COMPLEX OPTICAL CHARACTERIZATION OF MESH IMPLANTS AND ENCAPSULATION AREA

Abstract

Complex investigation of mesh implants was performed involving laser confocal microscopy, backscattered probing and OCT imaging methods. The growth of endomysium and fat tissue with microcirculation vessels was observed in the mesh encapsulation region. Confocal microscopy analysis shows that such pathologies complications such as necrosis formation and microcavities were localized in the area near implant fibers with the size compatible with fiber diameter. And the number of such formations increase with the increase of the size, number and density of microdefects on the implant surface. Results of numerical simulations show that it is possible to control implant installation up to the depth to 4 mm with a help of backscattering probing. The applicability of OCT imaging for mesh implant control was demonstrated. Special two-stage OCT image noise-reduction algorithm, including empirical mode decomposition, was proposed for contrast increase and better abnormalities visualization by halving the signal-to-noise ratio. Joint usage of backscattered probing and OCT allows to accurately ascertain implant and surrounding tissue conditions, which reduces the risk of relapse probability.