Purpose
To compare tissue inflammatory response, foreign body reaction, fibroplasia,
and proportion of type I/III collagen between closure of abdominal wall
aponeurosis using polyglactin suture and intraperitoneal implant of
polypropylene, polypropylene/polyglecaprone, and polyester/porcine collagen
meshes to repair defects in the abdominal wall of rats.
Methods
Forty Wistar rats were placed in four groups, ten animals each, for the
intraperitoneal implant of polypropylene, polypropylene/polyglecaprone, and
polyester/porcine collagen meshes or suture with polyglactin (sham) after
creation of defect in the abdominal wall. Twenty-one days later,
histological analysis was performed after staining with hematoxylin-eosin
and picrosirius red.
Results
The groups with meshes had a higher inflammation score (p < 0.05) and
higher number of gigantocytes (p < 0.05) than the sham group, which had a
better fibroplasia with a higher proportion of type I/III collagen than the
tissue separating meshes (p < 0.05). There were no statistically
significant differences between the three groups with meshes.
Conclusions
The intraperitoneal implant of polypropylene/polyglecaprone and
polyester/porcine collagen meshes determined a more intense tissue
inflammatory response with exuberant foreign body reaction, immature
fibroplasia and low tissue proportion of type I/III collagen compared to
suture with polyglactin of abdominal aponeurosis. However, there were no
significant differences in relation to the polypropylene mesh group.
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