Effect on the tensile strength of human acellular dermis (Epiflex®) of in-vitro incubation simulating an open abdomen setting.

BACKGROUND: The use of human acellular dermis (hAD) to close open abdomen in the treatment process of severe peritonitis might be an alternative to standard care. This paper describes an investigation of the effects of fluids simulating an open abdomen environment on the biomechanical properties of Epiflex® a cell-free human dermis transplant. METHODS: hAD was incubated in Ringers solution, blood, urine, upper gastrointestinal (upper GI) secretion and a peritonitis-like bacterial solution in-vitro for 3 weeks. At day 0, 7, 14 and 21 breaking strength was measured, tensile strength was calculated and standard fluorescence microscopy was performed. RESULTS: hAD incubated in all five of the five fluids showed a decrease in mean breaking strength at day 21 when compared to day 0. However, upper GI secretion was the only incubation fluid that significantly reduced the mechanical strength of Epiflex after 21 days of incubation when compared to incubation in Ringer's solution. CONCLUSION: hAD may be a suitable material for closure of the open abdomen in the absence of upper GI leakage and pancreatic fistulae.

Visualization of localized elastic properties in human tooth and jawbone as revealed by scanning acoustic microscopy.

The elastic properties of human canine and supporting alveolar bone are measured by the distribution of localized speed of sound using scanning acoustic microscopy. Methods for the dynamic, non-destructive diagnostics of dental hard tissues can have a key role in the early detection of demineralization processes and carious lesions, and they are supposed to open the possibility of early dental restorations. The localized distribution of the ultrasound velocity in canine tooth and alveolar bone was obtained using scanning acoustic microscopy with a 5- and 30-MHz transducer. An acoustic material signature curve signifies the interference of the waves and quantitatively maps the localized speed of sound in alveolar bone and the canine tooth. Seven samples, consisting of alveolar jawbone and tooth sliced along the coronally apical axis, were investigated. The average speed of sound was determined along three independent cross sections at enamel, dentin and cortical bone. The average speed of sound in enamel, bone and dentin was SD 3460 ± 193 m/s, 3232 ± 113 m/s and 2928 ± 106 m/s. The distribution of sound wave propagation reveals a decrease in sound speed from the peripheral parts within the enamel and dentin layers toward the proximal zones. These results prove the possibility of linking the elastic properties to different areas within the osseous and dental hard tissues and visualize them in an extremely high local resolution. The results serve as a basis for further study and substantiate the enormous potential of ultrasound based analysis in the field of dento-alveolar diagnosis.