Computed tomography options in the evaluation of hernia repair outcomes using 'titanium silk' mesh implants
| Autor: | Kirill A. Shemyatovsky, Aleksander I. Alekhin, A.A. Kazantsev, Rustam H. Azimov, Anton A. Alekhin |
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| Rok vydání: | 2020 |
| Předmět: |
Adult
Male Radiography medicine.medical_treatment 0206 medical engineering Biomedical Engineering Medicine (miscellaneous) 02 engineering and technology Biomaterials Abdominal wall 03 medical and health sciences Medicine Humans Hernia Multislice Herniorrhaphy 030304 developmental biology Titanium 0303 health sciences business.industry Soft tissue Middle Aged Surgical Mesh medicine.disease Hernia repair 020601 biomedical engineering Spiral computed tomography Hernia Ventral medicine.anatomical_structure Female Implant business Nuclear medicine Tomography X-Ray Computed |
| Zdroj: | Journal of tissue engineering and regenerative medicineREFERENCES. 14(5) |
| ISSN: | 1932-7005 |
| Popis: | Background According to experimental studies, mesh implants may reduce in size up to 50.8% during their integration into soft tissues. This results in impaired mobility of the anterior abdominal wall and hernia recurrences, as well as affects patients' quality of life. Due to unsatisfactory radiographic contrast of polymeric mesh implants, changes in their size can be rarely confirmed using imaging methods. Medical devices made of metal alloys have the best radiographic contrast. Objective The purpose of this study was to evaluate the radiographic contrast of mesh implants made of titanium filaments and to determine the sizes and locations of the implants after the anterior abdominal wall hernia repair. Materials & methods The study included 40 patients with inguinal, umbilical, and postoperative ventral hernias. Surgical hernia repair was performed using a mash implant made of titanium filaments, "titanium silk". Multislice spiral computed tomography (MSCT) was performed on Days 3 and 90 after surgery, followed by an assessment of the size and location of the mesh implant. Results 90 days after the anterior abdominal wall hernia repair, the locations of the titanium silk mesh implants in the tissues corresponded to their intraoperative setting. There were no statistically significant changes in the sizes of mesh implants on Day 90, compared with Day 3. Conclusion The titanium silk mesh implants have satisfactory radiographic contrast, which allows imaging of their location and size in the tissues using MSCT and comprehensive evaluation of hernia repair outcomes using instrumental methods of examination. |
| Databáze: | OpenAIRE |
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