지원사업
학술연구/단체지원/교육 등 연구자 활동을 지속하도록 DBpia가 지원하고 있어요.
커뮤니티
연구자들이 자신의 연구와 전문성을 널리 알리고, 새로운 협력의 기회를 만들 수 있는 네트워킹 공간이에요.
논문 기본 정보
- 자료유형
- 학술저널
- 저자정보
- 발행연도
- 2009.7
- 수록면
- 7 - 14 (8page)
이용수
초록· 키워드
오류제보하기
Purpose: Postsurgical adhesion formation is a significant clinical problem within every surgical specialty. Several adhesion barriers have been developed in the form of solution, membrane or film in an attempt to solve these problems. The purpose of the present study is to compare the efficacy of antiadhesive agents in the prevention of postsurgical adhesion formation in a standardized rat adhesion model.
Methods: We examined forty Sprague-Dawley rats, which is a cecal abrasion with partial peritonectomy model. Three treatment groups (Group Ⅰ: Film-type Surgiwrap<SUP>ⓡ</SUP>, Group Ⅱ: Solution-type Guardix-sol<SUP>ⓡ</SUP>, Group Ⅲ: Membrane-type Interceed<SUP>ⓡ</SUP>), each consists of 10 rats, and a control group of 10 rats were used by saline. Ten days after surgery, the rats were killed, and the levels of adhesion were graded. Immunohistochemical staining for microvessel density (CD34, MVD) and macrophage (ED1) were performed in adhesion tissue.
Results: The peritoneum adhesion mean scores are as follows: control group: 2.2±0.78, Group Ⅰ: 1.0±1.06, Group Ⅱ: 0.9±0.99, Group Ⅲ: 0.6±0.84. All treatment groups showed significantly less peritoneum adhesion (P=0.006), while there was no significant difference in each group. The intraperitoneal organs adhesion mean scores are as follows: control group: 2.8±0.91, Group I: 2.6±1.06, Group Ⅱ: 1.4±0.84, Group Ⅲ: 1.0±0.81. Group Ⅰ had no significant difference about intraperitoneal organs adhesion with control group, but Group Ⅱ and Group Ⅲ showed less intraperitoneal organs adhesion. The mean numbers of microvessel density are as follows: control group: 42.5±4.83, Group Ⅰ: 40.8±6.53, Group Ⅱ: 30.9±6.15, Group Ⅲ: 15.60±4.37, from which there was a significant difference between Group Ⅱ and Group Ⅲ with control group (P＜0.001). The mean numbers of macrophage are as follows: control group: 223.3±33.12, Group I: 211.25±10.96, Group Ⅱ: 171.60±23.96, Group Ⅲ: 147.0±12.22, from which there was a significant difference between Group Ⅱ and Group Ⅲ with control group (P＜0.001).
Conclusion: In our animal model, three different types of antiadhesive agents (Surgiwrap<SUP>ⓡ</SUP>, Guardix-sol<SUP>ⓡ</SUP>, Interceed<SUP>ⓡ</SUP>) were effective in adhesion prevention, but Surgiwrap<SUP>ⓡ</SUP> had less antiadhesive effect for intraperitoneal organs adhesion. Membrane-type Interceed<SUP>ⓡ</SUP> had a better effect for microvessel density (MVD) and macrophage than solution-type Guardix-sol<SUP>ⓡ</SUP>.
Methods: We examined forty Sprague-Dawley rats, which is a cecal abrasion with partial peritonectomy model. Three treatment groups (Group Ⅰ: Film-type Surgiwrap<SUP>ⓡ</SUP>, Group Ⅱ: Solution-type Guardix-sol<SUP>ⓡ</SUP>, Group Ⅲ: Membrane-type Interceed<SUP>ⓡ</SUP>), each consists of 10 rats, and a control group of 10 rats were used by saline. Ten days after surgery, the rats were killed, and the levels of adhesion were graded. Immunohistochemical staining for microvessel density (CD34, MVD) and macrophage (ED1) were performed in adhesion tissue.
Results: The peritoneum adhesion mean scores are as follows: control group: 2.2±0.78, Group Ⅰ: 1.0±1.06, Group Ⅱ: 0.9±0.99, Group Ⅲ: 0.6±0.84. All treatment groups showed significantly less peritoneum adhesion (P=0.006), while there was no significant difference in each group. The intraperitoneal organs adhesion mean scores are as follows: control group: 2.8±0.91, Group I: 2.6±1.06, Group Ⅱ: 1.4±0.84, Group Ⅲ: 1.0±0.81. Group Ⅰ had no significant difference about intraperitoneal organs adhesion with control group, but Group Ⅱ and Group Ⅲ showed less intraperitoneal organs adhesion. The mean numbers of microvessel density are as follows: control group: 42.5±4.83, Group Ⅰ: 40.8±6.53, Group Ⅱ: 30.9±6.15, Group Ⅲ: 15.60±4.37, from which there was a significant difference between Group Ⅱ and Group Ⅲ with control group (P＜0.001). The mean numbers of macrophage are as follows: control group: 223.3±33.12, Group I: 211.25±10.96, Group Ⅱ: 171.60±23.96, Group Ⅲ: 147.0±12.22, from which there was a significant difference between Group Ⅱ and Group Ⅲ with control group (P＜0.001).
Conclusion: In our animal model, three different types of antiadhesive agents (Surgiwrap<SUP>ⓡ</SUP>, Guardix-sol<SUP>ⓡ</SUP>, Interceed<SUP>ⓡ</SUP>) were effective in adhesion prevention, but Surgiwrap<SUP>ⓡ</SUP> had less antiadhesive effect for intraperitoneal organs adhesion. Membrane-type Interceed<SUP>ⓡ</SUP> had a better effect for microvessel density (MVD) and macrophage than solution-type Guardix-sol<SUP>ⓡ</SUP>.
목차
서론
방법
결과
고찰
결론
REFERENCES
참고문헌 (27)
참고문헌 신청
1. [학술지(정기간행물)] - Parker MC / 2001 / Postoperative adhesions: ten-year follow-up of 12,584 patients undergoing lower abdominal surgery / Dis Colon Rectum 44 : 822 ~ 829
2. [학술지(정기간행물)] - Ray NF / 1998 / Abdominal adhesiolysis: inpatient care and expenditures in the United States in 1994 / J Am Coll Surg 186 : 1 ~ 9
3. [학술지(정기간행물)] - Hooker GD / 1999 / Prevention of adhesion formation with use of sodium hyaluronate-based bioresorbable membrane in a rat model of ventral hernia repair with polypropylene mesh--a randomized, controlled study / Surgery 125 : 211 ~ 216
4. [학술지(정기간행물)] - Knightly JJ / 1962 / The effect of fibrinolysin and heparin on the formation of peritoneal adhesions / Surgery 52 : 250 ~ 258
5. [학술지(정기간행물)] - Epstein JC / 2006 / Human peritoneal adhesions show evidence of tissue remodeling and markers of angiogenesis / Dis Colon Rectum 49 : 1885 ~ 1892
2. [학술지(정기간행물)] - Ray NF / 1998 / Abdominal adhesiolysis: inpatient care and expenditures in the United States in 1994 / J Am Coll Surg 186 : 1 ~ 9
3. [학술지(정기간행물)] - Hooker GD / 1999 / Prevention of adhesion formation with use of sodium hyaluronate-based bioresorbable membrane in a rat model of ventral hernia repair with polypropylene mesh--a randomized, controlled study / Surgery 125 : 211 ~ 216
4. [학술지(정기간행물)] - Knightly JJ / 1962 / The effect of fibrinolysin and heparin on the formation of peritoneal adhesions / Surgery 52 : 250 ~ 258
5. [학술지(정기간행물)] - Epstein JC / 2006 / Human peritoneal adhesions show evidence of tissue remodeling and markers of angiogenesis / Dis Colon Rectum 49 : 1885 ~ 1892
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