazami, Mahfouz Wally, Loutochin Oleg, Bégin Louis R, Corcos Jacques
Department of Urology, Jewish General Hospital, McGill University, Montreal, Quebec, Canada.
Division of Anatomical Pathology, Hôpital du Sacré-Coeur de Montréal, Montreal, Quebec, Canada.
Cent European J Urol. 2017 Jun 30;70(2):154-162. doi: 10.5173/ceju.2017.1189. Epub 2017 Apr 14.
To evaluate the impact of design features of the synthetic mid-urethral slings on tissue integrity and inflammatory responses.
In total 30 female Sprague-Dawley rats were implanted with type I monofilamentous, macroporous polypropylene meshes: Gynecare TVT-Obturator tape (Ethicon Inc., Johnson & Johnson, Somerville, NJ, USA) and I-STOP (CL Medical Inc., Lyon, France). All animal groups were sacrificed at set time intervals - 6 weeks, 3 months, 6 months, 9 months and 12 months - and the abdominal wall was harvested with mesh strips for histological evaluation.
All mesh strips appeared to be well incorporated into the abdominal wall, and no signs of shrinkage was noticed. All specimens showed a thin/delicate, loose, fibrous interface between the synthetic graft plate and abdominal wall, along with mild inflammatory reactions from 6 weeks to 12 months.
Both mesh brands induced comparable, minimal foreign body reactions and integrated well into the host tissues despite differences in architectural features. TVT-O and I-STOP evoked similar low-grade inflammatory responses up to 12 months in this animal model. Structural differences and architectural features of polypropylene slings used in this study have had no impact on tissue integrity and inflammatory responses.
评估合成尿道中段吊带的设计特征对组织完整性和炎症反应的影响。
总共30只雌性Sprague-Dawley大鼠植入I型单丝大孔聚丙烯网片:吉妮柔适闭孔带(美国新泽西州萨默维尔市强生公司旗下的Ethicon公司)和I-STOP(法国里昂CL Medical公司)。所有动物组在设定的时间间隔(6周、3个月、6个月、9个月和12个月)处死,并采集带有网片条的腹壁进行组织学评估。
所有网片条似乎都很好地融入腹壁,未观察到收缩迹象。所有标本在合成移植物板与腹壁之间均显示出薄/细腻、疏松的纤维界面,并且从6周到12个月均伴有轻度炎症反应。
尽管结构特征存在差异,但两种网片品牌引起的异物反应相当且最小,并能很好地整合到宿主组织中。在该动物模型中,吉妮柔适闭孔带和I-STOP在长达12个月的时间里引发了相似的低度炎症反应。本研究中使用的聚丙烯吊带的结构差异和构造特征对组织完整性和炎症反应没有影响。