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Id: biblio-885705
Autor: Rossi, Lucas Félix; Trindade, Manoel Roberto Maciel; D'acampora, Armando José; Meurer, Luise.
Título: Peritoneal adhesions type i, iii and total collagen on polypropylene and coated polypropylene meshes: experimental study in rats / Aderências peritoneais tipo i, iii e colágeno total em telas de polipropileno e revestidas: estudo experimental em ratos
Fonte: ABCD arq. bras. cir. dig;30(2):77-82, Apr.-June 2017. tab, graf.
Idioma: en.
Resumo: ABSTRACT Background: Hernia correction is a routinely performed treatment in surgical practice. The improvement of the operative technique and available materials certainly has been a great benefit to the quality of surgical results. The insertion of prostheses for hernia correction is well-founded in the literature, and has become the standard of treatment when this type of disease is discussed. Aim: To evaluate two available prostheses: the polypropylene and polypropylene coated ones in an experimental model. Methods: Seven prostheses of each kind were inserted into Wistar rats (Ratus norvegicus albinus) in the anterior abdominal wall of the animal in direct contact with the viscera. After 90 days follow-up were analyzed the intra-abdominal adhesions, and also performed immunohistochemical evaluation and videomorphometry of the total, type I and type III collagen. Histological analysis was also performed with hematoxylin-eosin to evaluate cell types present in each mesh. Results: At 90 days the adhesions were not different among the groups (p=0.335). Total collagen likewise was not statistically different (p=0.810). Statistically there was more type III collagen in the coated polypropylene group (p=0.039) while type I was not different among the prostheses (p=0.050). The lymphocytes were statistically more present in the polypropylene group (p=0.041). Conclusion: The coated prosthesis was not different from the polypropylene one regarding the adhesion. Total and type I collagen were not different among the groups, while type III collagen was more present on the coated mesh. There was a greater number of lymphocytes on the polypropylene mesh.

RESUMO Racional: A correção herniária é tratamento realizado rotineiramente na prática cirúrgica. O aprimoramento da técnica operatória e dos materiais disponíveis trouxe grande benefício na qualidade dos resultados cirúrgicos. A inserção de próteses para correção herniária é bem embasada na literatura e tornou-se o padrão de tratamento. Objetivo: Avaliar em modelo experimental dois tipos de próteses diferentes, de polipropileno e polipropileno revestido. Métodos: Foram inseridas sete próteses de cada tipo em ratos Wistar (Ratus norvegicus albinus) na parede abdominal anterior do animal em contato direto com as vísceras. Após o seguimento de 90 dias analisaram-se as aderências intra-abdominais, bem como avaliação por imunoistoquímica e videomorfometria do colágeno total, tipo I e tipo III. Também, fez-se análise histológica com hematoxylina-eosina para avaliação dos tipos celulares presentes em cada tela. Resultados: Aos 90 dias as aderências não foram diferentes entre os grupos (p=0,335). O colágeno total igualmente não foi estatisticamente diferente (p=0,810). O colágeno tipo III foi estatisticamente maior no grupo polipropileno revestido (p=0,039) enquanto o tipo I não diferiu entre as próteses (p=0,050). Os linfócitos foram estatisticamente mais presentes no grupo polipropileno (p=0,041). Conclusão: A prótese revestida não foi diferente da de polipropileno na variável aderência. O colágeno total e tipo I não foram diferentes entre os grupos enquanto que o colágeno tipo III foi mais presente na tela revestida. O número de linfócitos foi maior na tela de polipropileno.
Descritores: Doenças Peritoneais/classificação
Polipropilenos/química
Complicações Pós-Operatórias/classificação
Telas Cirúrgicas/efeitos adversos
Colágeno/análise
-Doenças Peritoneais/etiologia
Complicações Pós-Operatórias/etiologia
Aderências Teciduais/classificação
Aderências Teciduais/etiologia
Ratos Wistar
Materiais Revestidos Biocompatíveis
Desenho de Equipamento
Herniorrafia/instrumentação
Limites: Animais
Masculino
Ratos
Responsável: BR1.1 - BIREME


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Id: biblio-885729
Autor: Utrabo, Carlos Alberto Lima; Czecko, Nicolau Gregori; Busato, Cesar Roberto; Montemór-Netto, Mário Rodrigues; Lipinski, Leandro; Malafaia, Osvaldo.
Título: Tensiometric analysis of meshes used in abdominal ventral wall defects in rats / Estudo tensiométrico de telas utilizadas na correção de defeito na parede abdominal ventral de ratos
Fonte: ABCD arq. bras. cir. dig;30(3):165-168, July-Sept. 2017. tab, graf.
Idioma: en.
Resumo: ABSTRACT Background: Among the various strategies to avoid exaggerated foreign body reaction in the treatment of hernias is the limitation of the amount of polypropylene or the use of absorbable material. Aim: To evaluate the healing of defects in the abdominal wall of rats, comparing microporous polypropylene, macroporous polypropylene and polypropylene/polyglecaprone at the 30º, 60º and 120º postoperative day. Methods: Wistar rats were submitted to defect production in the ventral abdominal wall, with integrity of the parietal peritoneum. Prolene®, Ultrapro® and Bard Soft® meshes were used in the correction of the defect. Nine subgroups of 10 animals were submitted to euthanasia at 30th, 60th and 120th postoperative day. Fragments of the abdominal wall of the animals were submitted to tensiometric analysis. Results: The tensiometry at the 30th postoperative day showed greater resistance of the tissues with Bard Soft® (macroporous mesh) in relation to the tissues with Prolene® (microporous mesh). On the 60th postoperative day Bard Soft® maintained the superior resistance to the tissues comparing to Prolene Mesh®. On the 120th postoperative day the tissues repaired with Ultrapro® (macroporous mesh) proved to be more resistant than the ones by Prolene® (microporous mesh) and Bard Soft® (macroporous mesh). Conclusion: The tissues repaired with macroporous meshes showed greater resistance than with microporous meshes at all stages, and at 120 days postoperative Ultrapro® performed better than the others.

RESUMO Racional: Dentre as várias estratégias para evitar exagerada reação de corpo estranho no tratamento das hérnias está a limitação da quantidade de polipropileno na tela ou utilização de material absorvível. Objetivo: Avaliar a cicatrização de defeito em parede abdominal de ratos, comparando-se as telas de polipropileno microporosa, polipropileno macroporosa e polipropileno/poliglecaprone. Métodos: Em 90 ratos Wistar foi produzido defeito na parede abdominal ventral, com integridade do peritônio parietal. Na correção foram utilizadas as telas Prolene®, Ultrapro® e Bard Soft®. Nove subgrupos de 10 animais foram submetidos à eutanásia no 30º, 60º e 120º dia do pós-operatório. Fragmentos da parede abdominal dos animais foram submetidos à análise tensiométrica. Resultados: A tensiometria aos 30dias mostrou maior resistência do tecido com tela Bard Soft® em relação à de Prolene®; no 60º dia a Bard Soft® manteve a resistência superior ao Prolene®; no 120º dia a reparação com tela macroporosa Ultrapro® mostrou-se mais resistentes que a de Prolene® e Bard Soft®. Conclusão: Os tecidos reparados com telas macroporosas demonstraram maior resistência do que as microporosas em todas as fases, sendo que aos 120 dias de pós-operatório a Ultrapro® teve melhor desempenho que as demais.
Descritores: Poliésteres
Polipropilenos
Telas Cirúrgicas
Teste de Materiais
Dioxanos
Técnicas de Fechamento de Ferimentos Abdominais
-Resistência à Tração
Fatores de Tempo
Ratos Wistar
Limites: Animais
Masculino
Ratos
Tipo de Publ: Estudo Comparativo
Responsável: BR1.1 - BIREME


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Id: lil-796877
Autor: Ávila, Oscar Rubini; Parizzi, Natália Gomes; Souza, Ana Paula Mayumi; Botini, Dayane Silvestre; Alves, João Ytimura; Almeida, Silvio Henrique Maia.
Título: Histological response to platelet-rich plasma added to polypropylene mesh implemented in rabbits
Fonte: Int. braz. j. urol;42(5):993-998, Sept.-Oct. 2016. graf.
Idioma: en.
Resumo: ABSTRACT Introduction: The platelet-rich plasma (PRP) is part of a set of biotechnologies, providing some growth factors that promote repair of different tissues. The polypropylene meshes (PPM) are applied in the correction of abdominal defects, pelvic floor and urinary incontinence, however, they induce many significant complications, as a result of an inappropriate inflammatory response. Purpose: To investigate the changes caused by PRP associated with the implantation of PPM in the abdomen of female rabbits, in the production of collagen I and III and the inflammatory infiltrate (ININ). Materials and Methods: We performed implant meshes with and without PRP in adult rabbits (n=30) and euthanasia at 7, 30 and 90 days. Two plates were prepared from each animal and analyzed in five different fields. The ININ was evaluated by quantification of inflammatory cells using hematoxylin-eosin and the collagen by Sirius red method. The results were analyzed applying the Wilcoxon, Kruskal-Wallis, Junckheere and Friedmann tests. Results: There was a significant difference in the number of inflammatory cells between the groups with and without PRP (p=0.01) at 90 days. There was increased production of collagen I, III and total with the use of PRP, at seven days. Conclusion: The PPM coating with PRP was associated with increased ININ at the implant area, and an increasing trend during the process of tissue repair. The PPM coated with PRP was related to increased concentration of collagen I, collagen III and the concentration of total collagen increased after seven days of implantation.
Descritores: Polipropilenos/farmacologia
Telas Cirúrgicas
Colágeno/efeitos dos fármacos
Plasma Rico em Plaquetas/química
Inflamação/prevenção & controle
-Contagem de Plaquetas
Coelhos
Fatores de Tempo
Cicatrização/efeitos dos fármacos
Teste de Materiais
Reprodutibilidade dos Testes
Colágeno/análise
Modelos Animais de Doenças
Inflamação/patologia
Limites: Animais
Feminino
Tipo de Publ: Estudo de Avaliação
Responsável: BR1.1 - BIREME


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Id: lil-785738
Autor: Prudente, Alessandro; Fávaro, Wágner José; Latuf Filho, Paulo; Riccetto, Cássio Luis Zanettini.
Título: Host inflammatory response to polypropylene implants: insights from a quantitative immunohistochemical and birefringence analysis in a rat subcutaneous model
Fonte: Int. braz. j. urol;42(3):585-593tab, graf.
Idioma: en.
Projeto: São Paulo Research Foundation.
Resumo: ABSTRACT Objectives To describe acute and sub acute aspects of histological and immunohistochemical response to PP implant in a rat subcutaneous model based on objective methods. Materials and Methods Thirty rats had a PP mesh subcutaneously implanted and the same dissection on the other side of abdomen but without mesh (sham). The animals were euthanized after 4 and 30 days. Six slides were prepared using the tissue removed: one stained with hematoxylin-eosin (inflammation assessment); one unstained (birefringence evaluation) and four slides for immunohistochemical processing: IL-1 and TNF-α (pro-inflammatory cytokines), MMP-2 (collagen metabolism) and CD-31 (angiogenesis). The area of inflammation, the birefringence index, the area of immunoreactivity and the number of vessels were objectively measured. Results A larger area of inflammatory reaction was observed in PP compared to sham on the 4th and on the 30th day (p=0.0002). After 4 days, PP presented higher TNF (p=0.0001) immunoreactivity than sham and no differences were observed in MMP-2 (p=0.06) and IL-1 (p=0.08). After 30 days, a reduction of IL-1 (p=0.010) and TNF (p=0.016) for PP and of IL-1 (p=0.010) for sham were observed. Moreover, area of MMP-2 immunoreactivity decreased over time for PP group (p=0.018). Birefringence index and vessel counting showed no differences between PP and sham (p=0.27 and p=0.58, respectively). Conclusions The implantation of monofilament and macroporous polypropylene in the subcutaneous of rats resulted in increased inflammatory activity and higher TNF production in the early post implant phase. After 30 days, PP has similar cytokines immunoreactivity, vessel density and extracellular matrix organization.
Descritores: Polipropilenos/efeitos adversos
Telas Cirúrgicas/efeitos adversos
Reação a Corpo Estranho/etiologia
Reação a Corpo Estranho/induzido quimicamente
Reação a Corpo Estranho/patologia
Tela Subcutânea/patologia
-Fatores de Tempo
Materiais Biocompatíveis/efeitos adversos
Birrefringência
Teste de Materiais
Imuno-Histoquímica
Celulite (Flegmão)/etiologia
Celulite (Flegmão)/patologia
Reprodutibilidade dos Testes
Colágeno/análise
Colágeno/metabolismo
Interleucina-1/análise
Interleucina-1/metabolismo
Fator de Necrose Tumoral alfa/análise
Fator de Necrose Tumoral alfa/metabolismo
Ratos Wistar
Molécula-1 de Adesão Celular Endotelial a Plaquetas/análise
Molécula-1 de Adesão Celular Endotelial a Plaquetas/metabolismo
Metaloproteinase 2 da Matriz/análise
Metaloproteinase 2 da Matriz/metabolismo
Limites: Animais
Feminino
Tipo de Publ: Estudo de Avaliação
Responsável: BR1.1 - BIREME


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Id: biblio-892861
Autor: Parizzi, Natália Gomes; Rubini, Oscar Ávila; Almeida, Silvio Henrique Maia de; Ireno, Lais Caetano; Tashiro, Roger Mitio; Carvalho, Victor Hugo Tolotto de.
Título: Effect of platelet-rich plasma on polypropylene meshes implanted in the rabbit vagina: histological analysis
Fonte: Int. braz. j. urol;43(4):746-752, July-Aug. 2017. tab, graf.
Idioma: en.
Resumo: ABSTRACT Purpose The polypropylene mesh (PPM) is used in many surgical interventions because of its good incorporation and accessibility. However, potential mesh-related complications are common. Platelet-rich plasma (PRP) improves the healing of wounds and is inexpensive. Thus, the purpose of this study was to analyze the effect of the PRP-gel coating of a PPM on inflammation, production of collagen, and smooth muscle in the rabbit vagina. Materials and Methods The intervention consisted of a 1.5cm incision and divulsion of the vaginal mucosa for the implantation of a PRP-coated PPM. The PRP-coated mesh was implanted in 15 rabbits, and in the second group, the same implant was used without the PRP coating. In the sham group, the intervention consisted of the incision, divulsion, and suture. The rabbits were euthanized at 7, 30 and 90 days, and full-thickness sagittal sections of the posterior vaginal wall and rectum were scored. The inflammatory infiltrate was evaluated using hematoxylin and eosin staining. The Sirius Red stain was used to examine deposition of collagen I and III, and Masson's trichrome staining was used to visualize the smooth muscle. Results The group with PRP-coated meshes had a lower inflammatory infiltrate count at 30 days. Deposition of collagen III increased with the use of PRP-coating at 90 days. Conclusions The area of inflammatory infiltrate was significantly increased in the group without the PRP-coated mesh at 30 days but not in the group with the PRP-coated mesh, indicating a less intense inflammatory response. In addition, a significant increase in collagen III occurred at 90 days.
Descritores: Polipropilenos
Telas Cirúrgicas/efeitos adversos
Vagina/cirurgia
Plasma Rico em Plaquetas
-Complicações Pós-Operatórias
Coelhos
Vagina/patologia
Cicatrização
Colágeno/metabolismo
Limites: Animais
Feminino
Responsável: BR1.1 - BIREME


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Id: biblio-954082
Autor: Bronzatto, Elaine; Riccetto, Cássio Luis Zanettini.
Título: Pro - inflammatory cytokines and metalloproteinase activation in polypropylene mesh implant in rat subcutaneous tissue
Fonte: Int. braz. j. urol;44(4):819-825, July-Aug. 2018. tab, graf.
Idioma: en.
Resumo: ABSTRACT Aims and Objectives: Polypropylene meshes have been increasingly adopted for correction of pelvic organ prolapse due to its lower recurrence rate when compared to surgeries without meshes. The study of the interaction of these materials with the host tissue may contribute to the development of materials with best biocompatibility and, consequently, less complication rates. Materials and Methods: The present study compares the inflammatory reaction of standard-weight (SW) and lightweight (LW) meshes (72 g/m216g/m2 respectively), implanted in the abdomen of 20 adult rats, which were euthanized in four or 30 days. Quantification of pro-inflammatory markers, IL-1 and TNF-α, and of metalloproteinases, MMP2 and MMP3, were carried out through immunohistochemistry with AxioVision® software. Results: There were no significant differences in the quantification of IL-1 and TNF-α in LW versus SW meshes. However, IL-1 quantification increased along time (30 days >4 days, p=0.0269). Also, MMP-2 quantification was similar to SW and LW and both presented a significant increase along time (30 days >4 days, p <0.0001). MMP-3 quantification also showed no difference between the SW and LW groups, but increased along time (30 days >4 days, p=0.02). Conclusions: Mesh's density did not influence the quantification of pro-inflammatory cytokines IL-1 and TNF-α and metalloproteinases 2 and 3. The increased expression of IL-1, MMP-2 and MMP-3 over time could represent a longstanding inflammatory response after PP mesh implantation. Possibly, the occurrence of adverse events following PP prosthetic implants can be influenced by other factors, not solely related to the amount of implanted material.
Descritores: Polipropilenos/efeitos adversos
Telas Cirúrgicas/efeitos adversos
Interleucina-1/análise
Fator de Necrose Tumoral alfa/análise
Metaloproteinase 3 da Matriz/análise
Metaloproteinase 2 da Matriz/análise
Tela Subcutânea/patologia
-Fatores de Tempo
Cicatrização
Materiais Biocompatíveis/efeitos adversos
Teste de Materiais
Imuno-Histoquímica
Reprodutibilidade dos Testes
Reação a Corpo Estranho/induzido quimicamente
Reação a Corpo Estranho/patologia
Colágeno/análise
Parede Abdominal/patologia
Tela Subcutânea/efeitos dos fármacos
Limites: Animais
Feminino
Ratos
Responsável: BR1.1 - BIREME


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Id: biblio-954038
Autor: Lourenço, Danilo Budib; Korkes, Fernando; Vetorazzo Filho, José Eduardo; Carramão, Silvia da Silva; Auge, Antônio Pedro Flores; Toledo, Luis Gustavo Morato de.
Título: Functional outcomes and quality of life after transobturatory slings: hand - made vs. commercial slings
Fonte: Int. braz. j. urol;44(3):543-549, May-June 2018. tab, graf.
Idioma: en.
Resumo: ABSTRACT Surgical correction is the most efficient treatment for stress urinary incontinence (SUI), and transobturator sling (TO) has optimal results. The high cost of commercially available sling kits makes it difficult the access in most Brazilian public health services. Hand-made polypropylene slings, on the other hand, have been previously reported. The aim of the present study was to compare the effectiveness and safety of commercial vs. hand-made polypropylene mesh slings. Data from 57 women who underwent consecutive TO sling surgery to treat SUI were pros- pectively collected between 2012 and 2014, and divided in two groups for further compa- rison. In Group-1, 31 women underwent surgery with commercial slings. In Group-2, 26 women underwent hand-made polypropylene slings. Women were compared according to epidemiological data, perioperative evaluation, quality of life, urodynamic study, cure and complication rates. Results were objectively (stress test with Valsalva maneuver, with at least 200mL vesical repletion) and subjectively evaluated by the Patient Global Impression of Improvement(PGI-I), Visual Analog Scale (VAS) and ICIQ-SF. Success was defined as PGI-I, VAS and negative stress test. Group-1 (n=31) and Group-2 (n=26) had a mean age of 60 vs. 58years (p=0.386). All de- mographic data were similar. The mean VLPP was 75.6cmH2O vs. 76.6cmH2O (p=0.88). The mean follow-up was 24.3 vs. 21.5months (p=0.96). Success rates were 74.2% vs. 80.2% (p=0.556), with ICIQ-SF variation of 12.6 vs.15.5 (p=0.139) and PGI-I of 71% vs. 80% (p=0.225). There was only one major complication (urethrovaginal fistula in Group-1). In conclusion, handmade and commercial slings have similar effectiveness and safety. The manufacture technique has important key-points stated in the present manuscript.
Descritores: Desenho de Prótese
Qualidade de Vida
Incontinência Urinária por Estresse/cirurgia
Slings Suburetrais/normas
-Polipropilenos
Complicações Pós-Operatórias
Brasil
Inquéritos e Questionários
Reprodutibilidade dos Testes
Estudos Retrospectivos
Resultado do Tratamento
Implantação de Prótese/métodos
Slings Suburetrais/efeitos adversos
Duração da Cirurgia
Pessoa de Meia-Idade
Limites: Humanos
Feminino
Idoso
Tipo de Publ: Estudo Comparativo
Estudo de Avaliação
Responsável: BR1.1 - BIREME


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Id: biblio-1154463
Autor: Dias, Fernando Goulart Fernandes; Almeida, Sílvio Henrique Maia de; Fávaro, Wagner; Latuf Filho, Paulo; Riccetto, Cássio L. Z.
Título: Can platelet-rich plasma coating improve polypropylene mesh integration? An immunohistochemical analysis in rabbits
Fonte: Int. braz. j. urol;47(2):287-294, Mar.-Apr. 2021. tab, graf.
Idioma: en.
Resumo: ABSTRACT Purpose: Despite high success rates in the treatment of urinary incontinence, complications related to the use of polypropylene (PP) meshes are still a concern, especially in vaginal prolapses surgeries. The objective of this study was to assess the effect of autologous platelet-rich plasma (PRP) coating on the integration of PP meshes implanted in the vaginal submucosa of rabbits. Materials and Methods: Thirty adult New Zealand rabbits were randomly divided into two groups (n=15): PP, implanted with conventional PP meshes; and PRP, implanted with autologous PRP coated PP meshes. Animals in both groups (n=5) were euthanized at 7, 30 and 90 days postoperatively, the vaginas extracted and sent to immunohistochemical analysis for the assessment of the pro-inflammatory agent TNF-α, anti-inflammatory agents TGF-β and IL-13, collagen metabolism marker MMP-2, and angiogenesis marker CD-31. AxioVision™ image analysis was used for the calculation of the immunoreactive area and density. Statistical analysis was performed with ANOVA followed by Tukey test (p <0.05). Results: Animals in the PRP group showed significantly increased expression of the angiogenesis agent CD-31 at all experimental times when compared to the PP group (p <0.0001). However, no differences concerning the expression of the other markers were observed between the groups. Conclusion: The addition of autologous PRP gel to PP meshes can be simply and safely achieved and seems to have a positive effect on implantation site angiogenesis. Further investigations are required to ascertain PPR coated meshes clinical efficacy in prolapses and stress urinary incontinence surgeries.
Descritores: Polipropilenos
Plasma Rico em Plaquetas
-Coelhos
Telas Cirúrgicas
Vagina/cirurgia
Colágeno
Limites: Animais
Feminino
Responsável: BR1.1 - BIREME


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Id: lil-342030
Autor: Roselló Fina, Jorge R; Mustafá García, Luis Raúl; Alvarez Bermejo, Jorge; León Chiong, de Jesús Lino; Canals Rabaza, Pedro Pablo; García Sierra, Juan Carlos.
Título: Reparación protésica en la hernia inguinal con el uso del tapón de Rutkow / Prosthetic repair in inguinal hernia by using RutkowÆs plug
Fonte: Rev. cuba. cir;41(3):f164-9, jul.-sept. 2002. tab.
Idioma: es.
Resumo: Se presentan 35 enfermos operados de hernia inguinal utilizando el método de plug and patch, entre diciembre de 1999 y diciembre del 2000. Los tapones y parches fueron construidos artesanalmente mediante piezas de malla plana de polipropileno. El 77 (por ciento) de los pacientes fue operado electivamente, y existió un predominio del masculino sobre el femenino en relación de 6:1. En todos los casos se usó anestesia regional y antibioticoterapia profiláctica. La mitad de los pacientes mostraron hernias recidivadas una o varias veces. Según la clasificación de Gilbert modificada, 5 hernias eran tipo 2, 16 tipo 3, 6 tipo 4, 6 tipo 5 y 2 tipo 6 al ser hernias dobles o en pantalón. Sólo se presentaron complicaciones leves en 2 enfermos, recidivas, con un control que oscila entre 6 y 18 meses, y un seguimiento promedio de 12,4 meses del 100 (por ciento) de los casos(AU)

35 patients operated on of inguinal hernia by the plug and patch method from December, 1999, to December, 2000, were presented. The plugs and patches were made by hand, using pieces of flat polypropylene mesh. 77 percent of the patients underwent elective surgery. There was a predominance of males over females with a ratio of 6:1. Regional anesthesia and prophylactic antibiotic therapy were used in all cases. Half of the patients had hernias that had relapsed one or more times. According to the modified Gilbert's classification, 5 hernias were type 2; l6, type 3; 6, type 4; 6, type 5; and 2, type 6, on being double hernias. Mild complications were just observed in 2 patients, relapses, with a control that ranges between 6 and 18 months, and an average follow-up of 12.4 months of 100 percent of the cases(AU)
Descritores: Telas Cirúrgicas/efeitos adversos
Hérnia Inguinal/cirurgia
Hérnia Inguinal/diagnóstico
-Polipropilenos/administração & dosagem
Antibacterianos
Limites: Humanos
Masculino
Feminino
Responsável: CU1.1 - Biblioteca Médica Nacional


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Id: lil-351600
Autor: Goderich Lalán, José Miguel; Pardo Olivares, Elvis; Goderich López, Danisela; Molina Fernández, Eduardo.
Título: Herniorrafías incisionales con bioprótesis / Incisión herniorrhaphies with bioprosthesis
Fonte: Rev. cuba. cir;41(4), sept.-dic. 2002.
Idioma: es.
Resumo: Se aplicó el método de Rives como procedimiento quirúrgico en 50 pacientes con hernias incisionales, en los cuales se utilizó malla monofilamentosa de polipropilene, que se fijó en la aponeurosis abdominal con sutura interrumpida de materiales reabsorbibles. La tasa de recurrencia fue de 2 (por ciento) en un seguimiento promedio de 2 años, mientras el índice de infección resultó ser de 4 (por ciento), sin repercusión, recidiva ni mortalidad. El dolor posoperatorio no constituyó un problema en la serie, cuyos integrantes tuvieron una corta estadía después de la intervención(AU)

It was applied the method of Rives like surgical procedure in 50 patients with hernias incisionales, in which mesh polipropilene monofilamentosa was used that he/she noticed the abdominal aponeurosis with off suture of material reabsorbibles. The recurrencia rate was of 2 percent in a pursuit 2 year-old average, while the infection index turned out to be of 4 percent, without repercussion, relapse neither mortality. The pain posoperatorio didn't constitute a problem in the series whose members had a short demurrage after the intervention(AU)
Descritores: Polipropilenos/uso terapêutico
Telas Cirúrgicas/efeitos adversos
Bioprótese/efeitos adversos
Hérnia Ventral/cirurgia
Laparotomia/métodos
Limites: Humanos
Masculino
Feminino
Adulto
Pessoa de Meia-Idade
Idoso
Responsável: CU1.1 - Biblioteca Médica Nacional



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