Der resorbierbare Perikardersatz--eine experimentelle Studie. [Resorbable pericardial replacement--an experimental study]

Details

Serval ID
serval:BIB_A2D1734B4123
Type
Article: article from journal or magazin.
Collection
Publications
Institution
Title
Der resorbierbare Perikardersatz--eine experimentelle Studie. [Resorbable pericardial replacement--an experimental study]
Journal
Helvetica Chirurgica Acta
Author(s)
Liermann  A., Lachat  M., von Segesser  L. K., Turina  M.
ISSN
0018-0181
Publication state
Published
Issued date
01/1992
Volume
58
Number
4
Pages
515-9
Notes
Comparative Study
English Abstract
Journal Article --- Old month value: Jan
Abstract
The resorbable pericardial substitute: In modern heart surgery every patient undergoing cardiac surgery will eventually require a second operation including resternotomy. To reduce the risk of damage to the heart it has been recommended to close the pericardial sac primarily. Unfortunately there is no ideal pericardial substitute yet available. This experimental study summarizes our experience with the use of Gore-Tex Surgical Membrane and Vicryl-Collagen mesh as pericardial substitutes which have been implanted orthotopically in 12 rats. After a mean follow-up of 86 days we evaluated macroscopically the pericardial adhesions, the closure of the pericardial defect and histologically the inflammatory reaction. At explanation we found that both pericardial substitutes produce little adhesion. But in rats with Vicryl-Collagen mesh as a pericardial substitute there were only a very few inflammatory cells and total closure of the pericardial defect was in 4 out of 6 rats present. These findings suggest that Vicryl-Collagen mesh seems to be a superior pericardial substitute and also allows formation of a neopericardium.
Keywords
Adhesions Animals *Blood Vessel Prosthesis Foreign-Body Reaction/pathology Pericardiectomy/*methods Pericardium/pathology *Polyglactin 910 *Polytetrafluoroethylene Rats *Surgical Mesh Wound Healing/physiology
Pubmed
Web of science
Create date
14/02/2008 14:16
Last modification date
20/08/2019 15:08
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