Effect of hyaluronic acid on postoperative intraperitoneal adhesion formation in the rat model
| Autor: | Victor Gomel, Bulent Urman, Nazma Jetha |
|---|---|
| Rok vydání: | 1991 |
| Předmět: |
medicine.medical_specialty
medicine.medical_treatment Premedication Urology Uterus Adhesion (medicine) Tissue Adhesions Peritoneal Diseases Glycosaminoglycan chemistry.chemical_compound Postoperative Complications Laparotomy Hyaluronic acid medicine Animals Hyaluronic Acid Saline Chemotherapy business.industry Lasers Obstetrics and Gynecology Rats Inbred Strains medicine.disease Surgery Rats Radiation Injuries Experimental medicine.anatomical_structure Reproductive Medicine chemistry Female Intraperitoneal adhesion business |
| Zdroj: | Fertility and sterility. 56(3) |
| ISSN: | 0015-0282 |
| Popis: | Objective The aim of this study was to determine the effectiveness of hyaluronic acid solution in preventing intraperitoneal (IP) adhesions. Design and Setting The study design was prospective, randomized and blinded and involved 83 rats. Interventions Measured serosal injury was inflicted using a CO 2 laser on the right uterine horn of the rat. Animals randomized to groups 1 and 2 received either 0.4% hyaluronic acid or its diluent phosphate-buffered saline (PBS) intraperitoneally before and after the injury. In groups 3 and 4, the same solutions were used only after the injury. Postoperative adhesions were assessed at second-look laparotomy. Histologic assessment of the fresh laser injury was carried out on uteri pretreated with hyaluronic acid, PBS, or nothing. Main Outcome Pretreatment with hyaluronic acid was associated with a significant reduction in postoperative adhesions and a significantly decreased crater depth. Conclusions Hyaluronic acid appears to reduce postoperative IP adhesion formation by coating the serosal surfaces and decreasing the extent of initial tissue injury. |
| Databáze: | OpenAIRE |
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