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Pore Size Distribution01:23

Pore Size Distribution

In concrete, the pore size distribution significantly influences the material's properties. Capillary pores, markedly larger than gel pores, form a vast network within partially hydrated cement paste, reducing the concrete's strength and increasing its permeability. This heightened permeability leads to a greater risk of damage from environmental factors like freeze-thaw cycles and chemical attacks, with the extent of vulnerability also being tied to the water-to-cement ratio.
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Large-pore PDS mesh compared to small-pore PG mesh.

J Otto1, M Binnebösel, S Pietsch

  • 1Department of Surgery, University Clinic RWTH Aachen, Pauwelsstrasse, Aachen, Germany. jeotto@ukaachen.d

Journal of Investigative Surgery : the Official Journal of the Academy of Surgical Research
|August 10, 2010
PubMed
Summary

A new polydioxanone (PDS) mesh offers improved elasticity and fluid drainage compared to polyglycolic acid (PG) meshes for temporary abdominal closure, reducing inflammation and fibrosis.

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Area of Science:

  • Biomaterials Science
  • Surgical Innovation
  • Tissue Engineering

Background:

  • Absorbable meshes are crucial for temporary abdominal closure after laparostoma.
  • Existing polyglycolic acid (PG) meshes exhibit limited elasticity and impede fluid drainage.
  • A novel polydioxanone (PDS) mesh with enhanced porosity and degradation profile was developed.

Purpose of the Study:

  • To evaluate the tissue response to a new PDS mesh compared to a PG mesh.
  • To assess the PDS mesh's suitability as an absorbable abdominal wall replacement.

Main Methods:

  • Implantation of PDS and PG meshes in rat abdominal walls for 7, 21, and 90 days.
  • Histological analysis including HE staining and immunohistochemistry (TUNEL, Ki67, TNF-R2, MMP-2, YB1, FVIII, gas6, AXL).
  • Quantification of granuloma size, cell turnover, apoptosis, neovascularization, and nerve ingrowth.

Main Results:

  • PDS mesh demonstrated attenuated inflammatory and fibrotic reactions compared to PG mesh.
  • Smaller granuloma size, reduced cell turnover, and less remodeling (apoptosis, MMP-2, TNF-R2) observed with PDS.
  • Increased neovascularization and nerve ingrowth were noted in the PDS mesh group.

Conclusions:

  • Monofilament PDS meshes can be engineered to minimize inflammatory and fibrotic responses.
  • The PDS mesh preserves elasticity and facilitates intra-abdominal fluid drainage.
  • This PDS mesh represents a promising alternative for temporary abdominal closure.