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Civilini V, Giacalone V, Audenino AL, Terzini M. A reliable and replicable test protocol for the mechanical evaluation of synthetic meshes. J Mech Behav Biomed Mater 2023; 144:105987. [PMID: 37413894 DOI: 10.1016/j.jmbbm.2023.105987] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/21/2022] [Revised: 06/06/2023] [Accepted: 06/20/2023] [Indexed: 07/08/2023]
Abstract
Despite the worldwide spread of surgical meshes in abdominal and inguinal surgery repair, the lack of specific standards for mechanical characterization of synthetic meshes, used in hernia repair and urogynecologic surgery, makes performance comparison between prostheses undoubtedly difficult. This consequently leads to the absence of acknowledged specifications about the mechanical requirements that synthetic meshes should achieve in order to avoid patient discomfort or hernia recurrences. The aim of this study is to provide a rigorous test protocol for the mechanical comparison between surgical meshes having the same intended use. The test protocol is composed of three quasi-static test methods: (1) ball burst test, (2) uniaxial tensile test, and (3) suture retention test. For each test, post-processing procedures are proposed to compute relevant mechanical parameters from the raw data. Some of the computed parameters, indeed, could be more suitable for comparison with physiological conditions (e.g., membrane strain and anisotropy), while others (e.g., uniaxial tension at rupture and suture retention strength) are reported as they provide useful mechanical information and could be convenient for comparisons between devices. The proposed test protocol was applied on 14 polypropylene meshes, 3 composite meshes, and 6 urogynecologic devices to verify its universal applicability towards meshes of different types and produced by various manufacturers, and its repeatability in terms of coefficient of variation. The test protocol resulted easily applicable to all the tested surgical meshes with intra-subject variability characterized by coefficient of variations settled around 0.05. Its use within other laboratories could allow the determination of the inter-subject variability assessing its repeatability among users of alternative universal testing machines.
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Affiliation(s)
- Vittoria Civilini
- Department of Mechanical and Aerospace Engineering, Politecnico di Torino, 10129, Turin, Italy; Polito(BIO)Med Lab, Politecnico di Torino, 10129, Turin, Italy.
| | - Vincenzo Giacalone
- Department of Mechanical and Aerospace Engineering, Politecnico di Torino, 10129, Turin, Italy; Polito(BIO)Med Lab, Politecnico di Torino, 10129, Turin, Italy
| | - Alberto L Audenino
- Department of Mechanical and Aerospace Engineering, Politecnico di Torino, 10129, Turin, Italy; Polito(BIO)Med Lab, Politecnico di Torino, 10129, Turin, Italy
| | - Mara Terzini
- Department of Mechanical and Aerospace Engineering, Politecnico di Torino, 10129, Turin, Italy; Polito(BIO)Med Lab, Politecnico di Torino, 10129, Turin, Italy
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Kallinowski F, Ludwig Y, Löffler T, Vollmer M, Lösel PD, Voß S, Görich J, Heuveline V, Nessel R. Biomechanics applied to incisional hernia repair - Considering the critical and the gained resistance towards impacts related to pressure. Clin Biomech (Bristol, Avon) 2021; 82:105253. [PMID: 33401197 DOI: 10.1016/j.clinbiomech.2020.105253] [Citation(s) in RCA: 9] [Impact Index Per Article: 3.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 07/07/2020] [Revised: 12/07/2020] [Accepted: 12/18/2020] [Indexed: 02/07/2023]
Abstract
BACKGROUND Incisional hernia repair is burdened with recurrence, pain and disability. The repair is usually carried out with a textile mesh fixed between the layers of the abdominal wall. METHODS We developed a bench test with low cyclic loading. The test uses dynamic intermittent strain resembling coughs. We applied preoperative computed tomography of the abdomen at rest and during Valsalva's maneuver to the individual patient to analyze tissue elasticity. FINDINGS The mesh, its placements and overlap, the type and distribution of fixation elements, the elasticity of the tissue of the individual and the closure of the abdominal defect-all aspects influence the reconstruction necessary. Each influence can be attributed to a relative numerical quantity which can be summed up into a characterizing value. The elasticity of the tissues within the abdominal wall of the individual patient can be assessed with low-dose computed tomography of the abdomen with Valsalva's maneuver. We established a procedure to integrate the results into a surgical concept. We demonstrate potential computer algorithms using non-rigid b-spline registration and artificial intelligence to further improve the evaluation process. INTERPRETATION The bench test yields relative values for the characterization of hernia, mesh and fixation. It can be applied to patient care using established procedures. The clinical application in the first ninety-six patients shows no recurrences and reduced pain levels after one year. The concept has been spread to other surgical groups with the same results in another fifty patients. Future efforts will make the abdominal wall reconstruction more predictable.
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Affiliation(s)
- F Kallinowski
- General, Visceral and Transplantation Surgery, University Hospital Heidelberg, Im Neuenheimer Feld 420, 69120 Heidelberg, Germany; General and Visceral Surgery, GRN Hospital Eberbach, Scheuerbergstrasse 3, 69412 Eberbach, Germany.
| | - Y Ludwig
- General, Visceral and Transplantation Surgery, University Hospital Heidelberg, Im Neuenheimer Feld 420, 69120 Heidelberg, Germany
| | - T Löffler
- General and Visceral Surgery, GRN Hospital Eberbach, Scheuerbergstrasse 3, 69412 Eberbach, Germany
| | - M Vollmer
- Hamburg University of Technology, Biomechanics, Denickestrasse 15, 21073 Hamburg, Germany
| | - P D Lösel
- Engineering Mathematics and Computing Lab (EMCL), Interdisciplinary Center for Scientific Computing, Im Neuenheimer Feld 205, 69120 Heidelberg, Germany; Heidelberg Institute for Theoretical Studies (HITS), Schloss-Wolfsbrunnenweg 35, 69118 Heidelberg, Germany
| | - S Voß
- Department of Fluid Dynamics and Technical Flows, Otto-von-Guericke-Universität Magdeburg, Universitätsplatz 2, 39106 Magdeburg, Germany; Research Campus STIMULATE, Otto-von-Guericke-Universität Magdeburg, Universitätsplatz 2, 39106 Magdeburg, Germany
| | - J Görich
- Radiological Center, Kellereistrasse 32-34, 69412 Eberbach, Germany
| | - V Heuveline
- Engineering Mathematics and Computing Lab (EMCL), Interdisciplinary Center for Scientific Computing, Im Neuenheimer Feld 205, 69120 Heidelberg, Germany; Heidelberg Institute for Theoretical Studies (HITS), Schloss-Wolfsbrunnenweg 35, 69118 Heidelberg, Germany; Heidelberg University Computing Centre (URZ), Im Neuenheimer Feld 293, 69120 Heidelberg, Germany
| | - R Nessel
- General, Visceral and Pediatric Surgery, Klinikum Am Gesundbrunnen, Am Gesundbrunnen 20-26, s Heilbronn, Germany
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KIRILOVA-DONEVA MIGLENA, PASHKOULEVA DESSISLAVA. LONG-TERM MECHANICAL COMPATIBILITY OF POLYPROPYLENE SURGICAL MESHES. J MECH MED BIOL 2019. [DOI: 10.1142/s0219519419500568] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/18/2022]
Abstract
The properties of meshes: Surgimesh®, Technomesh[Formula: see text] and SurgiproTMaged for up to four years were assessed using tensile tests. We discovered that the elasticity of Technomesh[Formula: see text] increased in both directions, Surgimesh[Formula: see text] became more elastic in the longitudinal direction while the elastic properties of SurgiproTMremained unchanged. The mesh samples did not significantly change their strength and deformability with age. Samples from umbilical and inguinal area of the abdominal wall were isolated from 14 donors. The investigation included 90 specimens divided into three age subgroups — A (up to 60 years), B (61–80 years) and C (over 80 years). The long-term mechanical compatibility of human fascia and meshes was compared. The elastic properties of the meshes are closer to the elastic properties of the fascia in the direction parallel to fibers if the donors’ age is up to 60 years.
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Affiliation(s)
- MIGLENA KIRILOVA-DONEVA
- Faculty of Pharmacy, Medical University-Sofia, 2, Dunav Str., 1000 Sofia, Bulgaria
- Institute of Mechanics, Bulgarian Academy of Sciences, Acad. G. Bonchev Str., Bl. 4, 1113 Sofia, Bulgaria
| | - DESSISLAVA PASHKOULEVA
- Institute of Mechanics, Bulgarian Academy of Sciences, Acad. G. Bonchev Str., Bl. 4, 1113 Sofia, Bulgaria
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Mancuso E, Downey C, Doxford‐Hook E, Bryant MG, Culmer P. The use of polymeric meshes for pelvic organ prolapse: Current concepts, challenges, and future perspectives. J Biomed Mater Res B Appl Biomater 2019; 108:771-789. [DOI: 10.1002/jbm.b.34432] [Citation(s) in RCA: 12] [Impact Index Per Article: 2.4] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/31/2019] [Revised: 05/07/2019] [Accepted: 05/31/2019] [Indexed: 12/18/2022]
Affiliation(s)
- Elena Mancuso
- Ulster UniversityNanotechnology and Integrated Bio‐Engineering Centre (NIBEC) Jordanstown campus ‐ Newtownabbey UK
| | - Candice Downey
- Leeds Institute of Medical Research at St James'sUniversity of Leeds Leeds UK
| | | | | | - Peter Culmer
- School of Mechanical EngineeringUniversity of Leeds Leeds UK
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Mori da Cunha MGMC, Hympanova L, Rynkevic R, Mes T, Bosman AW, Deprest J. Biomechanical Behaviour and Biocompatibility of Ureidopyrimidinone-Polycarbonate Electrospun and Polypropylene Meshes in a Hernia Repair in Rabbits. MATERIALS (BASEL, SWITZERLAND) 2019; 12:E1174. [PMID: 30974868 PMCID: PMC6480159 DOI: 10.3390/ma12071174] [Citation(s) in RCA: 8] [Impact Index Per Article: 1.6] [Reference Citation Analysis] [Abstract] [Key Words] [Grants] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Received: 03/05/2019] [Revised: 04/04/2019] [Accepted: 04/09/2019] [Indexed: 12/29/2022]
Abstract
Although mesh use has significantly improved the outcomes of hernia and pelvic organ prolapse repair, long-term recurrence rates remain unacceptably high. We aim to determine the in vivo degradation and functional outcome of reconstructed abdominal wall defects, using slowly degradable electrospun ureidopyrimidinone moieties incorporated into a polycarbonate backbone (UPy-PC) implant compared to an ultra-lightweight polypropylene (PP) textile mesh with high pore stability. Twenty four New-Zealand rabbits were implanted with UPy-PC or PP to either reinforce a primary fascial defect repair or to cover (referred to as gap bridging) a full-thickness abdominal wall defect. Explants were harvested at 30, 90 and 180 days. The primary outcome measure was uniaxial tensiometry. Secondary outcomes were the recurrence of herniation, morphometry for musculofascial tissue characteristics, inflammatory response and neovascularization. PP explants compromised physiological abdominal wall compliance from 90 days onwards and UPy-PC from 180 days. UPy-PC meshes induced a more vigorous inflammatory response than PP at all time points. We observed progressively more signs of muscle atrophy and intramuscular fatty infiltration in the entire explant area for both mesh types. UPy-PC implants are replaced by a connective tissue stiff enough to prevent abdominal wall herniation in two-thirds of the gap-bridged full-thickness abdominal wall defects. However, in one-third there was sub-clinical herniation. The novel electrospun material did slightly better than the textile PP yet outcomes were still suboptimal. Further research should investigate what drives muscular atrophy, and whether novel polymers would eventually generate a physiological neotissue and can prevent failure and/or avoid collateral damage.
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Affiliation(s)
| | - Lucie Hympanova
- (A.W.B.).
- Department of Development and Regeneration, Woman and Child, Group Biomedical Sciences, KU Leuven, 3000 Leuven, Belgium.
- Institute for the Care of Mother and Child, Third Faculty of Medicine, Charles University, 14700 Prague, Czech Republic.
| | - Rita Rynkevic
- (A.W.B.).
- Department of Development and Regeneration, Woman and Child, Group Biomedical Sciences, KU Leuven, 3000 Leuven, Belgium.
- INEGI, Faculdade de Engenharia da Universidade do Porto, Universidade do Porto, 4099-002 Porto, Portugal.
| | - Tristan Mes
- SupraPolix BV, 5611 Eindhoven, The Netherlands.
| | | | - Jan Deprest
- (A.W.B.).
- Department of Development and Regeneration, Woman and Child, Group Biomedical Sciences, KU Leuven, 3000 Leuven, Belgium.
- Pelvic Floor Unit, University Hospitals KU Leuven, 3000 Leuven, Belgium.
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Experimental Study on Bi-Axial Mechanical Properties of Warp-knitted Meshes with and without Initial Notches. MATERIALS 2018; 11:ma11101999. [PMID: 30332825 PMCID: PMC6213491 DOI: 10.3390/ma11101999] [Citation(s) in RCA: 5] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Received: 08/23/2018] [Revised: 10/12/2018] [Accepted: 10/12/2018] [Indexed: 12/05/2022]
Abstract
Warp-knitted meshes have been widely used for structural reinforcement of rigid, semi-rigid, and flexible composite materials. In order to meet the performance requirements of different engineering applications, four typical warp-knitted meshes (rectangular, square, circular, and diamond) were designed and developed. The mechanical behaviors of these meshes under mono-axial and multi-axial tensile loads were compared. The influence of the initial notch length and orientation on the mechanical performance was also analyzed. The results showed that the biaxial tensile behavior of warp-knitted meshes tended to be more isotropic. The anisotropy level of the diamond warp-knitted mesh was the lowest (λ = 0.099), while the rectangular one was the highest (λ = 0.502). The notch on a significantly anisotropic mesh was propagated along the direction of larger modulus, while for a not remarkably anisotropic mesh, notch propagation was probably consistent with the initial notch orientation. The breaking strength of warp-knitted meshes with the same initial notch orientation decreased with the increase in notch length in both the wale and course directions. For warp-knitted meshes with the same initial notch length, the breaking strength in the wale direction was kept stable at different notch orientations, while that in the course direction decreased remarkably with notch orientation from 0° to 90°.
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Vashaghian M, Zaat SJ, Smit TH, Roovers JP. Biomimetic implants for pelvic floor repair. Neurourol Urodyn 2017; 37:566-580. [PMID: 28799675 DOI: 10.1002/nau.23367] [Citation(s) in RCA: 19] [Impact Index Per Article: 2.7] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/11/2017] [Accepted: 05/15/2017] [Indexed: 12/15/2022]
Abstract
BACKGROUND Polypropylene implants are used for the reconstructive surgery of urogynaecological disorders like pelvic organ prolapse, but severe complications associated with their use have been reported. There is evidence that surface properties and a difference in mechanical stiffness between the implant and the host tissue contribute to these adverse events. Electrospinning is an innovative engineering alternative that provides a biomimetic microstructure for implants, resulting in a different mechano-biological performance. AIM The main objective of this review is to inform about the potential of electrospun matrices as an alternative modality for pelvic floor repair. METHODS Publications with the following studies of electrospun matrices were reviewed: (i) the technique; (ii) in vitro use for soft tissue engineering; (iii) in vivo use for reconstruction of soft tissues in animals; and (iv) clinical use in humans. RESULTS Electrospun matrices provide a synthetic mimic of natural extracellular matrix (ECM), favoring cellular attachment, proliferation and matrix deposition, through which a proper, low-inflammatory tissue-implant interaction can be established. Electrospun sheets can also be created with sufficient mechanical strength and stiffness for usage in prolapse surgery. CONCLUSION Electrospun matrices mimic the structural topography of the extracellular matrix and can be functionalized for better biological performance. As such, they have great potential for the next generation of urogynecological implants. However, their long-term safety and efficacy must still be established in vivo.
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Affiliation(s)
- Mahshid Vashaghian
- Department of Obstetrics & Gynaecology, Academic Medical Center, University of Amsterdam, Amsterdam, The Netherlands
| | - Sebastianus J Zaat
- Department of Medical Microbiology, Center for Infection and Immunity Amsterdam (CINIMA), Academic Medical Center, University of Amsterdam, Amsterdam, The Netherlands
| | - Theodoor H Smit
- Department of Medical Biology, Academic Medical Center, University of Amsterdam, Amsterdam, The Netherlands
| | - Jan-Paul Roovers
- Department of Obstetrics & Gynaecology, Academic Medical Center, University of Amsterdam, Amsterdam, The Netherlands
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Miller AT, Safranski DL, Wood C, Guldberg RE, Gall K. Deformation and fatigue of tough 3D printed elastomer scaffolds processed by fused deposition modeling and continuous liquid interface production. J Mech Behav Biomed Mater 2017; 75:1-13. [PMID: 28689135 DOI: 10.1016/j.jmbbm.2017.06.038] [Citation(s) in RCA: 24] [Impact Index Per Article: 3.4] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/04/2017] [Revised: 06/27/2017] [Accepted: 06/30/2017] [Indexed: 12/16/2022]
Abstract
Polyurethane (PU) based elastomers continue to gain popularity in a variety of biomedical applications as compliant implant materials. In parallel, advancements in additive manufacturing continue to provide new opportunities for biomedical applications by enabling the creation of more complex architectures for tissue scaffolding and patient specific implants. The purpose of this study was to examine the effects of printed architecture on the monotonic and cyclic mechanical behavior of elastomeric PUs and to compare the structure-property relationship across two different printing approaches. We examined the tensile fatigue of notched specimens, 3D crosshatch scaffolds, and two 3D spherical pore architectures in a physically crosslinked polycarbonate urethane (PCU) printed via fused deposition modeling (FDM) as well as a photo-cured, chemically-crosslinked, elastomeric PU printed via continuous liquid interface production (CLIP). Both elastomers were relatively tolerant of 3D geometrical features as compared to stiffer synthetic implant materials such as PEEK and titanium. PCU and crosslinked PU samples with 3D porous structures demonstrated a reduced tensile failure stress as expected without a significant effect on tensile failure strain. PCU crosshatch samples demonstrated similar performance in strain-based tensile fatigue as solid controls; however, when plotted against stress amplitude and adjusted by porosity, it was clear that the architecture had an impact on performance. Square shaped notches or pores in crosslinked PU appeared to have a modest effect on strain-based tensile fatigue while circular shaped notches and pores had little impact relative to smooth samples. When plotted against stress amplitude, any differences in fatigue performance were small or not statistically significant for crosslinked PU samples. Despite the slight difference in local architecture and tolerances, crosslinked PU solid samples were found to perform on par with PCU solid samples in tensile fatigue, when appropriately adjusted for material hardness. Finally, tests of samples with printed architecture localized to the gage section revealed an effect in which fatigue performance appeared to drastically improve despite the localization of strain.
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Affiliation(s)
- Andrew T Miller
- Parker H. Petit Institute for Bioengineering and Bioscience, Georgia Institute of Technology, 315 Ferst Drive, Atlanta, GA 30332, United States.
| | - David L Safranski
- MedShape, Inc., 1575 Northside Drive, NW, Suite 440, Atlanta, GA 30318, United States.
| | - Catherine Wood
- Department of Mechanical Engineering and Materials Science, Duke University, Box 90300 Hudson Hall, Durham, NC 27708, United States.
| | - Robert E Guldberg
- Parker H. Petit Institute for Bioengineering and Bioscience, Georgia Institute of Technology, 315 Ferst Drive, Atlanta, GA 30332, United States; George W. Woodruff School of Mechanical Engineering, Georgia Institute of Technology, 801 Ferst Drive, Atlanta, GA 30332, United States.
| | - Ken Gall
- Department of Mechanical Engineering and Materials Science, Duke University, Box 90300 Hudson Hall, Durham, NC 27708, United States; MedShape, Inc., 1575 Northside Drive, NW, Suite 440, Atlanta, GA 30318, United States.
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Hutchison K, Rogers W. Hips, Knees, and Hernia Mesh: When Does Gender Matter in Surgery? INTERNATIONAL JOURNAL OF FEMINIST APPROACHES TO BIOETHICS 2017. [DOI: 10.3138/ijfab.10.1.148] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 11/20/2022]
Abstract
This paper draws attention to gendered dimensions of surgical device failure, focusing on two case studies—hernia repair mesh for pelvic organ prolapse, and metal-on-metal hip implants. We explore possible reasons for higher rates of harms to women, including systematic biases in health research and device regulation. Given that these factors are readily identifiable, we look to feminist scholarship to understand what might maintain them, including the role of cultural factors within surgery, such as gendered communication patterns and sexism. We then canvas potential measures to mitigate the increased risk of harms faced by women who use implanted devices.
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Modulevsky DJ, Cuerrier CM, Pelling AE. Biocompatibility of Subcutaneously Implanted Plant-Derived Cellulose Biomaterials. PLoS One 2016; 11:e0157894. [PMID: 27328066 PMCID: PMC4915699 DOI: 10.1371/journal.pone.0157894] [Citation(s) in RCA: 121] [Impact Index Per Article: 15.1] [Reference Citation Analysis] [Abstract] [MESH Headings] [Grants] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/12/2016] [Accepted: 06/07/2016] [Indexed: 12/22/2022] Open
Abstract
There is intense interest in developing novel biomaterials which support the invasion and proliferation of living cells for potential applications in tissue engineering and regenerative medicine. Decellularization of existing tissues have formed the basis of one major approach to producing 3D scaffolds for such purposes. In this study, we utilize the native hypanthium tissue of apples and a simple preparation methodology to create implantable cellulose scaffolds. To examine biocompatibility, scaffolds were subcutaneously implanted in wild-type, immunocompetent mice (males and females; 6-9 weeks old). Following the implantation, the scaffolds were resected at 1, 4 and 8 weeks and processed for histological analysis (H&E, Masson's Trichrome, anti-CD31 and anti-CD45 antibodies). Histological analysis revealed a characteristic foreign body response to the scaffold 1 week post-implantation. However, the immune response was observed to gradually disappear by 8 weeks post-implantation. By 8 weeks, there was no immune response in the surrounding dermis tissue and active fibroblast migration within the cellulose scaffold was observed. This was concomitant with the deposition of a new collagen extracellular matrix. Furthermore, active blood vessel formation within the scaffold was observed throughout the period of study indicating the pro-angiogenic properties of the native scaffolds. Finally, while the scaffolds retain much of their original shape they do undergo a slow deformation over the 8-week length of the study. Taken together, our results demonstrate that native cellulose scaffolds are biocompatible and exhibit promising potential as a surgical biomaterial.
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Affiliation(s)
- Daniel J. Modulevsky
- Centre for Interdisciplinary NanoPhysics, University of Ottawa, Ottawa, Ontario, Canada
- Department of Biology, University of Ottawa, Ottawa, Ontario, Canada
| | - Charles M. Cuerrier
- Centre for Interdisciplinary NanoPhysics, University of Ottawa, Ottawa, Ontario, Canada
- Department of Physics, University of Ottawa, Ottawa, Ontario, Canada
| | - Andrew E. Pelling
- Centre for Interdisciplinary NanoPhysics, University of Ottawa, Ottawa, Ontario, Canada
- Department of Biology, University of Ottawa, Ottawa, Ontario, Canada
- Department of Physics, University of Ottawa, Ottawa, Ontario, Canada
- Institute for Science, Society and Policy, University of Ottawa, Ottawa, Ontario, Canada
- SymbioticA, School of Anatomy, Physiology and Human Biology, University of Western Australia, Perth WA 6009, Australia
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Mechanics of Biological Tissues and Biomaterials: Current Trends. MATERIALS 2015; 8:4505-4511. [PMID: 28793452 PMCID: PMC5455625 DOI: 10.3390/ma8074505] [Citation(s) in RCA: 9] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Subscribe] [Scholar Register] [Received: 07/03/2015] [Revised: 07/03/2015] [Accepted: 07/17/2015] [Indexed: 11/29/2022]
Abstract
Investigation of the mechanical behavior of biological tissues and biomaterials has been an active area of research for several decades. However, in recent years, the enthusiasm in understanding the mechanical behavior of biological tissues and biomaterials has increased significantly due to the development of novel biomaterials for new fields of application, along with the emergence of advanced computational techniques. The current Special Issue is a collection of studies that address various topics within the general theme of “mechanics of biomaterials”. This editorial aims to present the context within which the studies of this Special Issue could be better understood. I, therefore, try to identify some of the most important research trends in the study of the mechanical behavior of biological tissues and biomaterials.
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