title: The effects of laparoscopic mesh fixation device on bone, costo-chondral junction and tendon site.
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.
authors.affiliation: Yeditepe University Hospital, Department of General Surgery, Istanbul, Turkey. drbaki@yahoo.com
authors.forename: Baki
authors.initials: B
authors.lastname: Ekçi
authors.forename: Ediz
authors.initials: E
authors.lastname: Altinli
authors.forename: Sergülen
authors.initials: S
authors.lastname: Dervisoglu
authors.forename: Mustafa
authors.initials: M
authors.lastname: Demir
authors.forename: Ihsan
authors.initials: I
authors.lastname: Tasci
mesh_terms: D000818:Animals; D002356:Cartilage / Q000473:pathology; D010535:Laparoscopy; D008297:Male; D010384:Pelvic Bones / Q000473:pathology; D019919:Prosthesis Implantation / Q000379:methods; D011817:Rabbits; D012272:Ribs / Q000473:pathology; D013526:Surgical Mesh; D013710:Tendons / Q000473:pathology