1988
DOI: 10.1111/j.1464-410x.1988.tb04259.x
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The Evolution of a Biodegradable Membrane for Use in Urological Surgery A summary of 109 in vivo Experiments

Abstract: The evolution of a collagen/vicryl composite membrane designed as a prosthetic material for use in urinary tract surgery is described. The early experiments in which collagen film alone was used to repair experimental ureterotomies are reviewed together with our first experiments with the collagen/vicryl prosthesis in the repair of partial nephrectomies and of full thickness defects created in the urinary bladder of experimental rabbits. These early results led to the preparation of a composite using a more hi… Show more

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Cited by 39 publications
(20 citation statements)
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“…In our studies, no attempt was made to divert urine from the urinary tract, and hence a normal physiological movement of the bladder was able to take place. Blocks prepared for histology in our two series of experiments [1,2] were serially sectioned to show that islets of smooth muscle present in the repair area were not arising from the pre-existing detrusor muscle. Our results therefore show that, under the conditions of our experiments, when a full thickness defect of the urinary bladder is replaced by a biodegradable membrane, smooth muscle regeneration can occur within the granu lation tissue of the repair site, presumably as a result of myoblastic differentiation.…”
Section: Resultsmentioning
confidence: 99%
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“…In our studies, no attempt was made to divert urine from the urinary tract, and hence a normal physiological movement of the bladder was able to take place. Blocks prepared for histology in our two series of experiments [1,2] were serially sectioned to show that islets of smooth muscle present in the repair area were not arising from the pre-existing detrusor muscle. Our results therefore show that, under the conditions of our experiments, when a full thickness defect of the urinary bladder is replaced by a biodegradable membrane, smooth muscle regeneration can occur within the granu lation tissue of the repair site, presumably as a result of myoblastic differentiation.…”
Section: Resultsmentioning
confidence: 99%
“…The repair of full thickness defects in the urinary bladder of 43 mature rabbits has already been described [1,2], From these two series of experiments, samples were obtained in which there was clear evidence of smooth muscle regeneration both at the margins and within the repair site. By re-examining the material already produced, the samples used to illustrate this paper were obtained.…”
Section: Methodsmentioning
confidence: 99%
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“…[4][5][6][7][8] Collagenrich biodegradable materials such as placenta, amnion and pericardium have been used with more success than nonbiodegradable materials. [9][10][11][12] However, none of these materials has been found to be suitable for clinical use.…”
Section: Discussionmentioning
confidence: 99%
“…However, these grafts were quickly encrusted, prone to infection and subject to host-foreign body reactions. [1][2][3][4][5] The unfavourable outcomes related to these materials led to the development of grafts that were biodegradable, minimally immunogenic and demonstrated the ingrowth of native cells necessary for successful tissue regeneration. Omentum, peritoneum, placenta, pericardium and dura have served as alternatives for the bladder wall.…”
Section: Introductionmentioning
confidence: 99%