Biomaterials for Pelvic Floor Reconstructive Surgery: How Can We Do Better?

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Citações na Scopus
49
Tipo de produção
article
Data de publicação
2015
Título da Revista
ISSN da Revista
Título do Volume
Editora
HINDAWI PUBLISHING CORPORATION
Autores
GIGLIOBIANCO, Giulia
REGUEROS, Sabiniano Roman
OSMAN, Nadir I.
BULLOCK, Anthony J.
CHAPPLE, Chris R.
MACNEIL, Sheila
Citação
BIOMED RESEARCH INTERNATIONAL, article ID 968087, 20p, 2015
Projetos de Pesquisa
Unidades Organizacionais
Fascículo
Resumo
Stress urinary incontinence (SUI) and pelvic organ prolapse (POP) are major health issues that detrimentally impact the quality of life of millions of women worldwide. Surgical repair is an effective and durable treatment for both conditions. Over the past two decades there has been a trend to enforce or reinforce repairs with synthetic and biological materials. The determinants of surgical outcome are many, encompassing the physical and mechanical properties of the material used, and individual immune responses, as well surgical and constitutional factors. Of the current biomaterials in use none represents an ideal. Biomaterials that induce limited inflammatory response followed by constructive remodelling appear to have more long term success than biomaterials that induce chronic inflammation, fibrosis and encapsulation. In this review we draw upon published animal and human studies to characterize the changes biomaterials undergo after implantation and the typical host responses, placing these in the context of clinical outcomes.
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Referências
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