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Histological evaluation of capsules formed by texturized silicone implants with and without polyester mesh coverage
Ralf Berger1, Jurandir Marcondes Ribas Filho2, Osvaldo Malafaia3
1Fellow Master degree. Postgraduate Program in Principles of Surgery - Mackenzie Evangelical School of Medicine - Curitiba (PR), Brazil.
Purpose:
To evaluate capsules formed by microtextured silicone implants with and without Parietex® mesh coverage histologically.
Methods:
Sixty Wistar rats were divided in two groups (meshed and unmeshed). Each group was, then, divided into two subgroups for evaluation at 30 and 90 days. Capsules were analyzed based on hematoxylin and eosin (HE) and picrosirius staining.
Results:
The number of fibroblasts, neutrophils and macrophages was similar among all subgroups. There was a higher lymphocyte reaction in the 30-day meshed group (p = 0.003). Giant cell reaction, granulation tissue and neoangiogenesis were similar among the subgroups. Synovial metaplasia was milder at 90-day in the unmeshed (p = 0.002) and meshed group (p < 0.001). Capsular thickness was significantly greater in the meshed samples (30-day p < 0.001 and 90-day p < 0.001). There was a similar amount of collagen types I and III in both groups.
Conclusions:
The mesh-covered implants produced capsules similar to the microtextured ones when analyzing inflammatory variables. Synovial metaplasia was milder at 90 than at 30 days, and the capsular thickness was significantly greater in the meshed group. A similar amount of collagen types I and III was observed. Due to these characteristics, the mesh coverage did not seem to significantly affect the local inflammatory activity.
