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Provedor de dados:  BJMBR
País:  Brazil
Título:  Dexamethasone and sodium carboxymethyl cellulose prevent postoperative intraperitoneal adhesions in rats
Autores:  Du,X.H.
Liu,J.Q.
Xin,K.
Liu,G.H.
Data:  2015-04-01
Ano:  2015
Palavras-chave:  Dexamethasone
Sodium carboxymethyl cellulose
Adhesions
Resumo:  We aimed to evaluate the effects of the barrier agent sodium carboxymethyl cellulose (SCMC) with and without dexamethasone for the prevention of postoperative adhesion formation in a rat model of postoperative peritoneal adhesion. A total of 160 three-month old male and female Wistar rats underwent a laparotomy, and adhesions were induced by ileocecal abrasion. Rats were randomly assigned to 4 groups (n=40 each): group A, untreated; group B, treated with SCMC only; group C1, treated with SCMC + 3 mg dexamethasone, and group C2, treated with SCMC + 8 mg dexamethasone. After 12 days, adhesion formation and histopathological changes were compared. In groups A, B, C1, and C2, the mortality rates were 10, 5, 5, and 5%, respectively. In groups C1 and C2, the adhesions were filmy and easy to dissect and were milder compared with those in groups A and B. The total adhesion score in group C1 (3.38±0.49) was significantly lower than that of group B (6.01±0.57; P<0.01) or group A (8.01±0.67; P<0.05). There was no significant difference in adhesion formation between groups C1 and C2. Compared with groups A and B, groups C1 and C2 exhibited milder histopathological changes. SCMC in combination with dexamethasone can prevent adhesion formation and is a better barrier agent than SCMC alone. The safety and feasibility of SCMC in combination with dexamethasone to prevent adhesion formation after abdominal surgery warrants further clinical study.
Tipo:  Info:eu-repo/semantics/article
Idioma:  Inglês
Identificador:  http://www.scielo.br/scielo.php?script=sci_arttext&pid=S0100-879X2015000400344
Editor:  Associação Brasileira de Divulgação Científica
Relação:  10.1590/1414-431x20144211
Formato:  text/html
Fonte:  Brazilian Journal of Medical and Biological Research v.48 n.4 2015
Direitos:  info:eu-repo/semantics/openAccess
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