Reparação tecidual após implante intraperitoneal de telas de polipropileno de gramaturas diferentes e tela de polipropileno com filme de poliglecaprone para correção de defeito da parede abdominal em ratos

• Autor(a) principal: SILVA, Luciano Schneider da
• Data de Publicação: 2011
• Tipo de documento: Tese
• Idioma: por
• Título da fonte: Repositório Institucional da UFG
• dARK ID: ark:/38995/001300000997m
• Texto Completo: http://repositorio.bc.ufg.br/tede/handle/tde/1144
• topic: aderências; colágeno; ruptura; telas cirúrgicas; adherences; collagen; rupture; surgical meshes; CNPQ::CIENCIAS AGRARIAS::MEDICINA VETERINARIA::CLINICA E CIRURGIA ANIMAL::CLINICA VETERINARIA

High density polypropylene meshes are frequently chosen for repairs onto the abdominal wall. Such meshes, when implanted through intraperitoneal via may lead to visceral adherence formation, and, in most severe cases, to intestinal obstruction. Low density meshes are a promising innovation, for studies indicate that the lower the weight and porosity of the mesh, the lower the inflammatory response will be. Those meshes may come associated to absorbable biomaterials, which, when in contact with visceral peritoneum will inhibit adhesiolysis. This following study investigates if low density polypropylene mesh, associated or not to poliglecaprone film, implanted by intraperitoneal via will reduce adherence incidence, maintaining the same traction resistance as the host tissue. Surgical-produced wall defects in female Wistar rats were surgically corrected by intraperitoneal implanting of high density polypropylene mesh (Group PPa, n=18), low density polypropylene mesh (Group PPb, n= 18) and low density polypropylene mesh coated with poliglecaprone film (Group PPG, n=18). The animals were evaluated at 30, 90 and 180 post-implant days. In all three groups the meshes employed were able to repair the abdominal defect. Between groups PPa and PPb, low density polypropylene mesh had the lowest index of visceral adherence. The mesh of the group PPG did not induce visceral adherence. At 180 days post implant, type I collagen was the predominant element found, involving the mesh s monofilaments, in all three groups. There was no significant difference among groups PPa, PPb and PPG as to resistance and traction of the abdominal wall at the end of the post implant 180 days.