The comparison of adhesion formation effects of Hİ-TEX®PARP NT and Proceed Mesh
Ercan YALÇIN1, Oğuz HASDEMİR2, Oktay BÜYÜKAŞIK3, Kahraman DİNLER2, Cavit ÇÖL2
1Ereğli Anadolu Hastanesi Genel Cerrahi Kliniği, Zonguldak
2Abant İzzet Baysal Üniversitesi Tıp Fakültesi Genel Cerrahi AD, Gölköy / BOLU
3SB Dışkapı Yıldırım Beyazıt Eğitim ve Araştırma Hastanesi, Ankara
Abstract
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. Proceed 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 repairment material compared to HI-TEX mesh.
Keywords: Hernia, mesh, adhesion