Evidence map›Paper›PMID 36412894›Full record

ArticleJournal of functional biomaterials2022

Dynamic Responsive Inguinal Scaffold Activates Myogenic Growth Factors Finalizing the Regeneration of the Herniated Groin.

Giuseppe Amato, Giorgio Romano, Vito Rodolico, Roberto Puleio, Pietro Giorgio Calò, Giuseppe Di Buono, Luca Cicero, Giorgio Romano, Thorsten Oliver Goetze, Antonino Agrusa

Open access · goldAbstract read
In one paragraph

Article in Journal of functional biomaterials, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed
1.1field-weighted citation impact, top 22% 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

3 citing papers in PubMed, 5 citations in OpenAlex.

  1. Trial
  2. Article
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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

10 authors at 3 institutions in 2 countries.

Giuseppe AmatoDepartment of Surgical, Oncological and Oral Sciences, University of Palermo, 90127 Palermo, Italy.
Giorgio RomanoDepartment of Surgical, Oncological and Oral Sciences, University of Palermo, 90127 Palermo, Italy.
Vito RodolicoDepartment PROMISE, Section Pathological Anatomy, University of Palermo, 90127 Palermo, Italy.ORCID 0000-0003-1409-4207
Roberto PuleioDepartment of Pathologic Anatomy and Histology, IZSS, 90129 Palermo, Italy.ORCID 0000-0002-3461-3353
Pietro Giorgio CalòDepartment of Surgical Sciences, University of Cagliari, 09042 Cagliari, Italy.ORCID 0000-0001-9637-1145
Giuseppe Di BuonoDepartment of Surgical, Oncological and Oral Sciences, University of Palermo, 90127 Palermo, Italy.
Luca CiceroCEMERIT-IZSS, Via Gino Marinuzzi, 3, 90129 Palermo, Italy.
Giorgio RomanoPostgraduate School of General Surgery, University of Palermo, 90127 Palermo, Italy.ORCID 0000-0003-2237-9587
Thorsten Oliver GoetzeInstitut für Klinisch-Onkologische Forschung Krankenhaus Nordwest, 60488 Frankfurt/Main, Germany.
Antonino AgrusaDepartment of Surgical, Oncological and Oral Sciences, University of Palermo, 90127 Palermo, Italy.
University of Palermo · ITInstitute of Clinical Cancer Research · DEUniversity of Cagliari · IT

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundPostoperative chronic pain caused by fixation and/or fibrotic incorporation of hernia meshes are the main concerns in inguinal herniorrhaphy. As inguinal hernia is a degenerative disease, logically the treatment should aim at stopping degeneration and activating regeneration. Unfortunately, in conventional prosthetic herniorrhaphy no relationship exists between pathogenesis and treatment. To overcome these incongruences, a 3D dynamic responsive multilamellar scaffold has been developed for fixation-free inguinal hernia repair. Made of polypropylene like conventional flat meshes, the dynamic behavior of the scaffold allows for the regeneration of all typical inguinal components: connective tissue, vessels, nerves, and myocytes. This investigation aims to demonstrate that, moving in tune with the groin, the 3D scaffold attracts myogenic growth factors activating the development of mature myocytes and, thus, re-establishing the herniated inguinal barrier.

methodsBiopsy samples excised from the 3D scaffold at different postoperative stages were stained with H&E and Azan-Mallory; immunohistochemistry for NGF and NGFR p75 was performed to verify the degree of involvement of muscular growth factors in the neomyogenesis.

resultsHistological evidence of progressive muscle development and immunohistochemical proof of NFG and NFGRp75 contribution in neomyogenesis within the 3D scaffold was documented and statistically validated.

conclusionThe investigation appears to confirm that a 3D polypropylene scaffold designed to confer dynamic responsivity, unlike the fibrotic scar plate of static meshes, attracts myogenic growth factors turning the biological response into tissue regeneration. Newly developed muscles allow the scaffold to restore the integrity of the inguinal barrier.

Indexed as

inguinal protrusion diseasemusclemuscle growth factorsneo-myogenesisregenerative scaffoldstissue degenerationtissue regeneration

Identifiers

PMID36412894
PMCPMC9680268
OpenAlexW4309662786

What OpenQuestion holds

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LicenceCC BY
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Registered trials

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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.