title: Morphologic study of three collagen materials for body wall repair.
abstract: BACKGROUND
  The search for ideal prostheses for body wall repair continues. Synthetic materials such as polypropylene mesh (PPM) are associated with healing complications. A porcine-derived collagen-based material (CBM), small intestinal submucosa (SIS), has been studied for body wall repair. Renal capsule matrix (RCM) and urinary bladder submucosa (UBS) are CBMs not previously evaluated in this application. This is the first implant study using RCM.
  
  
  METHODS
  Full-thickness muscle/fascia ventral abdominal wall defects were repaired with SIS, RCM, UBS, and PPM in rats with omentum and omentectomy. A random complete block design was used to allot implant type to each of 96 rats. Healing was evaluated at 4 and 8 weeks. Adhesion tenacity and surface area were scored. Implant site dimensions were measured at implantation and necropsy. Inflammation, vascularization, and fibrosis were histopathologically scored. Data were compared by analysis of variance (P < 0.05).
  
  
  RESULTS
  PPM produced a granulomatous foreign body response in contrast to the organized healing of CBM implants. CBM mean scores were lower than PPM scores for adhesion tenacity, surface area, and inflammation at each follow-up time for rats with omentums (P < 0.02). The CBMs had less tenacity and inflammation than PPM at each follow-up time in omentectomy groups (P < 0.008). Wound contraction was greater for PPM (P < 0.0001) for all rats.
  
  
  CONCLUSIONS
  RCM and UBS were similar to SIS invoking reduced inflammation, adhesion, and contraction compared to PPM. The fibrotic response to PPM was unique and more intense compared to CBMs. These CBM implants appear morphologically acceptable and warrant continued investigation.
authors.affiliation: Department of Veterinary Clinical Sciences, Purdue University, West Lafayette, Indiana 47907, USA.
authors.forename: Emily E
authors.initials: EE
authors.lastname: Soiderer
authors.forename: Gary C
authors.initials: GC
authors.lastname: Lantz
authors.forename: Evelyn A
authors.initials: EA
authors.lastname: Kazacos
authors.forename: Jason P
authors.initials: JP
authors.lastname: Hodde
authors.forename: Ryan E
authors.initials: RE
authors.lastname: Wiegand
mesh_terms: D034861:Abdominal Wall / Q000473:pathology / Q000601:surgery*; D000818:Animals; D001672:Biocompatible Materials / Q000494:pharmacology*; D003094:Collagen / Q000494:pharmacology*; D005109:Extracellular Matrix; D005205:Fascia / Q000473:pathology; D000071938:Fasciotomy; D005260:Female; D018482:Muscle, Skeletal / Q000473:pathology / Q000601:surgery; D011126:Polypropylenes / Q000494:pharmacology; D019736:Prostheses and Implants; D051381:Rats; D017207:Rats, Sprague-Dawley; D013526:Surgical Mesh
chemical_list: D001672:Biocompatible Materials; D011126:Polypropylenes; D003094:Collagen