Evidence map›Paper›PMID 26578432›Full record

ArticleSurgical endoscopy2016

Decreased hernia recurrence using autologous platelet-rich plasma (PRP) with Strattice™ mesh in a rodent ventral hernia model.

Jeffrey Van Eps, Joseph Fernandez-Moure, Fernando Cabrera, Xin Wang, Azim Karim, Bruna Corradetti, Paige Chan, Brian Dunkin, Ennio Tasciotti, Bradley Weiner and 1 more

Open access · hybridAbstract read
In one paragraph

Article in Surgical endoscopy, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 17 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
17citing papers in PubMed, 1 pooled it
3.5field-weighted citation impact, top 7% 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

17 citing papers in PubMed, 1 synthesis or guideline pooled it, 36 citations in OpenAlex.

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  17. Effect of platelet-rich plasma on polypropylene meshes implanted in the rabbit vagina: histological analysis.International braz j urol : official journal of the Brazilian Society of Urology
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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

11 authors at 3 institutions in 2 countries.

Jeffrey Van EpsDepartment of Surgery, Houston Methodist Hospital, Houston, TX, 77030, USA.
Joseph Fernandez-MoureDepartment of Surgery, Houston Methodist Hospital, Houston, TX, 77030, USA.
Fernando CabreraSurgical Advanced Technologies Lab, Center for Regenerative Medicine, Houston Methodist Research Institute, Houston, TX, 77030, USA.
Xin WangSurgical Advanced Technologies Lab, Center for Regenerative Medicine, Houston Methodist Research Institute, Houston, TX, 77030, USA.
Azim KarimSurgical Advanced Technologies Lab, Center for Regenerative Medicine, Houston Methodist Research Institute, Houston, TX, 77030, USA.
Bruna CorradettiSurgical Advanced Technologies Lab, Center for Regenerative Medicine, Houston Methodist Research Institute, Houston, TX, 77030, USA.
Paige ChanSurgical Advanced Technologies Lab, Center for Regenerative Medicine, Houston Methodist Research Institute, Houston, TX, 77030, USA.
Brian DunkinDepartment of Surgery, Houston Methodist Hospital, Houston, TX, 77030, USA.
Ennio TasciottiSurgical Advanced Technologies Lab, Center for Regenerative Medicine, Houston Methodist Research Institute, Houston, TX, 77030, USA.
Bradley WeinerSurgical Advanced Technologies Lab, Center for Regenerative Medicine, Houston Methodist Research Institute, Houston, TX, 77030, USA. bkweiner@houstonmethodist.org.
Warren EllsworthDepartment of Surgery, Houston Methodist Hospital, Houston, TX, 77030, USA.
Houston Methodist · USCornell University · USMethodist Hospital · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundRecurrence after ventral hernia repair (VHR) remains a multifactorial problem still plaguing surgeons today. Some of the many contributing factors include mechanical strain, poor tissue-mesh integration, and degradation of matrices. The high recurrence rate witnessed with the use of acellular dermal matrices (ADM) for definitive hernia repair has reduced their use largely to bridging repair and breast reconstruction. Modalities that improve classic cellular metrics of successful VHR could theoretically result in improved rates of hernia recurrence; autologous platelet-rich plasma (PRP) may represent one such tool, but has been underinvestigated for this purpose.

methodsLewis rats (32) had chronic ventral hernias created surgically and then repaired with Strattice™ mesh alone (control) or mesh + autologous PRP. Samples were harvested at 3 and 6 months postoperatively and compared for gross, histologic, and molecular outcomes of: neovascularization, tissue incorporation, peritoneal adhesions, hernia recurrence, and residual mesh thickness.

resultsCompared to control at 3 months postoperatively, PRP-treated rats displayed significantly more neovascularization of implanted mesh and considerable upregulation of both angiogenic genes (vEGF 2.73-fold, vWF 2.21-fold) and myofibroblastic genes (αSMA 9.68-fold, FSP-1 3.61-fold, Col1a1 3.32-fold, Col31a1 3.29-fold). Histologically, they also showed enhanced tissue deposition/ingrowth and diminished chronic immune cell infiltration. Peritoneal adhesions were less severe at both 3 (1.88 vs. 2.94) and 6 months (1.63 vs. 2.75) by Modified Hopkins Adhesion Scoring. PRP-treated rats experienced decreased hernia recurrence at 6 months (0/10 vs. 7/10) and had significantly improved ADM preservation as evidenced by quantification of residual mesh thickness.

conclusionsPRP is an autologous source of pro-regenerative growth factors and chemokines uniquely suited to soft tissue wound healing. When applied to a model of chronic VHR, it incites enhanced angiogenesis, myofibroblast recruitment and tissue ingrowth, ADM preservation, less severe peritoneal adhesions, and diminished hernia recurrence. We advocate further investigation regarding PRP augmentation of human VHR.

Indexed as

CollagenPlatelet-Rich PlasmaSurgical MeshAcellular DermisAnimalsDisease Models, AnimalHernia, VentralHerniorrhaphyModels, AnatomicPostoperative ComplicationsProstheses and ImplantsRatsRats, Inbred LewRecurrenceTissue AdhesionsCollagenstratticeHerniaPlatelet-rich plasmaRecurrenceRegenerationStratticeVentral hernia repair

Identifiers

PMID26578432
PMCPMC4956706
OpenAlexW2200609937

What OpenQuestion holds

Textmetadata
LicenceCC BY
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.