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  • 1
    ISSN: 1434-0879
    Keywords: Collagen vicryl composite ; Urinary tract repair ; Sutures
    Source: Springer Online Journal Archives 1860-2000
    Topics: Medicine
    Notes: Summary A Vicryl (Polyglactin)/Collagen composite membrane has been developed for potential use in urinary tract surgery. The compatability of this membrane, together with its two individual components, collagen film and vicryl mesh, has been tested over a three week period in urine obtained from both healthy and from stone forming patients. The rate of degradation as indicated by changes in the mechanical strength was determined at regular intervals. In addition,absorbable suture materials such as plain catgut, chromic catgut, and vicryl were similarly tested; in the latter case, the breaking stress, and actual loss of weight of the material were compared. The whole series of experiments were then repeated in urine obtained from rabbits, the animal chosen for any future in vivo studies.
    Type of Medium: Electronic Resource
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  • 2
    ISSN: 1434-0879
    Keywords: Collagen vicryl composite ; Partial nephrectomy ; Urinary tract repair ; Rabbit
    Source: Springer Online Journal Archives 1860-2000
    Topics: Medicine
    Notes: Summary A composite membrane produced from collagen and vicryl mesh has been used to cover the kidney surface following partial nephrectomy in rabbits. The membrane readily held sutures, gave satisfactory haemostasis, and prevented leakage of urine. The experiments showed that the prosthesis biodegraded in less than twenty weeks. The only observed long-term effect of the material was thickening of the renal capsule. The results indicate that this membrane may be a suitable reparative materal for use in traumatised kidneys in humans.
    Type of Medium: Electronic Resource
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  • 3
    ISSN: 1434-0879
    Keywords: Collage vicryl composite ; Urinary tract repair ; Urinary calculi
    Source: Springer Online Journal Archives 1860-2000
    Topics: Medicine
    Notes: Summary Collagen coated vicryl mesh has been incubated with a series of urine collections from healthy and stoneforming patients. For comparison, collagen film, vicryl mesh, and a number of absorbable and non-absorbable sutures were similarly tested. Incubation in rabbit urine were also included in the study. Deposition of urinary salts, estimated qualitatively by electron microcopy, were observed on the collagen vicryl composite in approximately two thirds of the urines tested including rabbit urine. Those urines from patients with a high calcium excretion in particular caused urinary deposits on the material. Similar results were obtained with collagen film although the latter was not tested in rabbit urine. Considerably less deposits of urinary constituents were found with other absorbable materials such as vicryl mesh, vicryl sutures, and chromic catgut, whereas a higher proportion of concretions were found with the nonabsorbable sutures. The results indicate that urinary salt deposition may be a problem associated with collagen based composite materials after prolonged exposure to urine. It must, however, be emphasised that great care should be exercised when extrapolating any results obtained in-vitro to the in-vivo situation.
    Type of Medium: Electronic Resource
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  • 4
    ISSN: 1434-0879
    Keywords: Collagen Vicryl composite ; Urinary tract repair ; Urinary tract infection
    Source: Springer Online Journal Archives 1860-2000
    Topics: Medicine
    Notes: Summary A Collagen/Vicryl (Polyglactin) composite membrane (developed for use in urinary tract surgery) has been incubated in cultures of radioactively labelled urinary tract pathogens vis Escherichia coli, Staphylococcus epidermidis, and Proteus mirabilis for up to 1h. For comparison, collagen film, Vicryl mesh, and a number of absorbable and nonabsorbable sutures were similarly tested. Following incubation, samples were also examined by scanning electron microscopy. Under the experimental conditions employed, only minimal adherence of the micro-organisms to the collagen coated Vicryl mesh, its two individual components, as well as Vicryl and nylon sutures was observed. Significantly greater numbers of bacteria, however, ahered to silk and Chromic Catgut. The results suggest that adherence of microorganisms to the prosthesis even in infected urine is unlikely to develop into a microcolony of bacteria. However, it should be emphasised that great care must be excercised when extrapolating from the in-vitro to the in-vivo situation.
    Type of Medium: Electronic Resource
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  • 5
    ISSN: 1434-0879
    Keywords: Bladder ; Urinary tract repair ; Collagen/vicryl
    Source: Springer Online Journal Archives 1860-2000
    Topics: Medicine
    Notes: Summary Collagen/vicryl (Polyglactin) composite membrane has been used to repair full-thickness defects in the urinary bladder of rabbits. The material has been shown to be biodegradable, prevent leakage of urine, and is readily replaced by collagenous scar tissue lined with a urothelium. Regeneration of smooth nuscle has been observed in the repair area of some animals. The results suggest that such a material may well be of use to urologists wishing to augment contracted bladders or in the repair of bladder fistulae in human subjects, thereby avoiding the use of bowel or other material e.g. omentum.
    Type of Medium: Electronic Resource
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  • 6
    Electronic Resource
    Electronic Resource
    Springer
    Acta neurochirurgica 117 (1992), S. 53-58 
    ISSN: 0942-0940
    Keywords: Dural prosthesis ; collagen vicryl ; lyodura ; zenoderm
    Source: Springer Online Journal Archives 1860-2000
    Topics: Medicine
    Notes: Summary No ideal dural grafting material is currently available. Many materials have been evaluated in this role, and for many neurosurgeons cadaveric human lyophilized dura has been popular. Recently this material has been putatively associated with Creutzfeldt-Jakob disease. In this study we compared three degradable materials, collagen vicryl (Bovine collagen coated vicryl mesh), Zenoderm (Porcine dermis) and Lyodura (Lyophilized human cadaveric dura) as dural substitutes. In an experimental model using the New Zealand White Rabbit the materials were implanted into dural defects of dimensions 1.7 cm by 1 cm. In the control group the dura was not repaired. In total 47 animals were used and sacrificed at time intervals of 2, 4, 8, 12, and 24 weeks. On gross examination the collagen vicryl produced few adhesions to the cerebral cortex and was replaced by a neomembrane which showed good union with the host dura. In the control group no new layer was formed and there were severe cortical adhesions. Zenoderm and Lyodura remained undegraded and produced more adherence to the cerebral cortex than the collagen vicryl implant. The histological examination showed collagen vicryl to support ingrowth of fibroblasts and the production of a new collagen layer which by 3 months resembled the original host dura. The inflammatory response to the implant did not persist after 3 months. The other substitutes were revitalized by host cells but remained undegraded at 6 months with ingrowth of woven bone and persistence of inflammatory and foreign body response. The results show collagen vicryl to be a suitable dural substitute with potential advantages over other currently used degradable materials, and should be evaluated more fully, both in laboratory studies and clinically.
    Type of Medium: Electronic Resource
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  • 7
    ISSN: 1573-4838
    Source: Springer Online Journal Archives 1860-2000
    Topics: Medicine , Technology
    Notes: Various replicates of collagen substrata were prepared to study the attachment, growth and spreading of baby hamster kidney (BHK) cells. Cell attachment was measured in both the presence and absence of serum. Spreading and growth did not occur in the absence of serum. Attachment to fibrous collagen was less than that found with glass, rat-tail tendon collagen or films prepared from pepsin-solubilized collagen (PS-collagen). Incorporation of hyaluronate, heparin and protamine sulphate into the fibrous collagen and the acetylation of fibrous collagen had little effect. However, incorporation of chondroitin sulphate or chemical modification of fibrous collagen by either methylation or succinylation increased BHK cell attachment. In the absence of serum, the attachment to collagen, acetylated collagen and collagen composites was reduced. The reduction in attachment was marked with fibrous collagen and gelatin films, but less so with collagen composites, acetylated collagen, rat-tail tendon and PS-collagen films. Interestingly, attachment to succinylated collagen and methylated collagen was largely unaffected by the absence of serum, and possible reasons for this are discussed. Cell shape measurements showed decreased spreading of BHK cells on chemically modified collagen films, especially on gelatin films and dried PS-collagen gels. Cell shape and spreading on PS-collagen, rat-tail tendon collagen and collagen-composite films was found to be similar to that on fibrous collagen. BHK cell growth on fibrous collagen, chemically modified collagens, collagen composites, rat-tail tendon and PS-collagen films was similar to that found on plastic tissue culture substrate. Denaturation of fibrous collagen resulted in decreased growth, and BHK cell growth was markedly reduced on PS-collagen gels and dried gels.
    Type of Medium: Electronic Resource
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  • 8
    Electronic Resource
    Electronic Resource
    Springer
    Journal of materials science 4 (1993), S. 40-49 
    ISSN: 1573-4838
    Source: Springer Online Journal Archives 1860-2000
    Topics: Medicine , Technology
    Notes: The effects of 2.5, 5.0, 7.5 and 10 Mrad gamma-irradiation and ethylene oxide sterilization on collagen-coated vicryl mesh, on collagen film and vicryl mesh were investigated. No cytotoxic effects were observed towards either L929 cells or human fibroblasts with any of the treatments, even at the highest doses of irradiation. Although the rate of biodegradation and tissue reaction towards the test materials appeared to be relatively unaffected by ethylene oxide, the rate of breakdown in the lumbar muscles of laboratory rats was considerably increased by irradiation. Dose-dependent irradiation damage to the vicryl mesh was confirmed in vitro using viscometry and by an increase in the rate of hydrolysis in phosphate-buffered saline (PBS) at 37°C. Tensiometric studies on irradiated collagen films showed a dose-dependent reduction in both the break load and elongation before breaking. A small reduction in the break load and stretch to breaking was also observed following treatment with ethylene oxide. The findings presented favour ethylene oxide as a method of sterilization of both the composite membrane and its individual components. However, gamma-irradiation produced no toxic effects or adverse tissue reaction under the conditions described, and is more convenient to use. Hence, provided that the efficacy of the membrane would not be compromised by the higher rate of degradation, it could also be considered for sterilization of the material.
    Type of Medium: Electronic Resource
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  • 9
    Electronic Resource
    Electronic Resource
    Springer
    Journal of materials science 2 (1991), S. 36-42 
    ISSN: 1573-4838
    Source: Springer Online Journal Archives 1860-2000
    Topics: Medicine , Technology
    Notes: Abstract Thein vivo breakdown of collagen-vicryl composites (types 9 and 12) was followed in rabbit ear chambers over a period of 5 weeks. In this time the implants were incorporated into the granulation tissue growing in the chambers. Materials that were sterilized by gamma irradiation were resorbed faster than those sterilized with ethylene oxide or disinfected with alcohol, which suggests that irradiation weakened the material. Histological observation revealed that the collagen component had disappeared from all the composites by day 35 and the surrounding tissue showed a mild foreign-body reaction.
    Type of Medium: Electronic Resource
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