Page 239 - Prevention and Treatment of Incisional Hernia- New Techniques and Materials

Figure 2. Comparison of percentage of mesh adhesions at 28 and 90 days’ follow-up. Values are median (interquartile range).* At 28 days Strattice® had less adhesions compared to Parietene®, Parietene Composite®, C-Qur®, Dualmesh® and Omyramesh® (P<0.050), and §C-Qur® and †Dualmesh® more adhesions compared to Parietene® and Omyramesh®(P<0.050). **At 90 days Strattice had less adhesions than all other meshes (P<0.050); §§C-Qur® more adhesions compared to Parietene®, Parietene Composite®, Sepramesh® and Omyramesh® (P<0.050); # and ## Sepramesh® increase in adhesions from 28 to 90 days (P<0.050, all Mann–Whitney U test).
Incorporation
After 28 and 90 days C-Qur® showed no or very little incorporation into the abdominal wall owing to the high rate of mesh infection (Figure 3). Strattice® showed a poor incorporation of 22.7% at 28 days, which was lower than for Omyramesh® (47.1%; P = 0.004), Parietene Composite® (42.5%; P = 0.004) and Sepramesh® (35.6%; P = 0.004). The incorporation of Strattice® was not improved after 90 days (median 13.4%). This was signi cantly worse than the incorporation of Parietene Composite® (54.5%; P = 0.003), Omyramesh® (50.4%; P < 0.001), Parietene® (48.4%; P = 0.009) and Sepramesh® (40.9%; P = 0.002). At 90 days, Dualmesh® (29.4%) was incorporated more poorly than Parietene® (P = 0.020), Parietene Composite® (P = 0.009) and Omyramesh® (P = 0.002).
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Meshes in a contaminated environment
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