Preparation and biocompatibility evaluation of polypropylene mesh coated with electrospinning membrane for pelvic...

Composite mesh with different materials composition could compensate for the drawbacks brought by single component mesh. Coating a membrane layer on the surface of macroporous mesh is a common method for preparing composite medical mesh. Electrospinning and dipping methods were introduced to form the two kinds of membrane-coated PP meshes (electro-mesh and dip-mesh); several properties were measured based on subcutaneous implantation model in rat. The results revealed that continuous tissue ingrowth could be observed for electro-mesh only with evidences of strength increase (electro-mesh: 0 week - 13.1 ± 0.88 N, 2 week - 16.87 ± 1.39 N, 4 week - 22.04 ± 2.05 N) and thickness increase (electro-mesh: 0 week - 0.437 ± 0.023 mm, 2 week - 0.488 ± 0.025 mm, 4 week - 0.576 ± 0.028 mm). However, no tissues were observed for dip-mesh in the first 2 weeks, both on macroscopic level and microscopic level, proved by strength data (dip-mesh: 0 week - 13.36 ± 1.06 N, 2 week - 13.4 ± 1.33 N, 4 week - 18.61 ± 1.89 N) and thickness data (dip-mesh: 0 week - 0.439 ± 0.018 mm, 2 week - 0.439 ± 0.019 mm, 4 week - 0.502 ± 0.032 mm). Electro-mesh had larger surface area decrease (10.74 ± 1.22%) than that of dip-mesh (2.78 ± 0.52%). The adhesion level of electro-mesh (medium adhesion) was also higher than that of dip-mesh (mild adhesion). Even if showing differences in several properties, both meshes were similar under histological observation, with the ability to support fresh tissues ingrowth. Considering operation environment, electro-mesh seems more suitable than dip-mesh with a rapid tissue growing, medium adhesion rate for repairing pelvic floor defects.