Hİ-TEX®PARP NT yama ile Proceed Yama’nın adezyon yapıcı özelliklerinin karşılaştırılması
Yükleniyor...
Dosyalar
Tarih
2008
Dergi Başlığı
Dergi ISSN
Cilt Başlığı
Yayıncı
Erişim Hakkı
info:eu-repo/semantics/openAccess
Özet
Amaç:
Bu deneysel çalışmanın amacı, iki farklı prostetik materyalin ( Hi-TEX®Parp NT yama ve Proceed yama) herni onarımında adezyon yapıcı özelliklerinin karşılaştırılmasıdır.
Gereç ve Yöntem: Çalışma 20 adet Wistar- Albino sıçan ile yapıldı. Her denekte karın ön duvarının sağında ve solunda 2x1 cm defekt oluşturuldu. Sıçanla¬rın yarısında Proceed yama sağ tarafa, HI-Tex yama sol tarafa (Grup A) ve diğer yarısında Proceed yama sol tarafa, HI-Tex yama sağ tarafa (Grup B) implante edilmek suretiyle defekt onarıldı. Posto¬peratif 7., 14., 21., 28. ve 35. günlerde her gruptan iki sıçan sakrifiye edilerek adezyon yaygınlığı ve şiddeti değerlendirildi. Bulgular: Çalışma sonunda; her iki grup arasında adezyon yaygınlığı ve şiddeti yönünden fark olmadığı, 7. ve 14. günlerde sakrifiye edilen sıçanlar¬da adezyonların yoğun olduğu, Proceed yama ile adezyon yaygınlı¬ğının (U=376, p<0.05), ve şiddetinin (U=352, p<0.05) HI-Tex yama’ya göre anlamlı olarak az olduğu ve implantlara doku reaksiyonunun HI-Tex yama’da daha fazla olduğu ama istatistiksel olarak fark ol¬madığı (x2=0.41, p>0.05) saptandı. Sonuç: Herni onarımında Proceed yama’nın HI-Tex yama’ya göre daha az adezyon yapıcı etkisinin olması nedeniyle daha uygun bir materyal olduğu görüşüne varıldı.
Purpose: Aim of this experimental study is to compare the adhesion formation effects of two different prosthetic materials (HI-TEX ®Parp NT mesh and Proceed mesh) in hernia repair. Material and Methods: Twenty Wistar-Albino rats were used for the study. Defects of 2x1 cm size were created at the right and left of each rat’s anterior abdominal wall. Proceed mesh is implanted on the right side and HI-TEX mesh on the left side at half of them (Group A), and Proceed mesh is implanted on the left side and HI-TEX mesh on the right side at the other half (Group B) to repair the defect. Two rats of each group is sacrificed at the 7th, 14th, 21st, 28th and 35th days postoperatively and extension and severity of the adhesion and tissue reaction to the implants are evaluated. Results: At the end of the study, no difference was found between two groups concerning extension and severity of the adhesion. Adhesion were more frequent in the rats sacrificed on the 7th and 14th days. Pro¬ceed mesh adhesion extension (U=376, p<0.05) and severity (U=352, p<0.05)) were significantly less than HI-TEX mesh. Tissue reactions to implants were more with HI-TEX mesh, however, no difference was found statistically significant (x2=0.41, p>0.05). Conclusion: We have the opinion that Proceed mesh is superior to HI-TEX mesh in hernia repair as it has less adhesion formation effect. As a result, Proceed mesh is thought to be a more suitable hernia repair¬ment material compared to HI-TEX mesh.
Purpose: Aim of this experimental study is to compare the adhesion formation effects of two different prosthetic materials (HI-TEX ®Parp NT mesh and Proceed mesh) in hernia repair. Material and Methods: Twenty Wistar-Albino rats were used for the study. Defects of 2x1 cm size were created at the right and left of each rat’s anterior abdominal wall. Proceed mesh is implanted on the right side and HI-TEX mesh on the left side at half of them (Group A), and Proceed mesh is implanted on the left side and HI-TEX mesh on the right side at the other half (Group B) to repair the defect. Two rats of each group is sacrificed at the 7th, 14th, 21st, 28th and 35th days postoperatively and extension and severity of the adhesion and tissue reaction to the implants are evaluated. Results: At the end of the study, no difference was found between two groups concerning extension and severity of the adhesion. Adhesion were more frequent in the rats sacrificed on the 7th and 14th days. Pro¬ceed mesh adhesion extension (U=376, p<0.05) and severity (U=352, p<0.05)) were significantly less than HI-TEX mesh. Tissue reactions to implants were more with HI-TEX mesh, however, no difference was found statistically significant (x2=0.41, p>0.05). Conclusion: We have the opinion that Proceed mesh is superior to HI-TEX mesh in hernia repair as it has less adhesion formation effect. As a result, Proceed mesh is thought to be a more suitable hernia repair¬ment material compared to HI-TEX mesh.
Açıklama
Anahtar Kelimeler
Herni, Yama, Adezyon, Hernia, Mesh, Adhesion
Kaynak
Ulusal Cerrahi Dergisi
Turkish Journal of Surgery
Turkish Journal of Surgery
WoS Q Değeri
Scopus Q Değeri
Q3
Cilt
24
Sayı
3
