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Ulus Travma Acil Cer · Oct 2005
[Does sepsis impair the healing of colonic anastomosis in splenectomized rats?].
- Ali Naycı, Ülkü Çömelekoğlu, Eda Çıngı, Hakan Taşkınlar, Dinçer Avlan, Nurten Renda, and Selim Aksöyek.
- Mersin University, Faculty of Medicine Departments of Pediatric Surgery, Mersin, Turkey. anayci@mersin.edu.tr.
- Ulus Travma Acil Cer. 2005 Oct 1;11(4):282-6.
BackgroundTo investigate the effect of splenectomy on the healing of colonic anastomoses under normal and septic conditions.MethodsForty Wistar rats were assigned into six groups: group 1: sham, group 2: colonic anastomose, group 3: splenectomy, group 4: colonic anastomose plus sepsis, group 5: colonic anastomose plus splenectomy, group 6: colonic anastomose plus splenectomy plus sepsis. The rats underwent a standardized left colonic resection and primary anastomosis and/or splenectomy. Sepsis was produced by cecal ligation and puncture. Wound healing was evaluated by bursting pressure and hydroxiproline estimates.ResultsBursting pressures were as follows: group 1: 173 +/- 14 mmHg, group 2: 186 +/- 7 mmHg, group 3: 168 +/- 6 mmHg, group 4: 113 +/- 14 mmHg, group 5: 167 +/- 10 mmHg, and group 6: 183 +/- 3 mmHg. Hidroksiprolin contents were: group 1: 3.5 +/- 0.2 microg/mg, group 2: 3.2 +/- 0.3 microg/mg, group 3: 3.4 +/- 0.2 microg/mg, group 4: 2.3 +/- 0.2 microg/mg, group 5: 3.0 +/- 0.2 microg/mg, grup 6 3.2 +/- 0.1 microg/mg. Statistical significance was found between group 4 and the other groups (p<0.05).ConclusionSepsis impairs the healing of colonic anastomoses. However, sepsis does not impair the intestinal wound healing in splenectomized rats.
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