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A new material to prevent urethral damage after implantation of artificial devices: an experimental study

机译:一种预防人工装置植入后尿道损伤的新材料:实验研究

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Objective To validate the application of the bacterial cellulose (BC) membrane as a protecting barrier to the urethra. Materials and Methods Forty female Wistar rats (four groups of 10): Group 1 (sham), the urethra was dissected as in previous groups and nothing applied around; Group 2, received a 0.7cm strip of the BC applied around the urethra just below the bladder neck; Group 3, received a silicon strip with the same dimensions as in group 2; Group 4, had a combination of 2 and 3 groups being the silicon strip applied over the cellulosic material. Half of the animals in each group were killed at 4 and 8 months. Bladder and urethra were fixed in formalin for histological analysis. Results Inflammatory infiltrates were more intense at 4 months at lymphonodes (80% Grade 2), statistically different in the group 2 compared with groups 1 (p=0.0044) and 3 (p=0.0154). At 8 months, all samples were classified as grade 1 indicating a less intense inflammatory reaction in all groups. In group 2, at 8 months, there was a reduction in epithelial thickness (30?±1??m) when com-pared to groups 1 (p=0.0001) and 3 (p<0.0001). Angiogenesis was present in groups 2 and 4 and absent in group 3. In BC implant, at 4 and 8 months, it was significant when comparing groups 4 with 1 (p=0.0159). Conclusion BC membrane was well integrated to the urethral wall promoting tissue remodeling and strengthening based on morphometric and histological results and may be a future option to prevent urethral damage.
机译:目的验证细菌纤维素(BC)膜作为尿道保护屏障的应用。材料和方法四十雌性Wistar大鼠(四组10):第1组(Sham),尿道被解剖,如先前的群体中,没有任何应用;第2组,在膀胱颈部的尿道周围施加0.7cm的BC条;第3组,接收硅条具有与第2组相同的尺寸;第4组,具有2和3组的组合,是施加在纤维素材料上的硅条。每组的一半动物在4和8个月内丧生。膀胱和尿道在福尔马林中固定用于组织学分析。结果在淋巴结(80%2级)下炎症浸润在4个月内更强烈,与第2组统计学上不同(P = 0.0044)和3(P = 0.0154)。在8个月时,将所有样品归类为1级,表明所有组中的炎症反应较小。在第2组中,在8个月时,当与组1(p = 0.0001)和3(P <0.0001)进行分组时,上皮厚度(30?±1 ?? m)减少。在第2组和4组中存在血管生成,在第3组中缺席。在BC植入物中,在4和8个月内,当将基团4与1进行比较时,它是显着的(p = 0.0159)。结论基于形态学和组织学结果,BC膜促进尿道壁促进组织重塑和加强,可能是预防尿道损伤的未来选择。

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