Ultrasound shear wave elastography effectively predicts integrity of ventral hernia repair using acellular dermal matrix augmented with platelet-rich plasma (PRP)

Autor: Raffaella Righetti, Joseph S. Fernandez-Moure, Jeffrey L. Van Eps, Songyuan Tang, Vishwanath Chegireddy, Anuj Chaudhry, Christian Boada, Ennio Tasciotti, Fernando J. Cabrera
Rok vydání: 2018
Předmět:
Zdroj: Surgical Endoscopy. 33:2802-2811
ISSN: 1432-2218
0930-2794
Popis: Complications of ventral hernia repair (VHR) may be investigated by computed tomography or ultrasound (US) but neither modality gives a quantifiable metric of repair quality short of identifying hernia recurrence. Platelet-rich plasma (PRP), a growth factor-rich autologous blood product, has been shown to improve incorporation of native tissue with bioprosthetics. In this study, we investigate the effect of PRP on the incorporation and mechanical integrity of a non-crosslinked porcine acellular dermal matrix (pADM) in a rodent model of VHR and the correlative ability of ultrasound shear wave elastography (US-SWE) to assess repair quality. PRP was isolated from whole blood of Lewis rats. Twenty-eight Lewis rats underwent chronic VHR using either pADM alone or augmented with autologous PRP prior to non-invasive imaging assessment and specimen harvest at either 3 or 6 months. US-SWE was performed to estimate the Young’s modulus prior to histological assessment and data from PRP-treated rodents were compared to controls. Implanted pADM was easily distinguishable by US-SWE imaging in all cases analyzed in this study. The mean Young’s modulus measured was 1.78 times and 2.54 times higher in PRP-treated samples versus control at 3-month and 6-month time points respectively (p
Databáze: OpenAIRE
Externí odkaz: