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Hernia

, Volume 7, Issue 3, pp 130–133 | Cite as

Carboxymethylcellulose coated on visceral face of polypropylene mesh prevents adhesion without impairing wound healing in incisional hernia model in rats

  • B. Yelimlieş
  • A. AlponatEmail author
  • A. Çubukçu
  • M. Kuru
  • S. Öz
  • C. Erçin
  • N. Gönüllü
Original Article

Abstract

Adhesions between viscera and mesh may result in intestinal obstruction and fistulae formation. Fewer adhesions with sodium carboxymethylcellulose (SCMC)-coated polypropylene mesh (PM) has been reported, but impaired wound healing was the major concern. We investigated the adhesion-prevention effect of SCMC in different concentrations, as coating only on visceral face of PM and its effects on wound healing. A full-thickness abdominal wall defect was created in 28 rats, which were then divided into three groups. In Group I (control), the defect was repaired with PM only; in Group II and Group III, the defects were repaired with 1% and 1.6% SCMC-coated-PM, respectively. All animals were sacrificed at day 30, and histological evaluation and adhesion scoring were done. Animals in the group in which 1.6% SCMC-coated PM was used developed significantly fewer adhesions compared with other animals (P=0.04). Histological evaluation using a semiquantitative scoring system showed no difference between the groups in fibrosis and inflammation scores (P=0.9 and P=0.3, respectively), and thickness of fibrosis on mesh was also similar (P=0.5). SCMC in 1.6% concentration as coating only on the visceral face of PM reduced the incidence and severity of adhesions without impairing wound healing.

Keywords

Incisional hernia Adhesion prevention Carboxymethylcellulose 

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Copyright information

© Springer-Verlag 2003

Authors and Affiliations

  • B. Yelimlieş
    • 1
  • A. Alponat
    • 1
    Email author
  • A. Çubukçu
    • 1
  • M. Kuru
    • 1
  • S. Öz
    • 1
  • C. Erçin
    • 2
  • N. Gönüllü
    • 1
  1. 1.Kocaeli Medical School Department of SurgeryUniversity of KocaeliKocaeli Derince IzmitTurkey
  2. 2.Kocaeli Medical School Department of PathologyUniversity of KocaeliKocaeliTurkey

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