NANOFIBER MESHES FOR ABDOMINAL HERNIA REPAIR – CHALLENGES AND OPPORTUNITIES

G. Pîrcălăbioru, B. Tihauan, Mădălina Axinie, A. Ivanof, S. Maier
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Abstract

Implantation of any prosthetic material triggers a cascade of events that mark the initiation of the healing process. In the case of abdominal mesh implantation, the course of inflammation and wound healing are paramount. The biomaterials employed as a medical device are in close proximity with devitalized tissue parts which can promote microbial colonization resulting in infection and subsequently impaired wound healing. The advent of nanofiber based systems provides novel opportunities to develop hernia meshes with increased biocompatibility and good material strength. Electrospun nanofiber matrices exhibit morphological similarities to the natural extra-cellular matrix (ECM), with ultrafine continuous fibers, high porosity high surface-to-volume ratio, and variable pore-size distribution. This mini review summarizes the advantages and challenges associated to nanofiber systems.
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纳米纤维网用于腹疝修补——挑战与机遇
植入任何假体材料都会引发一系列事件,标志着愈合过程的开始。在腹部补片植入的情况下,炎症过程和伤口愈合是最重要的。作为医疗器械的生物材料靠近失活的组织部分,可以促进微生物定植,导致感染并随后损害伤口愈合。纳米纤维系统的出现为开发具有更高生物相容性和良好材料强度的疝网提供了新的机会。静电纺丝纳米纤维基质具有超细连续纤维、高孔隙率、高表面体积比和可变孔径分布等特点,与天然细胞外基质(ECM)具有形态学上的相似性。这篇综述总结了纳米纤维系统的优点和挑战。
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