The effects of laparoscopic mesh fixation device on bone, costo-chondral junction and tendon site
Baki Ekçi 1, Ediz Altinli 2, Sergülen Dervisoglu 3, Mustafa Demir 5, Ihsan Tasci 5
Affiliations
Article Info
1 Yeditepe University Hospital, Department of General Surgery, Istanbul, Turkey.
2 Haydarpasa Numune Training and Research Hospital, Department of General Surgery, Istanbul, Turkey
3 Istanbul University, Cerrahpasa Medical School, Department of Pathology, Istanbul, Turkey
4 Istanbul University, Cerrahpasa Medical School, Department of Nuclear Medicine, Istanbul, Turkey
5 Istanbul University, Cerrahpasa Medical School, Department of General Surgery, Istanbul, Turkey
Abstract
Osteitis pubis is one of the important complications of inguinal hernia repair surgery occurring with the placement of sutures through the periosteum. The aim of this study is to evaluate scintigraphic and histopathological alterations associated with the use of mesh fixation device on pelvic bone, cartilage and tendons in an experimental animal model. Twenty New-Zealand young male rabbits were used. A mesh fixation device was inserted at each animal’s costa-chondral junction, superior anterior iliac crest, and achiles tendon. One week prior to the surgery and 16 weeks after the operation, scintigraphic evaluation was performed. Histopathological evaluation was performed at the end of study. No nuclear activity or pathological change was found at bone site (p>0.05). Foreign body reaction was evident at the tendon and costa-chondral site (p=0.001). In conclusion; the mesh fixation device leads to foreign body reaction in costa-chondral junction and tendon. It does not cause any nuclear activity increase.
Keywords
- Foreign body reaction
- Inguinal hernia
- Laparoscopy
- Mesh fixation device
