Histological study on acute inflammatory reaction to polyurethane-coated silicone implants in rats

Acta Cir Bras. 2008 Jan-Feb;23(1):93-101. doi: 10.1590/s0102-86502008000100015.

Abstract

Purpose: Evaluating histologically the silicone peri-implant coated by polyurethane inflammation associated to the use of anti-microbial and bacterial contamination.

Methods: It was used 35 Wistar rats. The animals were divided in seven groups: I - Control; II - implant cavity contamination with 10 bacteria/ml; III - implant cavity contamination with 10 bacteria/ml; IV - implant cavity contamination with 10 bacteria/ml; V - identical contamination to group II and implant immersions in anti-microbial solution; VI - identical contamination in group III and implant immersions in the anti-microbial solution; VII - identical contamination of group IV and implant immersions in anti-microbial solution. It was evaluated morphometrically the peri-implant capsules after 30 days of introduction.

Results: The factors with more discriminating power were the giants cells of a strange body and the mononuclear. There was no correlation between the bacterial concentrations and the histological alterations.

Conclusion: 1) The histological standard of the inflammatory reaction around the silicone implant coated with polyurethan is chronic granulomatosis type of a strange body; 2) There isn't correlation between concentration of Staphylococcus epidermidis and histological changes; 3) The use of anti-microbial solution decreased the mononuclear cell reactions, with the increase of giant cells in a strange body.

MeSH terms

  • Animals
  • Biocompatible Materials
  • Breast Implants / adverse effects*
  • Drug Evaluation, Preclinical
  • Female
  • Foreign-Body Reaction / microbiology
  • Foreign-Body Reaction / pathology*
  • Implants, Experimental*
  • Polyurethanes*
  • Rats
  • Rats, Wistar
  • Silicone Gels / adverse effects*
  • Staphylococcal Infections / microbiology
  • Staphylococcal Infections / pathology
  • Staphylococcus epidermidis / isolation & purification

Substances

  • Biocompatible Materials
  • Polyurethanes
  • Silicone Gels