Literature DB >> 20637345

Preventing intraperitoneal adhesions with atorvastatin and sodium hyaluronate/carboxymethylcellulose: a comparative study in rats.

Miltiadis A Lalountas1, Konstantinos D Ballas, Christos Skouras, Christos Asteriou, Theodoros Kontoulis, Dimitrios Pissas, Apostolos Triantafyllou, Athanasios K Sakantamis.   

Abstract

OBJECTIVES: The aim of this study was to compare the effectiveness of atorvastatin with the sodium hyaluronate/carboxymethylcellulose (HA/CMC, Seprafilm; Genzyme; Genzyme Biosurgery Corporation, Cambridge, MA) in preventing postoperative intraperitoneal adhesion formation in rats.
METHODS: Sixty Wistar rats underwent a laparotomy, and adhesions A were induced by cecal abrasion. The animals were divided into 4 groups: group 1, control A; group 2, (A + atorvastatin); group 3, (A + HA/CMC), and group 4, (A + atorvastatin + HA/CMC). The atorvastatin (groups 2 and 4) and HA/CMC (groups 3 and 4) were administered intraperitoneally before the abdominal wall was closed. After 14 days, adhesions were classified by 2 independent surgeons.
RESULTS: The adhesion scores (mean +/- standard deviation) for groups 1, 2, 3, and 4 were 2.93 +/- .59, 1.85 +/- 1.07, 1.80 +/- .86, and 1.93 +/- .70, respectively. The differences in adhesion scores among all 3 preventive groups (groups 2, 3, and 4) were statistically significant when compared with the control group (P = .005, P = .002, and P = .009, respectively).
CONCLUSIONS: These data suggest that atorvastatin, administered intraperitoneally, is as effective as HA/CMC without an expectable additive effect in preventing postoperative adhesions in rats. Copyright (c) 2010 Elsevier Inc. All rights reserved.

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Year:  2010        PMID: 20637345     DOI: 10.1016/j.amjsurg.2009.06.026

Source DB:  PubMed          Journal:  Am J Surg        ISSN: 0002-9610            Impact factor:   2.565


  14 in total

Review 1.  Current strategies and future perspectives for intraperitoneal adhesion prevention.

Authors:  Christoph Brochhausen; Volker H Schmitt; Constanze N E Planck; Taufiek K Rajab; David Hollemann; Christine Tapprich; Bernhard Krämer; Christian Wallwiener; Helmut Hierlemann; Rolf Zehbe; Heinrich Planck; C James Kirkpatrick
Journal:  J Gastrointest Surg       Date:  2012-06       Impact factor: 3.452

2.  Effects of Intraperitoneal Administration of Simvastatin in Prevention of Postoperative Intra-abdominal Adhesion Formation in Animal Model of Rat.

Authors:  Mojtaba Javaherzadeh; Ali Shekarchizadeh; Marjan Kafaei; Abass Mirafshrieh; Nariman Mosaffa; Babak Sabet
Journal:  Bull Emerg Trauma       Date:  2016-07

3.  PVA gel as a potential adhesion barrier: a safety study in a large animal model of intestinal surgery.

Authors:  Bernhard W Renz; Kurt Leitner; Erich Odermatt; Daniel L Worthley; Martin K Angele; Karl-Walter Jauch; Reinhold A Lang
Journal:  Langenbecks Arch Surg       Date:  2014-03-04       Impact factor: 3.445

4.  The effect of antivascular endothelial growth factor on the development of adhesion formation in laparotomized rats: experimental study.

Authors:  Murat Basbug; Nurullah Bulbuller; Cemalettin Camci; Refik Ayten; Erhan Aygen; Ibrahim Hanifi Ozercan; Zulfu Arikanoglu; Sami Akbulut
Journal:  Gastroenterol Res Pract       Date:  2011-06-28       Impact factor: 2.260

5.  Prevention of pleural adhesions by bioactive polypeptides - a pilot study.

Authors:  D Åkerberg; M Posaric-Bauden; K Isaksson; R Andersson; B Tingstedt
Journal:  Int J Med Sci       Date:  2013-10-08       Impact factor: 3.738

6.  Zn2+-SCMC versus HA for preventing intraperitoneal adhesions: a rat model study.

Authors:  Xiaohong Du; Guanghui Hong; Pinghui Sun; Guohui Liu
Journal:  Int J Med Sci       Date:  2012-08-09       Impact factor: 3.738

7.  Seprafilm® adhesion barrier: (1) a review of preclinical, animal, and human investigational studies.

Authors:  Michael P Diamond; Ellen L Burns; Beverly Accomando; Sadiqa Mian; Lena Holmdahl
Journal:  Gynecol Surg       Date:  2012-04-20

Review 8.  Regulation of synthesis and roles of hyaluronan in peritoneal dialysis.

Authors:  Timothy Bowen; Soma Meran; Aled P Williams; Lucy J Newbury; Matthias Sauter; Thomas Sitter
Journal:  Biomed Res Int       Date:  2015-10-13       Impact factor: 3.411

9.  Antiadhesive effect and safety of sodium hyaluronate-carboxymethyl cellulose membrane in thyroid surgery.

Authors:  Dong Sik Bae; Jung-Woo Woo; Se Hyun Paek; Hyungju Kwon; Young Jun Chai; Su-Jin Kim; June Young Choi; Kyu Eun Lee; Yeo-Kyu Youn
Journal:  J Korean Surg Soc       Date:  2013-10-25

10.  Comparative study for preventive effects of intra-abdominal adhesion using cyclo-oxygenase-2 enzyme (COX-2) inhibitor, low molecular weight heparin (LMWH), and synthetic barrier.

Authors:  Yong Il Kim
Journal:  Yonsei Med J       Date:  2013-11       Impact factor: 2.759

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