Abdominal Hernia Repair With a Decellularized Dermal Scaffold Seeded With Autologous Bone Marrow-Derived Mesenchymal Stem Cells

作者:Zhao, Yilin; Zhang, Zhigang; Wang, Jinling; Yin, Ping; Zhou, Jianyin; Zhen, Maochuan; Cui, Wugeng; Xu, Gang; Yang, Donghai; Liu, Zhongchen*
来源:Artificial Organs, 2012, 36(3): 247-255.
DOI:10.1111/j.1525-1594.2011.01343.x

摘要

Surgeons usually use synthetic polymer meshes for abdominal wall hernia repair. However, synthetic polymer meshes exhibit a lack of growth and related complications. In this study, we produced a tissue-engineered patch for abdominal hernia repair. Autologous bone-marrow-derived mesenchymal stem cells (BMSCs) were isolated and proliferated in vitro; decellularized dermal scaffolds (DSs) were prepared using enzymatic process; and then BMSCs were seeded onto the DSs for the construction of tissue-engineered patches. Under general anesthesia, rabbits underwent creation of abdominal wall defects and which were repaired with BMSC-seeded DSs, acellular DSs, and skin sutures only, respectively. Animals were sacrificed after 2 months for assessing the histological and gross examination. Abdominal hernias were absent in animals repaired with cell-seeded group, and abdominal hernias or bulges appeared in all animals repaired with acellular group. All the animals that were not repaired died within 10 days. The cell-seeded implants were thicker and indicated good angiogenesis compared with that of the acellular implants, both in histological and gross examination. The tissue-engineered patches prepared with BMSCs seeding on DSs can be used for abdominal wall hernia repair.

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