The Use of Vicryl Mesh in 200 Porous Orbital Implants

Jordan, David R.; Klapper, Stephen R.; Gilberg, Steven

doi:10.1097/00002341-200301000-00007

Cited by 60 publications

(39 citation statements)

References 62 publications

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“…16 The advantages of using vicryl mesh is the easy availability, it does not require donor tissue, is readily available, and no risk of the transmission of diseases, but it has a learning curve since the polyglactin 910 mesh-wrapped implant has different handling properties than a sclera-wrapped implant. 6 Our pilot study suggests that the use of bovine pericardium (Tutopatch s ) is a safe alternative to the other wrapping materials. Use of Tutopatch s decreases surgical time, as the autologous tissue does not need to be harvested.…”

Section: Discussionmentioning

confidence: 87%

“…15 Vicryl mesh has also been used by many people with different levels of access. Jordan et al 6 reported an exposure rate of 2.1% within the first 2-3 months of surgery. Other authors have reported a high exposure rate in cases where vicryl mesh was used.…”

Section: Discussionmentioning

confidence: 98%

“…Various wrapping materials like donor human sclera, 2 polyester heart fibre patches, 3 rectus abdominis sheath, 4 posterior auricular muscle, 5 vicryl mesh, 6 and bovine pericardium have been used. 7 Processed bovine pericardium has the added advantage of being available in a sterilized prewrapped form and autologous tissue does not need to be harvested.…”

Section: Introductionmentioning

confidence: 99%

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Bovine pericardium (Tutopatch) wrap for hydroxyapatite implants

Gupta

Lyon

Singh

et al. 2006

Eye

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Purpose To evaluate bovine pericardium (Tutopatch s ) as a wrapping material for hydroxyapatite implants in patients undergoing enucleation for uveal melanoma. Method Prospective cohort study of patients who had enucleation for uveal melanoma between January 2003 and August 2003 were included in the study. Any patient with less than 3 months follow-up was excluded. Enucleation was performed under general anaesthesia followed by insertion of hydroxyapatite implants wrapped in bovine pericardium (Tutopatch). The recti muscles were sutured directly to the wrap. The tenon's capsule and conjunctiva were closed in two layers. A conformer was inserted at 1 week and artificial eye at 2-3 months. The patients were followed up regularly and were assessed for cosmetic result, exposure of implant, and the need for any further surgical procedures. Results A total of 19 patients (seven male and 12 female) were included in the study. Median age at diagnosis was 63 years (range 38-80 years). Median follow-up was 26 months (range 22-30 months). No patient developed postoperative complications of wound dehiscence. The overall cosmetic result was excellent in all the patients. The rate of postoperative complications compared favourably with published data using other wrapping materials/implants. Conclusion Tutopatch s is a safe wrapping material for hydroxyapatite orbital implants in patients undergoing enucleation for uveal melanoma.

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Section: Discussionmentioning

confidence: 87%

Section: Discussionmentioning

confidence: 98%

Section: Introductionmentioning

confidence: 99%

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Bovine pericardium (Tutopatch) wrap for hydroxyapatite implants

Gupta

Lyon

Singh

et al. 2006

Eye

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“…Others include donor-processed pericardium and fascia lata. Popular synthetic wrapping materials are polyglactin-910 mesh, poly-tetrafluoroethylene sheet, 9 etc. The use of these synthetic wrapping materials significantly raises the cost of surgery.…”

Section: Discussionmentioning

confidence: 99%

An Innovative Modified Orbital Implant in Enucleated Eyes for Postoperative Functionality and Cosmesis

Dokania¹,

Rizvi²,

Sinha³

2017

International Journal of Advanced and Integrated Medical Sciences

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Orbital implants replace the volume lost by enucleated eye, impart motility to the prosthesis, and maintain cosmetic symmetry with the fellow eye. They include nonintegrated, synthetic semi-integrated, integrated, bio-integrated, and biogenic varieties. The much favored hydroxyapatite (bio-integrated) implant, due to its rough surface, needs to be wrapped in donor sclera or other wrapping materials (like polyglactin-910 mesh, polytetrafluoroethylene sheet, etc.) to which the muscles could be directly sutured. Cost factor of such wrappings is often prohibitive that add to the expense of such implants.Purpose: To highlight monofilament polypropylene surgical mesh commonly used for herniorrhaphy as an alternative implant wrapping for achieving augmented implant volume and enabling easier extraocular muscle attachment in postenucleation reconstruction of artificial eye. Materials and methods:Following enucleation of a nonfunctional eye in a patient who met with a road traffic accident, a 14 mm hydroxyapatite ball was used to replace the globe. The ball was wrapped with a monofilament polypropylene surgical mesh used in herniorrhaphy and sutured. The patient achieved a satisfactory cosmesis and movements of the implant for different gazes. No ocular discomfort or implant extrusion was reported following 6 months of follow-up. Conclusion:Monofilament polypropylene mesh can be used safely as an orbital implant wrapping, economizing the implant cost.

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“…Synthetic materials like Vicryl mesh and Dexon mesh eliminate the need for donor tissue or for a second incision as required with the use of autogenous tissue [19, 20]. They are inexpensive and carry little risk of infection.…”

Section: Discussionmentioning

confidence: 99%

The Use of Autogenous Sclera as Wrapping Material in Hydroxyapatite Implantation

et al. 2008

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Purpose: To report postoperative results and effectiveness using autogenous sclera as a wrapping material for hydroxyapatite orbital implant. Methods: A chart review of 78 patients (78 eyes) undergoing primary enucleation or a secondary procedure using autogenous sclera as a wrapping material from March 1997 to October 2004 was undertaken. Primary enucleation was performed in 54 eyes and secondary implantation in 24. In severely constricted eyes or eviscerated eyes with small implants, the sclera was unfolded and used for wrapping only on the anterior surface of the implant. Results: The average size of implants was 19.7 mm in diameter, and all the 78 implants were over 18 mm. During an average postoperative follow-up of 18 months, complications such as implant exposure, infection or extrusion did not occur in any case. Conclusion: This study shows that autogenous sclera is a safe, effective wrapping material for hydroxyapatite orbital implants with no serious complications.

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The Use of Vicryl Mesh in 200 Porous Orbital Implants

Cited by 60 publications

References 62 publications

Bovine pericardium (Tutopatch) wrap for hydroxyapatite implants

Bovine pericardium (Tutopatch) wrap for hydroxyapatite implants

An Innovative Modified Orbital Implant in Enucleated Eyes for Postoperative Functionality and Cosmesis

The Use of Autogenous Sclera as Wrapping Material in Hydroxyapatite Implantation

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