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International Urogynecology Journal
Article . 2016 . Peer-reviewed
License: Springer TDM
Data sources: Crossref
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Tissue reaction to urogynecologic meshes: effect of steroid soaking in two different mesh models

Authors: Karabulut, Aysun; Simavlı, Serap Aynur; Abban, Gülçin Mete; Akyer, Şahika Pınar; Keskin, Nazan; Tan, Semih; Şahin, Barbaros;

Tissue reaction to urogynecologic meshes: effect of steroid soaking in two different mesh models

Abstract

Steroid soaking may decrease mesh-triggered inflammatory reaction in tissue. We aimed to investigate the tissue reaction to a steroid-soaked mesh material and an unsoaked mesh material in the rat model.Neutral and steroid-soaked type I macroporous polypropylene (PP) monofilament and polyvinylidene fluoride (PVF) mesh materials were implanted on the rectus abdominis muscle of 20 mature Wistar albino rats. Animals were divided into four groups: PP mesh with steroid (PP-S), PP mesh without steroid, PVF mesh with steroid (PVF-S), and PVF mesh without steroid. The rats were killed after 12 weeks, and histologic, immunohistochemical and electron microscopic examinations were performed. For immunohistochemical analysis, polyclonal rabbit anti-mouse CD3, rabbit anti-mouse CD68, rabbit anti-mouse CD15, and rabbit anti-mouse CD34 antibodies were used for the detection of lymphocytes, macrophages, polymorphonuclear leukocyte foreign body giant cells, and fibromyocyte stem cells, respectively. Samples were stained with hematoxylin and eosin for the histologic evaluation of inflammation and with Masson's trichrome stain for the evaluation of collagen deposition. Pore size and mesh ultrastructure were evaluated by electron microscopy.Expression of CD3 was lower in the PVF, PVF-S and PP-S groups, and expression of CD34 was higher in the PVF-S and PP-S groups than in the PP groups (p  0.05).PVF mesh induces less inflammation than PP mesh, and in both mesh types steroid soaking further decreases inflammation without changing the pore size.

Country
Turkey
Related Organizations
Keywords

collagen, animal cell, CD68 antigen, Wistar rat, rectus abdominis muscle, CD34 antibody, Tissue reaction, Materials Testing, rat, animal, surgical mesh, comparative study, polyvinylidene fluoride, steroid, neutrophil, CD15 antigen, staining, mesh sling, female, priority journal, immunohistochemistry, Female, Polyvinyls, Steroids, Collagen, Polypropylene, polypropylene, cell ultrastructure, diagnostic imaging, animal experiment, 610, macrophage, lymphocyte, Urogynecology, Polypropylenes, Article, tissue reaction, animal tissue, histology, Animals, Humans, controlled study, giant cell, human, materials testing, Rats, Wistar, CD3 antibody, protein expression, Inflammation, Mesh, nonhuman, electron microscopy, polyvinyl derivative, Foreign-Body Reaction, Abdominal Wall, Surgical Mesh, abdominal wall, Rats, Polyvinylidene fluoride, stem cell, Fluorocarbon Polymers, inflammation, adverse effects, metabolism

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selected citations
These citations are derived from selected sources.
This is an alternative to the "Influence" indicator, which also reflects the overall/total impact of an article in the research community at large, based on the underlying citation network (diachronically).
BIP!Citations provided by BIP!
popularity
This indicator reflects the "current" impact/attention (the "hype") of an article in the research community at large, based on the underlying citation network.
BIP!Popularity provided by BIP!
influence
This indicator reflects the overall/total impact of an article in the research community at large, based on the underlying citation network (diachronically).
BIP!Influence provided by BIP!
impulse
This indicator reflects the initial momentum of an article directly after its publication, based on the underlying citation network.
BIP!Impulse provided by BIP!
5
Average
Average
Average
Green