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Publication : Carcinogenic potential of commonly used hernia repair prostheses in an experimental model.

First Author  Witherspoon P Year  2004
Journal  Br J Surg Volume  91
Issue  3 Pages  368-72
PubMed ID  14991641 Mgi Jnum  J:88749
Mgi Id  MGI:3036984 Doi  10.1002/bjs.4462
Citation  Witherspoon P, et al. (2004) Carcinogenic potential of commonly used hernia repair prostheses in an experimental model. Br J Surg 91(3):368-72
abstractText  BACKGROUND: The purpose of this study was to assess the carcinogenic potential of commonly used hernia repair prostheses in an animal model. METHODS: Three types of prosthetic material (monofilament polypropylene, multifilament polypropylene and expanded polytetrafluoroethylene) were implanted in CBA/H mice. Flat (1 cm(2)) and rolled pieces of the same material were placed subcutaneously in either flank, and a further flat piece was placed in the preperitoneal space. Owing to a high incidence of mesh extrusion in the polypropylene groups, the study protocol was modified to allow only preperitoneal placement of the material. A fourth, control, group had the pockets for the prostheses created but no material implanted. After modification of the protocol there were approximately 60 mice in each group. The mice were followed for 2 years, then killed and assessed histologically for tumour development. RESULTS: No sarcoma developed at the site of mesh implantation in any of the groups. CONCLUSION: This study indicates that the risk of sarcoma formation at the site of hernia repair prostheses is very low.
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