Amniotic membranes as prosthetic material: experimental utilization data of a rat model.
OBJECTIVE
Prosthetic materials are applied for closing big tissue defects, the repair of traumatized organs, or hernias. Because nonabsorbable synthetic materials are rigid, possess a defined and unchangeable size, and foreign body reaction (FBR) may occur, biological materials may be an alternative.


METHODS
In experimental studies in rats the authors implanted the fetal parts of the human amniotic membranes and examined the utilization and FBR induced in a standardized model. In addition amnion (AM) was combined with vicryl-net (VN) for higher implant stability. Fifteen, 30 and 90 days after implantation, macroscopic appearance was examined, and light microscopy and immunohistology testing of the specimens were performed.


RESULTS
Adhesions to parenchymal organs and omentum were present irrespective of the side facing the abdominal cavity. AM induced a rapid FBR, which diminished with time. Chorion (CH) and parts of the AM were resorbed within the examined period after infiltration with recipient cells and neovascularisation. The combined implant, AM, and VN showed best results because disadvantages of one material could be compensated for by the advantages of the other.


CONCLUSIONS
The studies show that AM, in its anatomic definition, combined with VN proves to be a safe and reliable prosthetic material for the use in tissue defects.
Zachariou
Z
Z
Department of Pediatric Surgery, University of Heidelberg, Germany.
D000650:Amnion / Q000166:cytology / Q000637:transplantation*; D000818:Animals; D001684:Biological Dressings; D002823:Chorion / Q000166:cytology / Q000637:transplantation*; D005549:Foreign-Body Reaction / Q000175:diagnosis; D006801:Humans; D020007:Implants, Experimental; D008099:Liver / Q000196:embryology / Q000601:surgery; D010920:Placenta / Q000637:transplantation*; D051381:Rats