关键词: degradation physical properties synthetic implants tissue reactions

Mesh : Absorbable Implants Animals Biocompatible Materials / chemical synthesis metabolism pharmacology Dioxanes / chemical synthesis metabolism pharmacology Fascia / drug effects ultrastructure Fibrosis Humans Hydrophobic and Hydrophilic Interactions Male Materials Testing Muscle, Skeletal / drug effects surgery ultrastructure Polyesters / chemical synthesis metabolism pharmacology Polymers / chemical synthesis metabolism pharmacology Polypropylenes / chemical synthesis metabolism pharmacology Rats Rats, Wistar Surgical Mesh

来  源:   DOI:10.1007/s10517-020-05010-5   PDF(Sci-hub)

Abstract:
We compared in vitro degradation and physical properties of polypropylene and a biodegradable polymer synthesized by electrospinning and consisting of 65% polycaprolactone and 35% polytrimethylene carbonate as a possible alternative material for use in surgery for pelvic floor muscle failure. Samples of the studied polymers were implanted to 10 male Wistar rats into the interfascial space on the back (polypropylene on the right side and biodegradable polymer on the left side). The synthesized biopolymer was characterized by elongation and tear resistance, similar to those of polypropylene. During the period from the third to the sixth month after implantation, the area of fibrosis around individual polypropylene and biopolymer fibers increased by 16.7 and 107.9%, respectively, while remaining reduced compared to polypropylene. The total fibrosis area in 6 months after implantation of polypropylene and biopolymer samples significantly increased by 18% (p=0.0097) and 48% (p=0.05), respectively, i.e. fibrosing processes were more intense in case of biopolymer. Induction of more pronounced fibrosis can be an advantage of the synthesized biopolymer when choosing the material for fabrication of implants and their use for correction of incompetence of the ligamentous and muscular apparatus.
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