The effects of laparoscopic mesh fixation device on bone, costo-chondral junction and tendon site

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COD: 01_2011_89-94 Categorie: ,

Baki Ekçi, Ediz Altinli, Sergülen Dervisoglu, Mustafa Demir, Ihsan Tasci

Ann. Ital. Chir., 2011 82: 55-59

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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.