Aplicación de la Ingeniería Tisular en la reparación de los defectos de la pared abdominal

  1. Calcerrada Alises, Enrique 1
  2. Martín Piedra, Miguel Ángel 1
  3. Gallart Aragón, Tania 1
  4. Sánchez Quevedo, María del Carmen 1
  5. Gómez Valverde, Eusebio 1
  6. Jiménez Ríos, José Antonio 1
  1. 1 Hospital Universitario San Cecilio
    info

    Hospital Universitario San Cecilio

    Granada, España

Revista:
Actualidad médica

ISSN: 0365-7965

Any de publicació: 2015

Tom: 100

Número: 794

Pàgines: 32-36

Tipus: Article

DOI: 10.15568/AM.2015.794.RE01 DIALNET GOOGLE SCHOLAR lock_openDIGIBUG editor

Altres publicacions en: Actualidad médica

Objetivos de desarrollo sostenible

Resum

In this work we have reviewed more than thirty relevant issues recently published in scientific journal with impact factor in order to estimate the effectiveness of new therapeutic approaches in reparation of abdominal wall defects. Tissue Engineering can be used for the development of new biological substitutes consisting on acellular dermal matrix seeded with different types of cells. These new biological meshes do not present some complications that are relatively common when artificial polymeric meshes are used in actual surgical practice. Besides the decrease of incidences such as infection and need to removal, lack of healing signals, or seromas, these new therapeutic approaches lead to some additional benefits such as to induce angiogenesis, biocompatibility and, thus, decrease of infection risk. There are several types of acellular dermal matrix (human, porcine, bovine …) with no significant evidence among them, although the most used is humanderived matrix. Cell culture over these biomaterials has reported better results than using acellular matrix. Matrix localization can also modify the relapse rate. In this sense, pre-peritoneal localization and anatomical separation of components technique have been reported as the best techniques. The main concern about the included studies is a short-term following period after treatment, and thus, scarce data about long-term effectiveness of these therapeutic approaches. Furthermore, due to the high price of the used biomaterials, these therapies are unfeasible nowadays in daily surgical practice. In summary, it is necessary advanced research about these new biomaterials in order to translate them to daily practice, as well as an adequate diagnosis and selection of the patient to be treated.

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Fuente de los datos: Dialnet