Evidence map›Paper›PMID 20052576›Full record

ArticleInternational urogynecology journal2010

Polypropylene as a reinforcement in pelvic surgery is not inert: comparative analysis of 100 explants.

Arnaud Clavé, Hannah Yahi, Jean-Claude Hammou, Suzelei Montanari, Pierre Gounon, Henri Clavé

Abstract readComparative StudyMulticenter Study
PubMed Publisher
In one paragraph

Article in International urogynecology journal, 2010. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 33 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
33citing papers in PubMed, 1 pooled it
4.9field-weighted citation impact, top 5% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

33 citing papers in PubMed, 1 synthesis or guideline pooled it, 100 citations in OpenAlex.

  1. International guidelines for groin hernia management.Hernia : the journal of hernias and abdominal wall surgery · 2018
    Guideline
  2. Article
  3. Article
  4. Review
  5. Characterization in respect to degradation of titanium-coated polypropylene surgical mesh explanted from humans.Journal of biomedical materials research. Part B, Applied biomaterials · 2023
    Article
  6. Review
  7. Article
  8. Article
  9. Review
  10. Article
  11. Anti-inflammatory coating of hernia repair meshes: a 5-rabbit study.Hernia : the journal of hernias and abdominal wall surgery · 2020
    Article
  12. Article
  13. Review
  14. Article
  15. Article
  16. Review
  17. Article
  18. Article
  19. The myth: in vivo degradation of polypropylene-based meshes.International urogynecology journal · 2017
    Article
  20. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

6 authors at 2 institutions in 1 country.

Arnaud ClavéService de Chirurgie (Pr Lefèvre), CHRU Brest Faculté de Médecine, Université de Bretagne Occidentale, Brest, France. clave.henri@wanadoo.fr
Hannah Yahi
Jean-Claude Hammou
Suzelei Montanari
Pierre Gounon
Henri Clavé
Centre Hospitalier Régional Universitaire de Brest · FRUniversité Côte d'Azur · FR

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

introduction and hypothesisCurrently, most implants used for reinforcement in surgical treatment of pelvic floor disorders are knitted monofilament polypropylene (PP). While previously recognized as inert, PP is associated with high complication rates. Some recent literature suggests polyester prosthetics based on poly(ethylene terephthalate) (PET), which may be more inert in vivo.

methodsA sample of 100 implants explanted from patients due to complications was examined to evaluate the relative degradation characteristics of PP and PET prosthetics. Histological, microscopic (scanning electron microscopy, SEM) and chemical analysis (Fourier transform infrared (FTIR) spectroscopy and differential scanning calorimetry (DSC)) were conducted on these explants.

resultsPoly(ethylene terephtahlate) explants appeared to sustain less degradation in vivo than the PP explants observed in this cohort.

conclusionsThis is the first study to evaluate synthetic implants used in a vaginal approach for pelvic floor reinforcement. The study provides evidence contrary to published literature characterizing PP as inert in such applications. Additionally, the study suggests the need for clinical trials comparatively investigating the performance of new types of monofilament prosthetics, such as those comprising PET.

Indexed as

Device RemovalFemaleForeign-Body ReactionHumansMicroscopy, Electron, ScanningPelvic Organ ProlapsePolypropylenesPostoperative ComplicationsProspective StudiesSpectroscopy, Fourier Transform InfraredSurgical MeshUrinary Incontinence, StressPolypropylenes

Identifiers

PMID20052576
OpenAlexW2112859296

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.