Bilsev Ince1, Abdullah Arslan2, Mehmet Dadaci2, Pembe Oltulu3, Fatma Bilgen4. 1. Department of Plastic & Reconstructive and Aesthetic Surgery, Faculty of Meram Medicine, Necmettin Erbakan University, Konya, Turkey. bilsevince@yahoo.com. 2. Department of Underwater and Hyperbaric Medicine, Faculty of Meram Medicine, Necmettin Erbakan University, Konya, Turkey. 3. Faculty of Meram Medicine, Department of Pathology, Necmettin Erbakan University, Konya, Turkey. 4. Plastic, Reconstructive and Aesthetic Surgery Clinic, Elbistan State Hospital, Kahramanmaras, Turkey.
Abstract
BACKGROUND: The aim of the study was to determine the effect of different application timings of hyperbaric oxygen treatment (HBO) on nerve regeneration in rats. MATERIALS AND METHODS: A total of forty 12-week-old female Wistar albino rats were used. The sciatic nerve was transected. The nerve ends were then realigned and repaired using standard microsurgical techniques. Animals were randomly assigned to four groups: 1) No hyperbaric oxygen, sectioned and repaired; 2) HBO started at postoperative first hour, sectioned and repaired; 3) HBO started at postoperative first week, sectioned, and repaired; and 4) HBO started at postoperative second week, sectioned, and repaired. All rats in all groups were evaluated with gait analysis at 8 and 16 weeks postoperatively. Sciatic function index was calculated. Sciatic nerve samples were taken after gait analysis at 16th week. Foreign body reaction, the intensity of the inflammatory cells and types, repair-associated vascular proliferation in the field, axonal vacuolar degeneration of the fibers from the cut line transition density and switching layout, and myelinization density with perineural sheath were evaluated histopathologically. RESULTS: At the 16th week, group 2 demonstrated the best gait analysis results. Gait analysis was better for group 3 than groups 1 and 4 (P < 0.05). No significant differences were observed among the groups in inflammation (P > 0.05). Fibrosis was statistically less in group 2 than that in other groups (P < 0.05); however, no significant differences were observed among groups 1, 3, and 4 (P > 0.05). CONCLUSIONS: Our results suggest that initiating HBO early after nerve repair will make a positive impact on recovery.
BACKGROUND: The aim of the study was to determine the effect of different application timings of hyperbaric oxygen treatment (HBO) on nerve regeneration in rats. MATERIALS AND METHODS: A total of forty 12-week-old female Wistar albino rats were used. The sciatic nerve was transected. The nerve ends were then realigned and repaired using standard microsurgical techniques. Animals were randomly assigned to four groups: 1) No hyperbaric oxygen, sectioned and repaired; 2) HBO started at postoperative first hour, sectioned and repaired; 3) HBO started at postoperative first week, sectioned, and repaired; and 4) HBO started at postoperative second week, sectioned, and repaired. All rats in all groups were evaluated with gait analysis at 8 and 16 weeks postoperatively. Sciatic function index was calculated. Sciatic nerve samples were taken after gait analysis at 16th week. Foreign body reaction, the intensity of the inflammatory cells and types, repair-associated vascular proliferation in the field, axonal vacuolar degeneration of the fibers from the cut line transition density and switching layout, and myelinization density with perineural sheath were evaluated histopathologically. RESULTS: At the 16th week, group 2 demonstrated the best gait analysis results. Gait analysis was better for group 3 than groups 1 and 4 (P < 0.05). No significant differences were observed among the groups in inflammation (P > 0.05). Fibrosis was statistically less in group 2 than that in other groups (P < 0.05); however, no significant differences were observed among groups 1, 3, and 4 (P > 0.05). CONCLUSIONS: Our results suggest that initiating HBO early after nerve repair will make a positive impact on recovery.
Authors: Thiago Felipe Dos Santos Barros; Renata Gregorio Paulos; Fernanda DO Carmo Iwase; Gustavo Bispo Dos Santos; Marcelo Rosa DE Rezende; Rames Mattar Journal: Acta Ortop Bras Date: 2022-04-15 Impact factor: 0.683