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Objective . The aim of this study was to find a proper experimental design and to evaluate n-butyl-2-cyanoacrylate (Histoacryl) as a fixation method for a light-weight and large pore PP mesh ( Synthetic PP Mesh-1 ) using the sheep as an animal model.  Methods . Posterior vaginal implantation by means of episiotomy was used to implant 8 ewes which were evaluated macroscopically and histologically at 3 months ( n  = 4) and 6 months ( n  = 4) post-surgery. In previous pilot studies anterior vaginal implantation was evaluated, as well as different synthetic mesh materials, sizes and fixation methods ( n  = 1 to 3) during three weeks. In all cases a clinical evaluation of the animal was performed.  Results . A reduction in the mesh size ( Synthetic PP Mesh-1 ) together with precise application of the surgical glue Histoacryl to fix the mesh yielded significantly better histocompatibility results ( P  < 0.01) compared to larger size or other fixation methods.  Conclusion . The combination of  Synthetic PP Mesh-1  with Histoacryl offered a high degree of graft integration without vaginal ulceration and a minimal foreign body reaction, being the sheep a proper animal model to test these types of medical devices.

biomed research international

Fixation of Light Weight Polypropylene Mesh with n-Butyl-2-cyanocrylate in Pelvic Floor Surgery: Experimental Design Approach in Sheep for Effectiveness Evaluation