Evidence map›Paper›PMID 36610021›Full record

ArticleJournal of biomedical materials research. Part B, Applied biomaterials2023

Characterization in respect to degradation of titanium-coated polypropylene surgical mesh explanted from humans.

Nicholas T H Farr, Bernd Klosterhalfen, Günter K Noé

Open access · hybridAbstract read
In one paragraph

Article in Journal of biomedical materials research. Part B, Applied biomaterials, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 6 papers.

0numbers the graph read from it
0cells of the map it votes in
6citing papers in PubMed
5.1field-weighted citation impact, top 4% 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

6 citing papers in PubMed, 16 citations in OpenAlex.

  1. Macroscopic, radiologic, and microscopic analysis of explanted abdominal wall prosthesis.Hernia : the journal of hernias and abdominal wall surgery · 2026
    Article
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  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
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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

3 authors at 3 institutions in 2 countries.

Nicholas T H FarrDepartment of Materials Science and Engineering, University of Sheffield, Sheffield, UK.ORCID 0000-0001-6761-3600
Bernd KlosterhalfenInstitute for Pathology at the Düren Hospital, Düren, Germany.
Günter K NoéDepartment of Obstetrics and Gynecology Rheinlandclinics Dormagen, University of Witten Herdecke, Dormagen, Germany.
Insigneo · GBKrankenhaus Düren · DEKreiskrankenhaus Dormagen · DE

Funding

Engineering and Physical Sciences Research Council EP/T517835/1Engineering and Physical Sciences Research Council EP/V012126/1Medical Research Council
6 · The paper itself

Abstract

Titanium-coated polypropylene (Ti-PP) mesh was introduced in 2002 as a surgical mesh for the treatment of hernias and shortly after for pelvic floor surgery, with the aim of improving biocompatibility when compared to non-titanised/regular PP mesh implants. The application of a titanium coating could also be beneficial to address concerns regarding the exposure of PP in an in vivo environment. Many studies have shown that PP, although it is widely accepted as a stable polymer, is subject to oxidation and degradation, such degradation affects the mechanical behavior, that is, the stiffness and tensile strength of PP mesh. Despite the wide clinical use of Ti-PP surgical meshes, no study has yet investigated the residual material properties post clinical deployment and subsequent explantation. In this study, two explanted Ti-PP mesh samples each having different incorporation durations from two patients were examined. Material analysis conducted within this study includes the following techniques: attenuated total reflectance-Fourier transform infrared spectroscopy (ATR-FTIR), Raman spectroscopy, low voltage - scanning electron microscopy (LV-SEM), backscattered electron (BSE) imaging, energy dispersive X-ray spectroscopy (EDS) and secondary election hyperspectral imaging (SEHI). The hypothesis of this study is that the Ti coating successfully shields the PP mesh from oxidative stress in vivo and thus protects it from degradation. The results of this analysis show for the first time evidence of bulk oxidation, surface degradation, and environmental stress cracking on explanted Ti-PP meshes.

Indexed as

Biocompatible MaterialsSurgical MeshHumansMaterials TestingPolypropylenesTitaniumBiocompatible MaterialsPolypropylenesTitaniumdegradationmaterials characterizationoxidationpelvic organ prolapsepolypropylene meshstress urinary incontinencetitanium coatingtitanium meshtransvaginal mesh

Identifiers

PMID36610021
PMCPMC10952695
OpenAlexW4313679431

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.