The Effects of Perianastomotic Injections of Different Growth Factors on Experimental Colonic Anastomoses in Rats

Autor: Ergin Kopal, Bartu Badak, Necdet Fatih Yasar, Ersin Ates
Jazyk: angličtina
Rok vydání: 2016
Předmět:
Zdroj: Turkish Journal of Colorectal Disease, Vol 26, Iss 4, Pp 113-120 (2016)
Druh dokumentu: article
ISSN: 2536-4898
2536-4901
DOI: 10.4274/tjcd.69335
Popis: Aim: Despite advances in medicine and technology, anastomotic healing problems and leaks are still the most important causes of postoperative morbidity and mortality in colorectal surgery. Growth factors are proven to have significant effects on wound healing. The aim of the present study was to determine the effects of different growth factors on experimental colonic anastomoses and the healing process. Method: The study included 48 Wistar rats, weighting 200-250 g, which were divided to 6 randomised groups (n=8): Group I-Sham group; Group II-Partial colostomy+colonic anastomosis; Group III-Partial colostomy+colonic anastomosis+125 μg/kg epidermal growth factor; IV-Partial colostomy+colonic anastomosis+6.5 μg/kg keratinocyte growth factor; V-Partial colostomy+colonic anastomosis+16 μg/kg fibroblast growth factor; Group VI-Partial colostomy+colonic anastomosis +150 μg/kg granulocyte-colony stimulating factor. All factors were injected subserosally to the perianastomotic area. On the postoperative 7th day, rats were sacrificed and perianastomotic tissue examples were obtained for colonic bursting pressure, tissue hydroxyproline levels and histopathologic examination. Results: Colonic bursting pressures were higher in Groups III and V compared to Groups II and VI (p
Databáze: Directory of Open Access Journals