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Mechanical properties of polypropylene mesh used in pelvic floor repair

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An Erratum to this article was published on 04 December 2007

Abstract

The aim of this study was the comparison of the stiffness of different meshes under two types of mechanical tests. Five different mesh types were mechanically tested. The methods used consisted on uniaxial tension test (tensile stiffness) and tape ring tests, experimental continuous compression of the mesh loops (flexural stiffness). The most significant difference of tensile stiffness behaviour appears between Aris™ and TVTO™. From the analysis of the experimental data, we divided the flexural stiffness, in two main groups. The first group includes Auto Suture™ and Aris™ meshes. The two meshes seem to have a similar flexural behaviour. The second group includes TVTO™, Uretex™ and Avaulta™. The difference between these two groups is clearly evident comparing TVTO™ and Aris™. This study shows that there are significant differences on the mechanical properties between urogynecology meshes.

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References

  1. Wriggers P (2006) Computational contact mechanics, 2nd edn. Springer, New York

    Google Scholar 

  2. Weaver BT, Haut RC (2005) Enforced exercise after blunt trauma significantly affects biomechanical and histological changes in rabbit retro-patellar cartilage. J Biomech 38:1177–1183

    Article  PubMed  Google Scholar 

  3. Deffieux X, Tayrac R, Huel C, Bottero J, Gervaise A, Bonnet K, Frydman R, Fernandez H (2007) Vaginal mesh erosion after transvaginal repair of cystocele using Gynemesh or Gynemesh-Soft in 138 women: a comparative study. Int Urogynecol J 18:73–79

    Article  CAS  Google Scholar 

  4. Petros PE (2007) Repairing damage fascia: ongoing and post operative considerations. In: Petros PE (ed) The female pelvic floor. Springer, Berlin, pp 108–156

    Google Scholar 

  5. Abdel-Fattah M, Sivanesan K, Ramsay I, Pringle S, Bjornsson S (2006) How common are tape erosions? A comparison of two versions of the transobturator tension-free vaginal tape procedure. BJU Int 98(3):594–598

    Article  PubMed  Google Scholar 

  6. Siegel AL (2005) Vaginal mesh extrusion associated with use of Mentor transobturator sling. Urology 66:995–999

    Article  PubMed  Google Scholar 

  7. Siegel AL, Kim M, Goldstein M, Levey S, Ilbeigi P (2005) High incidence of vaginal mesh extrusion using the intravaginal slingplasty sling. Urol J 174:1308–1311

    Article  Google Scholar 

  8. Falconer C, Söderberg M, Blomgren B, Ulmsten U (2001) Influence of different sling materials on connective tissue metabolism in stress urinary incontinent women. Int Urogynecol J Suppl 2:S19–S23

    Article  Google Scholar 

  9. Cosson M, Debodinance P, Boukerrou M, Chauvet MP, Pierre L, Crépin G, Ego A (2003) Mechanical properties of synthetic repair of prolapse and urinary incontinence which is the ideal material. Int Urogynecol J 14:169–178

    Article  Google Scholar 

  10. Comiter CV, Colegrove PM (2004) High. rate of vaginal extrusion of silicone-coated polyester sling. Urology 63:1066–1070

    Article  PubMed  Google Scholar 

  11. Johnson & Johnson (2003) Nonabsorbable prolene soft mesh. Gynecare Gynemesh PS, p 2

  12. Martins PALS, Jorge RMN, Ferreira AJM (2006) A comparative study of several material models for prediction of hyperelastic properties: application to silicone-rubber and soft tissues. Strain 42:135–147

    Article  Google Scholar 

  13. Dietz H, Vancaillie P, Svehla M, Walsh W, Steensma A, Vancaillie T (2003) Mechanical properties of urogynecologic implant materials. Int Urogynecol J 14:239–243

    Article  CAS  Google Scholar 

  14. Schumpelick V, Klinge U, Welty G, Klosterhalfen B (1999) Meshes within the abdominal wall (in German). Chirurgie 70:876–887

    Article  CAS  Google Scholar 

  15. Fung YC (1993) Biomechanics: mechanical properties of living tissues, 2nd edn. Springer, Berlin, p 261

    Google Scholar 

  16. Moser AP (2001) Buried pipe design, 2nd edn. McGraw-Hill, New York, p 267

    Google Scholar 

  17. Fenner DE (2000) New surgical mesh. Clin Obstet Gynecol 43:650–658

    Article  PubMed  CAS  Google Scholar 

  18. Feifer A, Corcos J (2007) The use of synthetic sub-urethral slings in the treatment of female stress urinary incontinence. Int Urogynecol J 18:1087–1095

    Article  Google Scholar 

  19. Neymeyer J, Abdul-Wahab W, Beer M, Spethmann J, Groneberg D, Große-Siestrup C (2007) Laboratory Testing of suburethral mesh slings: A comparison of their static and dynamic properties. Int Urogynecol J 18(Suppl 1):S111

    Google Scholar 

  20. Popov EP (1990) Engineering Mechanics of Solids. PRENTICE-HALL, chap. 6 Gynemesh or Gynemesh-Soft in 138 women: a comparative study. Int Urogynecol J 18:73–79

    Google Scholar 

  21. Deval B, Ferchaux J, Berry R, Gambino S, Ciofu C, Rafii A, Haab F (2006) Objective and subjective cure rates after trans-obturator tape (OBTAPE) treatment of female urinary incontinence. Eur Urol 49:373–377 (in Int Braz J Urol 33(1):101–124, January–February 2007)

    Article  PubMed  Google Scholar 

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Acknowledgments

This work was supported by CAPES (Federal Government of Brazil), and Ministério da Ciência, Tecnologia e Ensino Superior (FCT, Portugal) under the grant PTDC/SAU-BEB/71459/2006.

Conflict of interest statement

The work reported has not been supported by industry and the authors do not have conflict of interests.

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Correspondence to J. S. Afonso.

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An erratum to this article can be found at http://dx.doi.org/10.1007/s00192-007-0518-2

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Afonso, J.S., Martins, P.A.L.S., Girao, M.J.B.C. et al. Mechanical properties of polypropylene mesh used in pelvic floor repair. Int Urogynecol J 19, 375–380 (2008). https://doi.org/10.1007/s00192-007-0446-1

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  • DOI: https://doi.org/10.1007/s00192-007-0446-1

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