Revista do Colegio Brasileiro de Cirurgioes · 2009
[Morphological features of utilization intraperitoneal double-sided prostheses in inguinoplasty in dogs].
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de Andrade Luiz Carlos, Ceneviva Reginaldo, Coutinho-Netto Joaquim, Silva Júnior Orlando de Castro e, dos Santos José Sebastião, Sukeda Daniel Hirochi
Аннотация
OBJECTIVE: To asses the morphological features of the behavior of a double-sided prostheses using inguinoplasty laparotomy in dogs with latex side turned to the visceras.
METHODS: Twenty dogs were divided into two groups of 10 and submitted into infraumbilical laparotomy with double-sided prostheses fixed in an inguinal area and in the other side area a control prostheses of polipropilene (PPL). Macroscopics itens were studied on the 14th and 28th day post-operatory, and they were related to obstruction and intestinal fistulas, encystation, fusion and especially sticker. The microscopic analysis covered the inflammatory process in its acute, chronic and restored phase
RESULTS: Infectious process, obstruction or intestinal fistula did not happen. The prostheses presented good accommodation and incorporation. The stickers happened with more prevalent and intensity with the PPL (p<0,05) prostheses. The stickers with double-sided prostheses happened 65% in its two groups average, from these 35% in average the sticker happened with the PPL disc in the parietal side. The macroscopic itens analysis did not show any statistical difference between prostheses (p>0,05).
CONCLUSION: The double-sided prostheses in its parietal side adds the advantages of the incorporation's potential to the noticed material with PPL to the biocompatibility from the latex in its visceral side. The little distance between the PPL disc and the edge of the double-sided prostheses (2 cm) allied to its sticking with just five staples is not enough to avoid gaps, through which the epíploon migrated towards to the inflammatory process provoked by PPL in the parietal side.
METHODS: Twenty dogs were divided into two groups of 10 and submitted into infraumbilical laparotomy with double-sided prostheses fixed in an inguinal area and in the other side area a control prostheses of polipropilene (PPL). Macroscopics itens were studied on the 14th and 28th day post-operatory, and they were related to obstruction and intestinal fistulas, encystation, fusion and especially sticker. The microscopic analysis covered the inflammatory process in its acute, chronic and restored phase
RESULTS: Infectious process, obstruction or intestinal fistula did not happen. The prostheses presented good accommodation and incorporation. The stickers happened with more prevalent and intensity with the PPL (p<0,05) prostheses. The stickers with double-sided prostheses happened 65% in its two groups average, from these 35% in average the sticker happened with the PPL disc in the parietal side. The macroscopic itens analysis did not show any statistical difference between prostheses (p>0,05).
CONCLUSION: The double-sided prostheses in its parietal side adds the advantages of the incorporation's potential to the noticed material with PPL to the biocompatibility from the latex in its visceral side. The little distance between the PPL disc and the edge of the double-sided prostheses (2 cm) allied to its sticking with just five staples is not enough to avoid gaps, through which the epíploon migrated towards to the inflammatory process provoked by PPL in the parietal side.