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1.
New Phytol ; 238(3): 952-970, 2023 05.
Artículo en Inglés | MEDLINE | ID: mdl-36694296

RESUMEN

Wildfires are a global crisis, but current fire models fail to capture vegetation response to changing climate. With drought and elevated temperature increasing the importance of vegetation dynamics to fire behavior, and the advent of next generation models capable of capturing increasingly complex physical processes, we provide a renewed focus on representation of woody vegetation in fire models. Currently, the most advanced representations of fire behavior and biophysical fire effects are found in distinct classes of fine-scale models and do not capture variation in live fuel (i.e. living plant) properties. We demonstrate that plant water and carbon dynamics, which influence combustion and heat transfer into the plant and often dictate plant survival, provide the mechanistic linkage between fire behavior and effects. Our conceptual framework linking remotely sensed estimates of plant water and carbon to fine-scale models of fire behavior and effects could be a critical first step toward improving the fidelity of the coarse scale models that are now relied upon for global fire forecasting. This process-based approach will be essential to capturing the influence of physiological responses to drought and warming on live fuel conditions, strengthening the science needed to guide fire managers in an uncertain future.


Asunto(s)
Incendios , Incendios Forestales , Plantas , Fenómenos Fisiológicos de las Plantas , Agua , Carbono , Ecosistema
2.
Plant Cell Environ ; 45(1): 55-68, 2022 01.
Artículo en Inglés | MEDLINE | ID: mdl-34783044

RESUMEN

Xylem conductive capacity is a key determinant of plant hydraulic function and intimately linked to photosynthesis and productivity, but can be impeded by temporary or permanent conduit dysfunctions. Here we show that persistent xylem dysfunctions in unstressed plants are frequent in Alpine dwarf shrubs and occur in various but species-specific cross-sectional patterns. Combined synchrotron micro-computed tomography (micro-CT) imaging, xylem staining, and flow measurements in saturated samples of six widespread Ericaceae species evidence a high proportion (19%-50%) of hydraulically nonfunctional xylem areas in the absence of drought stress, with regular distribution of dysfunctions between or within growth rings. Dysfunctions were only partly reversible and reduced the specific hydraulic conductivity to 1.38 to 3.57 ×10-4 m2 s-1 MPa-1 . Decommission of inner growth rings was clearly related to stem age and a higher vulnerability to cavitation of older rings, while the high proportion of nonfunctional conduits in each annual ring needs further investigations. The lower the xylem fraction contributing to the transport function, the higher was the hydraulic efficiency of conducting xylem areas. Improved understanding of the functional lifespan of xylem elements and the prevalence and nature of dysfunctions is critical to correctly assess structure-function relationships and whole-plant hydraulic strategies.


Asunto(s)
Ericaceae/fisiología , Xilema/fisiología , Austria , Ericaceae/anatomía & histología , Ericaceae/citología , Región Alpina Europea , Tallos de la Planta/anatomía & histología , Tallos de la Planta/citología , Especificidad de la Especie , Sincrotrones , Factores de Tiempo , Microtomografía por Rayos X , Xilema/anatomía & histología , Xilema/citología
3.
Plant Cell Environ ; 44(8): 2593-2603, 2021 08.
Artículo en Inglés | MEDLINE | ID: mdl-33993527

RESUMEN

The heat resistance of meristematic tissues is crucial for the survival of plants exposed to high temperatures, as experienced during a forest fire. Although the risk and frequency of forest fires are increasing due to climate change, knowledge about the heat susceptibility of buds, which enclose apical meristems and thus enable resprouting and apical growth, is scarce. In this study, the heat resistance of buds in two different phenological stages was experimentally assessed for 10 European tree species. Cellular heat tolerance of buds was analyzed by determining the electrolyte leakage following heat exposure. Further, the heat insulation capability was tested by measuring the time required to reach lethal internal temperatures linked to bud traits. Our results highlighted differences in cellular heat tolerance and insulation capability among the study species. The phenological stage was found to affect both the thermal stability of cells and the buds' insulation. Further, a good relationship between size-related bud traits and insulation capability was established. Species-specific data on the heat resistance of buds give a more accurate picture of the fire susceptibility of European tree species and provide useful information for estimating tree post-fire responses more precisely.


Asunto(s)
Magnoliopsida/fisiología , Termotolerancia/fisiología , Árboles/fisiología , Electrólitos/metabolismo , Región Alpina Europea , Calor , Magnoliopsida/citología , Células Vegetales , Árboles/citología
4.
Trees (Berl West) ; 34(4): 999-1008, 2020.
Artículo en Inglés | MEDLINE | ID: mdl-32848296

RESUMEN

KEY MESSAGE: The lack of elevational changes in electrical resistivity in Pinus cembra trunks indicated consistent growth and hydraulics across elevations. Though, electrical resistivity tomograms exhibited pronounced temperature-driven seasonal changes. ABSTRACT: Alpine conifers growing at high elevation are exposed to low temperatures, which may limit xylogenesis and cause pronounced seasonal changes in tree hydraulics. Electrical resistivity (ER) tomography enables minimal invasive monitoring of stems in situ. We used this technique to analyze Pinus cembra trunks along a 400 m elevational gradient up to the timberline and over seasons. Furthermore, ER data of earlywood across tree rings were compared with the respective specific hydraulic conductivity (K S), measured on extracted wood cores. ER tomograms revealed pronounced changes over the year and a strong correlation between average ER (ERmean) and air and xylem temperatures. Surprisingly, no elevational changes in ERmean, earlywood ER or K S were observed. ER data corresponded to variation in earlywood K S, which decreased from the youngest (ca. 4-5 cm2s-1 MPa-1) to the oldest tree rings (0.63 ± 0.22 cm2s-1 MPa-1). The lack of changes in ER data and earlywood K S along the study transect indicated consistent growth patterns and no major changes in structural and functional hydraulic traits across elevation. The constant decrease in earlywood K S with tree ring age throughout all elevations highlights the hydraulic relevance of the outermost tree rings in P. cembra. Seasonal measurements demonstrated pronounced temperature effects on ER, and we thus recommend a detailed monitoring of trunk temperatures for ER tomography.

5.
New Phytol ; 223(4): 1728-1741, 2019 09.
Artículo en Inglés | MEDLINE | ID: mdl-31032970

RESUMEN

Heat injuries sustained in a fire can initiate a cascade of complex mechanisms that affect the physiology of trees after fires. Uncovering the exact physiological mechanisms and relating specific injuries to whole-plant and ecosystem functioning is the focus of intense current research. Recent studies have made critical steps forward in our understanding of tree physiological processes after fires, and have suggested mechanisms by which fire injuries may interact with disturbances such as drought, insects and pathogens. We outline a conceptual framework that unifies the involved processes, their interconnections, and possible feedbacks, and contextualizes these responses with existing hypotheses for disturbance effects on plants and ecosystems. By focusing on carbon and water as currencies of plant functioning, we demonstrate fire-induced cambium/phloem necrosis and xylem damage to be main disturbance effects. The resulting carbon starvation and hydraulic dysfunction are linked with drought and insect impacts. Evaluating the precise process relationships will be crucial for fully understanding how fires can affect tree functionality, and will help improve fire risk assessment and mortality model predictions. Especially considering future climate-driven increases in fire frequency and intensity, knowledge of the physiological tree responses is important to better estimate postfire ecosystem dynamics and interactions with climate disturbances.


Asunto(s)
Incendios , Árboles/fisiología , Agua , Cámbium/fisiología , Impedancia Eléctrica , Xilema/fisiología
6.
New Phytol ; 221(4): 1831-1842, 2019 03.
Artículo en Inglés | MEDLINE | ID: mdl-30347122

RESUMEN

The seedling stage is the most susceptible one during a tree's life. Water relations may be crucial for seedlings due to their small roots, limited water buffers and the effects of drought on water transport. Despite obvious relevance, studies on seedling xylem hydraulics are scarce as respective methodical approaches are limited. Micro-CT scans of intact Acer pseudoplatanus and Fagus sylvatica seedlings dehydrated to different water potentials (Ψ) allowed the simultaneous observation of gas-filled versus water-filled conduits and the calculation of percentage loss of conductivity (PLC) in stems, roots and leaves (petioles or main veins). Additionally, anatomical analyses were performed and stem PLC measured with hydraulic techniques. In A. pseudoplatanus, petioles showed a higher Ψ at 50% PLC (Ψ50 -1.13MPa) than stems (-2.51 MPa) and roots (-1.78 MPa). The main leaf veins of F. sylvatica had similar Ψ50 values (-2.26 MPa) to stems (-2.74 MPa) and roots (-2.75 MPa). In both species, no difference between root and stems was observed. Hydraulic measurements on stems closely matched the micro-CT based PLC calculations. Micro-CT analyses indicated a species-specific hydraulic architecture. Vulnerability segmentation, enabling a disconnection of the hydraulic pathway upon drought, was observed in A. pseudoplatanus but not in the especially shade-tolerant F. sylvatica. Hydraulic patterns could partly be related to xylem anatomical traits.


Asunto(s)
Acer/fisiología , Fagus/fisiología , Plantones/fisiología , Acer/anatomía & histología , Fagus/anatomía & histología , Hojas de la Planta/fisiología , Raíces de Plantas/fisiología , Tallos de la Planta/fisiología , Plantones/anatomía & histología , Especificidad de la Especie , Microtomografía por Rayos X , Xilema/fisiología
7.
New Phytol ; 217(4): 1484-1493, 2018 03.
Artículo en Inglés | MEDLINE | ID: mdl-29193122

RESUMEN

Recent studies on post-fire tree mortality suggest a role for heat-induced alterations of the hydraulic system. We analyzed heat effects on xylem hydraulics both in the laboratory and at a forest site hit by fire. Stem vulnerability to drought-induced embolism and hydraulic conductivity were measured in Picea abies, Pinus sylvestris and Fagus sylvatica. Control branches were compared with samples experimentally exposed to 90°C or damaged by a natural forest fire. In addition, xylem anatomical changes were examined microscopically. Experimental heating caused structural changes in the xylem and increased vulnerability in all species. The largest shifts in vulnerability thresholds (1.3 MPa) were observed in P. sylvestris. F. sylvatica also showed heat-induced reductions (49%) in hydraulic conductivity. At the field site, increased vulnerability was observed in damaged branches of P. sylvestris and F. sylvatica, and the xylem of F. sylvatica was 39% less conductive in damaged than in undamaged branches. These results provide evidence for heat-induced impairment of tree hydraulics after fire. The effects recorded at the forest fire site corresponded to those obtained in laboratory experiments, and revealed pronounced hydraulic risks in P. sylvestris and F. sylvatica. Knowledge of species-specific hydraulic impairments induced by fire and heat is a prerequisite for accurate estimation of post-fire mortality risks.


Asunto(s)
Fagus/fisiología , Incendios , Picea/fisiología , Pinus sylvestris/fisiología , Agua/fisiología , Xilema/fisiología , Calor , Xilema/anatomía & histología
8.
New Phytol ; 220(1): 104-110, 2018 10.
Artículo en Inglés | MEDLINE | ID: mdl-30040128

RESUMEN

Synchrotron X-ray computed micro-tomography (microCT) has emerged as a promising noninvasive technique for in vivo monitoring of xylem function, including embolism build-up under drought and hydraulic recovery following re-irrigation. Yet, the possible harmful effects of ionizing radiation on plant tissues have never been quantified. We specifically investigated the eventual damage suffered by stem living cells of three different species exposed to repeated microCT scans. Stem samples exposed to one, two or three scans were used to measure cell membrane and RNA integrity, and compared to controls never exposed to X-rays. Samples exposed to microCT scans suffered serious alterations to cell membranes, as revealed by marked increase in relative electrolyte leakage, and also underwent severe damage to RNA integrity. The negative effects of X-rays were apparent in all species tested, but the magnitude of damage and the minimum number of scans inducing negative effects were species-specific. Our data show that multiple microCT scans lead to disruption of fundamental cellular functions and processes. Hence, microCT investigation of phenomena that depend on physiological activity of living cells may produce erroneous results and lead to incorrect conclusions.


Asunto(s)
Imagenología Tridimensional/métodos , Sincrotrones , Microtomografía por Rayos X , Electrólitos/metabolismo , Populus/anatomía & histología , ARN de Planta/genética , Temperatura
9.
Artículo en Inglés | MEDLINE | ID: mdl-38957927

RESUMEN

Encouraging engagement in rewarding or pleasant activities is one of the most important treatment goals for depression. Mental imagery exercises have been shown to increase the motivation for planned behaviour in the lab but it is unclear whether this is also the case in daily life. Therefore, we aimed to investigate the effect of mental imagery exercises on motivation and behaviour in daily life. Participants with depressive symptoms (N = 59) were randomly assigned to a group receiving mental imagery (MI) exercises or a control group receiving relaxation (RE) exercises via study phones. We employed an experience sampling design with 10 assessments per day for 10 days (three days baseline, four days with two exercises per day and three days post-intervention). Data was analysed using t-tests and multilevel linear regression analyses. As predicted, MI exercises enhanced motivation and reward anticipation during the intervention phase compared to RE. However, MI did not enhance active behaviour or strengthen the temporal association from reward anticipation (t-1) to active behaviour (t). Mental imagery exercises can act as a motivational amplifier but its effects on behaviour and real-life reward processes remain to be elucidated.

10.
Psychol Psychother ; 96(3): 716-747, 2023 09.
Artículo en Inglés | MEDLINE | ID: mdl-37026578

RESUMEN

PURPOSE: Although schema therapy has been predominantly applied to treat personality disorders, interest into its application in other clinical disorders is growing. Central to schema therapy are Early Maladaptive Schemas (EMS) and Schema Modes. Since existing EMS and Schema Modes were primarily developed in the context of personality disorders, their relevance for clinical disorders is unclear. METHODS: We conducted a systematic review of the presence of EMS and Schema Modes in clinical disorders according to DSM criteria. Per disorder, we evaluated which EMS and Schema Modes were more pronounced in comparison with clinical as well as non-clinical control groups and which EMS and Schema Modes were most highly endorsed within the disorder. RESULTS: Although evidence concerning EMS was scarce for several disorders, and only few studies on Schema Modes survived inclusion criteria, we identified meaningful relationships and patterns for EMS and Schema Modes in various clinical disorders. CONCLUSIONS: The present review highlights the relevance of EMS and Schema Modes for clinical disorders beyond personality disorders. Depending on the theme of the representation, EMS act as vulnerabilities both across diagnoses and for specific disorders. Thus, EMS and resulting Schema Modes are potential, valuable targets for the prevention and treatment of clinical disorders.


Asunto(s)
Adaptación Psicológica , Trastornos de la Personalidad , Humanos , Trastornos de la Personalidad/terapia , Encuestas y Cuestionarios
11.
Nat Commun ; 13(1): 28, 2022 01 10.
Artículo en Inglés | MEDLINE | ID: mdl-35013178

RESUMEN

Heatwaves exert disproportionately strong and sometimes irreversible impacts on forest ecosystems. These impacts remain poorly understood at the tree and species level and across large spatial scales. Here, we investigate the effects of the record-breaking 2018 European heatwave on tree growth and tree water status using a collection of high-temporal resolution dendrometer data from 21 species across 53 sites. Relative to the two preceding years, annual stem growth was not consistently reduced by the 2018 heatwave but stems experienced twice the temporary shrinkage due to depletion of water reserves. Conifer species were less capable of rehydrating overnight than broadleaves across gradients of soil and atmospheric drought, suggesting less resilience toward transient stress. In particular, Norway spruce and Scots pine experienced extensive stem dehydration. Our high-resolution dendrometer network was suitable to disentangle the effects of a severe heatwave on tree growth and desiccation at large-spatial scales in situ, and provided insights on which species may be more vulnerable to climate extremes.


Asunto(s)
Cambio Climático , Deshidratación , Ecología , Bosques , Rayos Infrarrojos , Clima , Sequías , Ecosistema , Noruega , Picea , Pinus sylvestris , Suelo , Árboles , Agua
12.
Sci Rep ; 11(1): 22560, 2021 11 19.
Artículo en Inglés | MEDLINE | ID: mdl-34799592

RESUMEN

During winter, conifers at the alpine treeline suffer dramatic losses of hydraulic conductivity, which are successfully recovered during late winter. Previous studies indicated branch water uptake to support hydraulic recovery. We analyzed water absorption and redistribution in Picea abies and Larix decidua growing at the treeline by in situ exposure of branches to δ2H-labelled water. Both species suffered high winter embolism rates (> 40-60% loss of conductivity) and recovered in late winter (< 20%). Isotopic analysis showed water to be absorbed over branches and redistributed within the crown during late winter. Labelled water was redistributed over 425 ± 5 cm within the axes system and shifted to the trunk, lower and higher branches (tree height 330 ± 40 cm). This demonstrated relevant branch water uptake and re-distribution in treeline conifers. The extent of water absorption and re-distribution was species-specific, with L. decidua showing higher rates. In natura, melting snow might be the prime source for absorbed and redistributed water, enabling embolism repair and restoration of water reservoirs prior to the vegetation period. Pronounced water uptake in the deciduous L. decidua indicated bark to participate in the process of water absorption.

13.
Tree Physiol ; 40(12): 1668-1679, 2020 12 05.
Artículo en Inglés | MEDLINE | ID: mdl-32785622

RESUMEN

The performance and distribution of woody species strongly depend on their adjustment to environmental conditions based on genotypic and phenotypic properties. Since more intense and frequent drought events are expected due to climate change, xylem hydraulic traits will play a key role under future conditions, and thus, knowledge of hydraulic variability is of key importance. In this study, we aimed to investigate the variability in hydraulic safety and efficiency of the conifer shrub Juniperus communis based on analyses along an elevational transect and a common garden approach. We studied (i) juniper plants growing between 700 and 2000 m a.s.l. Innsbruck, Austria, and (ii) plants grown in the Innsbruck botanical garden (Austria) from seeds collected at different sites across Europe (France, Austria, Ireland, Germany and Sweden). Due to contrasting environmental conditions at different elevation and provenance sites and the wide geographical study area, pronounced variation in xylem hydraulics was expected. Vulnerability to drought-induced embolisms (hydraulic safety) was assessed via the Cavitron and ultrasonic acoustic emission techniques, and the specific hydraulic conductivity (hydraulic efficiency) via flow measurements. Contrary to our hypothesis, relevant variability in hydraulic safety and efficiency was neither observed across elevations, indicating a low phenotypic variation, nor between provenances, despite expected genotypic differences. Interestingly, the provenance from the most humid and warmest site (Ireland) and the northernmost provenance (Sweden) showed the highest and the lowest embolism resistance, respectively. The hydraulic conductivity was correlated with plant height, which indicates that observed variation in hydraulic traits was mainly related to morphological differences between plants. We encourage future studies to underlie anatomical traits and the role of hydraulics for the broad ecological amplitude of J. communis.


Asunto(s)
Juniperus , Austria , Sequías , Europa (Continente) , Francia , Alemania , Juniperus/genética , Agua , Xilema
14.
Surg Technol Int ; 18: 125-8, 2009 Apr.
Artículo en Inglés | MEDLINE | ID: mdl-19579199

RESUMEN

A pre-trial was conducted to investigate the reliability of using the surgical adhesive, BioGlue™ (CryoLife®, Inc., Kennesaw, Georgia, USA) for mesh fixation in Lichtenstein repair of inguinal hernia. From February to August 2008, 60 patients with unilateral inguinal hernia underwent a Lichtenstein repair. In 30 of the patients, BioGlue™ was used for mesh fixation and in the other 30 cases a conventional suture was used. The patients were sorted into two groups (BioGlue™-group and suture-group). No differences were noted in demographic characteristics. The main criteria for dropout were incarceration, relapse, operation, and/or scrotal hernia. Twenty-four hours postoperative, pain intensity was measured with a numeric analogous scale (NAS) that reached from 0 (no pain) to 10 (heavy pain). The pain intensity in the BioGlue™-group was 2.4 points and 4.3 points in the suture-group. The cut-suture time was 30 minutes in the BioGlue™-group and 56 minutes in the suture-group. In the first nine months, no relapses, no mesh infections, nor serom-formations were reported; however, one superficial wound infection did occur in the BioGlue™-group. Lichtenstein-repair using BioGlue™ for mesh-fixation is a safe, new method without early recurrences and less pain-intensity in relation to suture-supported Lichtenstein repair.


Asunto(s)
Hernia Inguinal/cirugía , Herniorrafia/efectos adversos , Herniorrafia/instrumentación , Dolor Postoperatorio/etiología , Dolor Postoperatorio/prevención & control , Proteínas/uso terapéutico , Mallas Quirúrgicas/efectos adversos , Femenino , Hernia Inguinal/complicaciones , Herniorrafia/métodos , Humanos , Masculino , Persona de Mediana Edad , Implantación de Prótesis/métodos , Resultado del Tratamiento
15.
Front Plant Sci ; 10: 1455, 2019.
Artículo en Inglés | MEDLINE | ID: mdl-31798610

RESUMEN

The increasing demand for tree and forest health monitoring due to ongoing climate change requires new future-oriented and nondestructive measurement techniques. Electrical resistivity (ER) tomography represents a promising and innovative approach, as it allows insights into living trees based on ER levels and ER cross-sectional distribution patterns of stems. However, it is poorly understood how external factors, such as temperature, tree water status, and electrode installation affect ER tomograms. In this study, ER measurements were carried out on three angiosperms (Betula pendula, Fagus sylvatica, Populus nigra) and three conifers (Larix decidua, Picea abies, Pinus cembra) exposed to temperatures between -10 and 30°C and to continuous dehydration down to -6.3 MPa in a laboratory experiment. Additionally, effects of removal of peripheral tissues (periderm, phloem, cambium) and electrode installation were tested. Temperature changes above the freezing point did not affect ER distribution patterns but average ER levels, which increased exponentially and about 2.5-fold from 30 to 0°C in all species. In contrast, freezing of stems caused a pronounced raise of ER, especially in peripheral areas. With progressive tree dehydration, average ER increased in all species except in B. pendula, and measured resistivities in the peripheral stem areas of both angiosperms and conifers were clearly linearly related to the tree water status. Removal of the periderm resulted in a slight decrease of high ER peaks. Installation of electrodes for a short period of 32-72 h before conducting the tomography caused small distortions in tomograms. Distortions became serious after long-term installation for several months, while mean ER was only slightly affected. The present study confirms that ER tomography of tree stems is sensitive to temperature and water status. Results help to improve ER tomogram interpretation and suggest that ER analyses may be suitable to nondestructively determinate the hydraulic status of trees. They thus provide a solid basis for further technological developments to enable presymptomatic detection of physiological stress in standing trees.

16.
Tree Physiol ; 39(7): 1262-1271, 2019 07 18.
Artículo en Inglés | MEDLINE | ID: mdl-31070766

RESUMEN

Electrical resistivity (ER) tomography is a promising technique to minimally invasively study stems of living trees. It allows insights into xylem properties based on the cross-sectional distribution of ER that is governed by the wood's electrical conductance. In this study, ER measurements were carried out on four forest tree species, Betula pendula, Fagus sylvatica, Picea abies and Pinus sylvestris, to demonstrate interspecific, intraspecific and within-tree variation of ER tomograms. Further, ER patterns were linked to xylem moisture content (MC), electrolyte content and density obtained from wood core analyses. The ER patterns of both coniferous species, P. abies and P. sylvestris, were found to be more homogenous and concentric compared with the complex tomograms of angiosperms. However, the ER range of coniferous trees showed considerable intraspecific variation. Measurements near ground level showed pronounced effects on ER tomograms, highlighting the importance of the chosen measurement height. A strong relation between ER and wood density was found in F. sylvatica while ER patterns of conifers were mainly influenced by MC. Results demonstrate a high species specificity of ER tomograms and of respective influencing xylem traits. They underline the importance of reference measurements for a correct interpretation of ER studies.


Asunto(s)
Abies , Fagus , Picea , Pinus sylvestris , Pinus , Betula , Estudios Transversales , Tomografía , Árboles
17.
Biomed Res Int ; 2014: 296498, 2014.
Artículo en Inglés | MEDLINE | ID: mdl-25313358

RESUMEN

PURPOSE: Optimized biocompatibility is a major requirement for alloplastic materials currently applied for stress urinary incontinence (SUI) and pelvic organ prolapse (POP) repair. In the preliminary studies the mesh modification by coating with autologous plasma resulted in the increased adherence score in vitro and improved biocompatibility in an animal model. The first use of plasma coated meshes in human is presented. MATERIALS AND METHODS: Between 04/2013 and 05/2014, 20 patients with the indication for SUI and POP repair were selected in a single institution. The applied meshes were modified by autologous plasma coating prior to implantation. A retrospective chart review for peri- and early postoperative complications was performed. Functional outcome and QoL were evaluated pre- and postoperatively. RESULTS: The functional outcome and QoL improved significantly in all groups. Two reoperations (Grade IIIB) with the release of TVT-mesh in anesthesia due to the obstruction were needed. No other severe complications were registered. CONCLUSION: For the first time we applied a mesh modification in a human setting according to IDEAL criteria of surgical innovations. The procedure of mesh coating with autologous plasma is safe and a prospective randomized trial proving a positive effect of plasma coating on the biocompatibility and morbidity outcome with long-term registry is planned.


Asunto(s)
Materiales Biocompatibles Revestidos/farmacología , Prolapso de Órgano Pélvico/cirugía , Plasma/metabolismo , Mallas Quirúrgicas , Incontinencia Urinaria de Esfuerzo/cirugía , Procedimientos Quirúrgicos Urológicos/métodos , Cicatrización de Heridas/efectos de los fármacos , Anciano , Anciano de 80 o más Años , Autoinjertos , Fenómenos Biomecánicos/efectos de los fármacos , Femenino , Humanos , Masculino , Persona de Mediana Edad , Complicaciones Posoperatorias/etiología , Terapias en Investigación
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