Fully resorbable poly-4-hydroxybutyrate (P4HB) mesh for soft tissue repair and reconstruction : A scoping review
Deeken, Corey R. (Covalent Bio, LLC)
Chen, David C. (David Geffen School of Medicine at University of California)
López Cano, Manuel (Hospital Universitari Vall d'Hebron)
Martin, David P. (Becton, Dickinson and Company)
Badhwar, Amit (Becton, Dickinson and Company)
Universitat Autònoma de Barcelona

Data:	2023
Resum:	Poly-4-hydroxybutyrate (P4HB) is a fully resorbable, biologically-produced polymer with a strength and flexibility comparable to permanent synthetic polymers. The objective was to identify/summarize all peer-reviewed publications involving P4HB mesh. A scoping review was conducted within PubMed and included articles published through October 2022. A total of n = 79 studies were identified (n = 12 in vitro /bench; n = 14 preclinical; n = 6 commentaries; n = 50 clinical). Of the clinical studies, n = 40 reported results applicable to hernia and n = 10 to plastic/reconstructive surgery and involved patients of all Centers for Disease Control (CDC) wound classes and Ventral Hernia Working Group (VHWG) grades. P4HB mesh provides long-term hernia repair strength and exhibits promising clinical outcomes beyond its resorption period. Future studies should include randomized controlled trials comparing P4HB to other biomaterials, as well as optimal patient selection, operative technique, long-term outcomes, minimization of potential mesh-related complications, and potential contraindications/complications for P4HB in hernia/abdominal wall reconstruction.
Drets:	Aquest document està subjecte a una llicència d'ús Creative Commons. Es permet la reproducció total o parcial, la distribució, la comunicació pública de l'obra i la creació d'obres derivades, fins i tot amb finalitats comercials, sempre i quan es reconegui l'autoria de l'obra original.
Llengua:	Anglès
Document:	Article ; recerca ; Versió publicada
Matèria:	Hernia recurrence ; P4HB ; Phasix Mesh ; Poly-4-hydroxybutyrate (P4HB) ; Resorbable ; Surgical site infection (SSI)
Publicat a:	Frontiers in Surgery, Vol. 10 (april 2023) , ISSN 2296-875X

DOI: 10.3389/fsurg.2023.1157661
PMID: 37123542

19 p, 698.9 KB

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