Abdominal wall reconstruction with biosynthetic absorbable mesh after infected prosthesis explantation: single stage is better than two-stage approach of chronic mesh infection.

PURPOSE: To assess the efficacy of surgical management of chronic mesh infection (CMI) after abdominal wall hernia repair (AWHR) in single-stage approach (complete removal of infected prosthesis and simultaneous replacement with poly-4-hydroxybutyrate mesh or BAM group), comparing results with two-stage treatment (complete mesh excision and abdominal wall repair with synthetic mesh after several months or SPM group). METHODS: Retrospective comparative study of all patients who underwent surgery for CMI between January 2006 and January 2019 at a tertiary center. We compared results in terms of epidemiological data, hernia and prosthesis characteristics, surgical and postoperative variables of both two groups. RESULTS: Over the 13-year study period, 2791 AWHR was performed at our hospital; the overall CMI rate was 2.5%. Of 71 patients, 30 (42.2%) were in BAM group and 41 (57.8%) in SPM group. The median cumulative operative time (252 min versus 132 min) and length of stay (16.6 days versus 6.2 days) were significatively longer in SPM group compared with BAM group, due to the need of two surgical procedures. There were a higher number of postoperative complications in SPM group (p = 0.002), some of them grade III. With mean follow-up of 36.5 months (range 21-59), there were no significant differences in terms of overall hernia recurrence and mesh reinfection in both groups. CONCLUSION: The use of a poly-4-hydroxybutyrate resorbable mesh in single-stage management of CMI may be a safe and better option than two-stage approach, although more studies are needed to confirm our results.

Thermodynamic sorption analysis and glass transition temperature of faba bean (Vicia faba L.) protein.

Freeze-dried faba bean (Vicia faba L.) protein adsorption isotherms were determined at 25, 35 and 40 °C and fitted with the Guggenheim-Anderson-de Boer model. The pore radius of protein was in the range of 0.87-6.44 nm, so that they were considered as micropores and mesopores. The minimum integral entropy ranged between 4.33 and 4.44 kg H2O/100 kg d.s., was regarded as the point of maximum of stability. The glass transition temperature of the protein equilibrated at the different conditions of storage was determined, showing that the protein remained in glassy state for all cases. The protein showed compact and rigid structures, evidenced by microscopy analysis.

Inside the removal of lead(II) from aqueous solutions by De-Oiled Allspice Husk in batch and continuous processes.

A new adsorbent material for removing lead ions from aqueous solutions has been investigated. The residue of the allspice extraction process (De-Oiled Allspice Husk) was used on the removal of Pb(II) from water solutions. The lead sorption capacity of De-Olied Allspice Husk (DOAH) was studied in batch and continuous processes. It was found that percentage removals of Pb(II) depend on the pH and the initial lead concentrations. The Pb(II) uptake process was maximum at pH 5 in a range concentrations of 5-25 mg L(-1). The overall sorption process was well described by the pseudo-second-order kinetic model under conditions of pH 5 (0.1 g adsorbent per 100 mL of contaminated solution) 0.001 mass/volume ratio and 25 degrees C. The sorption capacity of lead(II) onto DOAH in batch process was 5.00, 8.02, 11.59, 15.23 and 20.07 mg g(-1), when the concentration solutions were 5, 10, 15, 20 and 25 mg L(-1) respectively. These values are lower than obtained in continuous process, where lead was removed by 95% and the experimental results were appropriately fitted by the Yoon-Nelson model. X-ray photoelectron spectroscopy (XPS) provides information regarding the interactions between lead ions and the adsorbent surface indicating that the formation of 2 complexes depends on the functional groups associated.