@article{MuehlBinneboeselKlingeetal.2008, author = {M{\"u}hl, Thomas and Binneb{\"o}sel, Marcel and Klinge, Uwe and Goedderz, Thomas}, title = {New objective measurement to characterize the porosity of textile implants}, series = {Journal of Biomedical Materials Research Part B: Applied Biomaterials. 84B (2008), H. 1}, journal = {Journal of Biomedical Materials Research Part B: Applied Biomaterials. 84B (2008), H. 1}, isbn = {1552-4981}, pages = {176 -- 183}, year = {2008}, language = {en} } @article{StaatTrenzLohmannetal.2012, author = {Staat, Manfred and Trenz, Eva and Lohmann, Philipp and Frotscher, Ralf and Klinge, Uwe and Tabaza, Ruth and Kirschner-Hermanns, Ruth}, title = {New measurements to compare soft tissue anchoring systems in pelvic floor surgery}, series = {Journal of Biomedical Materials Research Part B: Applied Biomaterials}, volume = {100B}, journal = {Journal of Biomedical Materials Research Part B: Applied Biomaterials}, number = {4}, publisher = {Wiley}, address = {Hoboken, NJ}, issn = {1552-4981}, doi = {10.1002/jbm.b.32654}, pages = {924 -- 933}, year = {2012}, abstract = {Suburethral slings as well as different meshes are widely used treating stress urinary incontinence and prolaps in women. With the development of MiniSlings and special meshes using less alloplastic material anchorage systems become more important to keep devices in place and to put some tension especially on the MiniSlings. To date, there are many different systems of MiniSlings of different companies on the market which differ in the structure of the used meshes and anchors. A new objective measurement method to compare different properties of MiniSling systems (mesh and anchor) is presented in this article. Ballistic gelatine acts as soft tissue surrogate. Significant differences in parameters like pull-out strength of anchors or shrinkage of meshes under loading conditions have been determined. The form and size of the anchors as well as the structural stability of the meshes are decisive for a proper integration. The tested anchorings sytems showed markedly different mechanical function at their respective load bearing capacity. As the stable fixation of the device in tissue is a prerequisite for a permanet reinforcement, the proposed test system permits further optimisation of anchor and mesh devices to improve the success of the surgical treatment}, language = {en} } @article{KlingeWilkeMuehl2012, author = {Klinge, Uwe and Wilke, Ralf and M{\"u}hl, Thomas}, title = {Auswahl der Herniennetze nach der "effektiven Porosit{\"a}t" - warum das Gewicht weniger wichtig ist}, series = {Chirurgische Allgemeine : CHAZ ; Zeitung f{\"u}r Klinik und Praxis}, volume = {13}, journal = {Chirurgische Allgemeine : CHAZ ; Zeitung f{\"u}r Klinik und Praxis}, number = {12}, publisher = {Kaden}, address = {Mannheim}, isbn = {1615-5378}, pages = {297 -- 301}, year = {2012}, language = {de} } @article{JensKaldenhoffKirschnerHermannsetal.2014, author = {Jens, Otto and Kaldenhoff, E. and Kirschner-Hermanns, R. and M{\"u}hl, Thomas and Klinge, Uwe}, title = {Elongation of textile pelvic floor implants under load is related to complete loss of effective porosity, thereby favoring incorporation in scar plates}, series = {Journal of biomedical materials research. Part A}, volume = {102}, journal = {Journal of biomedical materials research. Part A}, number = {4}, publisher = {Wiley}, address = {New York}, issn = {1552-4965}, doi = {10.1002/jbm.a.34767}, pages = {1079 -- 1084}, year = {2014}, abstract = {Use of textile structures for reinforcement of pelvic floor structures has to consider mechanical forces to the implant, which are quite different to the tension free conditions of the abdominal wall. Thus, biomechanical analysis of textile devices has to include the impact of strain on stretchability and effective porosity. Prolift® and Prolift + M®, developed for tension free conditions, were tested by measuring stretchability and effective porosity applying mechanical strain. For comparison, we used Dynamesh-PR4®, which was designed for pelvic floor repair to withstand mechanical strain. Prolift® at rest showed moderate porosity with little stretchability but complete loss of effective porosity at strain of 4.9 N/cm. Prolift + M® revealed an increased porosity at rest, but at strain showed high stretchability, with subsequent loss of effective porosity at strain of 2.5 N/cm. Dynamesh PR4® preserved its high porosity even under strain, but as consequence of limited stretchability. Though in tension free conditions Prolift® and Prolift + M® can be considered as large pore class I meshes, application of mechanical strain rapidly lead to collapse of pores. The loss of porosity at mechanical stress can be prevented by constructions with high structural stability. Assessment of porosity under strain was found helpful to define requirements for pelvic floor devices. Clinical studies have to prove whether devices with high porosity as well as high structural stability can improve the patients' outcome.}, language = {en} } @article{AndingTabazaStaatetal.2013, author = {Anding, Ralf and Tabaza, Ruth and Staat, Manfred and Trenz, Eva and Lohmann, Philipp and Klinge, Uwe and Kirschner-Hermanns, Ruth}, title = {Introducing a method of in vitro testing of different anchoring systems used for female incontinence and prolapse surgery}, series = {BioMed research international}, volume = {Vol. 2013}, journal = {BioMed research international}, issn = {1110-7251 (E-Journal); 2314-6141 (E-Journal); 1110-7243 (Print); 2314-6133 (Print)}, pages = {Article ID 401417}, year = {2013}, language = {en} } @article{KlingeOttoMuehl2015, author = {Klinge, Uwe and Otto, Jens and M{\"u}hl, Thomas}, title = {High Structural Stability of Textile Implants Prevents Pore Collapse and Preserves Effective Porosity at Strain}, series = {BioMed Research International}, volume = {2015}, journal = {BioMed Research International}, issn = {2314-6133 (Print)}, doi = {10.1155/2015/953209}, pages = {7 pages}, year = {2015}, language = {en} }