Hernia Research Today is a free monthly online journal that collates and summarizes the latest research about Hernia, including details on hiatal, inguinal, umbilical, abdominal, treatment. | ||||||||
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Effect of host response (incorporation, encapsulation, mixed incorporation and encapsulation, or resorption) on the tensile strength of graft-reinforced repair in the rat ventral hernia model.Trabuco EC, Zobitz ME, Klingele CJ, Gebhart JB Department of Obstetrics and Gynecology, Mayo Clinic, Rochester, MN 55905, USA. OBJECTIVE: The objective of the study was to determine whether the elicited histologic response to synthetic and xenograft materials affected the tensile strength of mesh-reinforced repairs in the rat ventral hernia model. STUDY DESIGN: Hernias were repaired with Gynemesh, Pelvicol, Pelvisoft, or Surgisis (representing incorporation, encapsulation, mixed incorporation and encapsulation, or resorption responses) and were compared with a suture-plicated control. Six animals per group were killed at 1 and 3 months after graft implantation. Preimplantation tensile strength was also measured for each graft material and native rat abdominal wall. RESULTS: Before implantation, Pelvicol had significantly higher adjusted tensile strength when compared with the rat abdominal wall (P < .001) or the other graft materials (P <or= .05). However, no difference in adjusted tensile strength was observed among the groups at 1 and 3 months after implantation. CONCLUSION: The elicited histologic response did not affect the adjusted tensile strength of xenograft or synthetic mesh-reinforced repairs when compared with suture controls. Published 6 December 2007 in Am J Obstet Gynecol, 197(6): 638.e1-6.
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