TABLE I.
Granulation Tissue |
Foreign Body Reaction |
Fibrous Encapsulation |
|||||||
---|---|---|---|---|---|---|---|---|---|
2 weeks | 2 months | 5 months | 2 weeks | 2 months | 5 months | 2 weeks | 2 months | 5 months | |
EDC/NHS | 2 ± 0.82 | 4 ± 0 | 2 ± 0 | 3.25 ± 0.96 | 4 ± 0 | 4 ± 0 | 2 ± 0 | 2 ± 0 | 2 ± 0 |
Genipin | 2.25 ± 0.96 | 2.8 ± 0.84 | 1 ± 0 | 3.75 ± 0.5 | 3 ± 0 | 3.67 ± 0.58 | 2.5 ± 0.58 | 4 ± 0 | 3.33 ± 0.58 |
Prolene | 1 ± 0 | 0.8 ± 0.45 | 1 ± 0 | 2 ± 0 | 2 ± 0 | 2 ± 0 | 3 ± 0 | 3.2 ± 0.45 | 3.75 ± 0.5 |
Xenmatrix | 0.25 ± 0.5 | 0 ± 0 | 0 ± 0 | 2.5 ± 0.58 | 2 ± 0 | 2 ± 0 | 3 ± 0 | 4 ± 0 | 4 ± 0 |
Parameters were defined as follows: granulation tissue: a precursor to fibrous tissue formation, indicated by the presence of macrophages, blood vessels and fibroblasts; foreign body response: indicated by the presence of foreign body giant cells, macrophages and monocytes; fibrous encapsulation: indicated by the presence of acellular collagen around the perimeter of mesh materials. Acute and chronic inflammation scores were zero for all but two ECC meshes (one at 2 weeks and one at 2 months); thus, inflammation scores are not included in the table
Scoring for host response parameters reported as the mean ± SD of scores at 2 weeks, 2 months and 5 months. Scores were given on a scale from 0 to 4; 0 = no presence of host response characteristic, 1 = minimal presence, 2 = mild presence, 3 = moderate presence and 4 = extensive presence. Parameters were measured at the perimeter of mesh materials. N = 5 slides were scored in total for each parameter for each mesh type at each time point, or 1 slide per explanted sample from each animal at each time point.