Tracking stem cells in the incisional hernial sac: a gaze beyond pure tissue repairs

ABSTRACT Objective: the hernial sac is typically a bilayer structure consisting of connective tissue lined underneath by peritoneum. Some incidental findings on it, like smooth muscle cells and heterotopic ossification, can be explained as the end-stage metaplasia from undifferentiated cells. This...

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Main Authors: RENATO MIRANDA DE MELO, ROBERPAULO ANACLETO NEVES, LILIANA BORGES DE MENEZES
Format: Article
Language:English
Published: Colégio Brasileiro de Cirurgiões 2020-11-01
Series:Revista do Colégio Brasileiro de Cirurgiões
Subjects:
Online Access:http://www.scielo.br/scielo.php?script=sci_arttext&pid=S0100-69912020000100504&tlng=en
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author RENATO MIRANDA DE MELO
ROBERPAULO ANACLETO NEVES
LILIANA BORGES DE MENEZES
author_facet RENATO MIRANDA DE MELO
ROBERPAULO ANACLETO NEVES
LILIANA BORGES DE MENEZES
author_sort RENATO MIRANDA DE MELO
collection DOAJ
description ABSTRACT Objective: the hernial sac is typically a bilayer structure consisting of connective tissue lined underneath by peritoneum. Some incidental findings on it, like smooth muscle cells and heterotopic ossification, can be explained as the end-stage metaplasia from undifferentiated cells. This study aimed to search for mesenchymal stem cells in the incisional hernial sac by an immuno-histochemistry screening test. Methods: fifteen specimens of them were submitted to histochemistry analysis using CD133 monoclonal antibodies, a specific marker of mesenchymal stem cells. The biopsies were obtained from patients submitted to pure tissue repair for incisional hernias - the transposition with the hernial sac technique (Lázaro da Silva, 1971). Results: two-thirds of the specimens expressed on average 20 (twenty) CD133+ cells in each one. Conclusion: despite the screening nature of this study, the hernial sac may be considered a source of stem cells. This could explain those abnormal findings, and perhaps the induction of new fibroblasts in procedures that use it to optimize wound healing.
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spelling doaj.art-17f84a26852246808021efc078002dd12022-12-21T19:22:45ZengColégio Brasileiro de CirurgiõesRevista do Colégio Brasileiro de Cirurgiões1809-45462020-11-014710.1590/0100-6991e-20202636Tracking stem cells in the incisional hernial sac: a gaze beyond pure tissue repairsRENATO MIRANDA DE MELOhttps://orcid.org/0000-0001-5230-2789ROBERPAULO ANACLETO NEVEShttps://orcid.org/0000-0003-1181-2373LILIANA BORGES DE MENEZEShttps://orcid.org/0000-0003-4237-6279ABSTRACT Objective: the hernial sac is typically a bilayer structure consisting of connective tissue lined underneath by peritoneum. Some incidental findings on it, like smooth muscle cells and heterotopic ossification, can be explained as the end-stage metaplasia from undifferentiated cells. This study aimed to search for mesenchymal stem cells in the incisional hernial sac by an immuno-histochemistry screening test. Methods: fifteen specimens of them were submitted to histochemistry analysis using CD133 monoclonal antibodies, a specific marker of mesenchymal stem cells. The biopsies were obtained from patients submitted to pure tissue repair for incisional hernias - the transposition with the hernial sac technique (Lázaro da Silva, 1971). Results: two-thirds of the specimens expressed on average 20 (twenty) CD133+ cells in each one. Conclusion: despite the screening nature of this study, the hernial sac may be considered a source of stem cells. This could explain those abnormal findings, and perhaps the induction of new fibroblasts in procedures that use it to optimize wound healing.http://www.scielo.br/scielo.php?script=sci_arttext&pid=S0100-69912020000100504&tlng=enStem CellsPeritoneumReconstructive Surgical ProceduresAbdominal Wall
spellingShingle RENATO MIRANDA DE MELO
ROBERPAULO ANACLETO NEVES
LILIANA BORGES DE MENEZES
Tracking stem cells in the incisional hernial sac: a gaze beyond pure tissue repairs
Revista do Colégio Brasileiro de Cirurgiões
Stem Cells
Peritoneum
Reconstructive Surgical Procedures
Abdominal Wall
title Tracking stem cells in the incisional hernial sac: a gaze beyond pure tissue repairs
title_full Tracking stem cells in the incisional hernial sac: a gaze beyond pure tissue repairs
title_fullStr Tracking stem cells in the incisional hernial sac: a gaze beyond pure tissue repairs
title_full_unstemmed Tracking stem cells in the incisional hernial sac: a gaze beyond pure tissue repairs
title_short Tracking stem cells in the incisional hernial sac: a gaze beyond pure tissue repairs
title_sort tracking stem cells in the incisional hernial sac a gaze beyond pure tissue repairs
topic Stem Cells
Peritoneum
Reconstructive Surgical Procedures
Abdominal Wall
url http://www.scielo.br/scielo.php?script=sci_arttext&pid=S0100-69912020000100504&tlng=en
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