ISSN : 2146-3123
E-ISSN : 2146-3131

Prevention of Intraabdominal Adhesions: An Experimental Study Using Mitomycin-C and 4% Icodextrin
Murat Urkan 1, İsmail Hakkı Özerhan 1, Aytekin Ünlü 1, Mehmet Fatih Can 1, Erkan Öztürk 1, Armağan Günal 2, Gökhan Yağcı 1
1Department of Surgery, Gülhane Training and Research Hospital, Ankara, Turkey
2Department of Surgical Pathology, Gülhane Training and Research Hospital, Ankara, Turkey
DOI : 10.4274/balkanmedj.2015.1359
Pages : 35-40

Abstract

Background: Intraabdominal adhesions remain a significant cause of morbidity and mortality. Moreover, intraabdominal adhesions can develop in more than 50% of abdominal operations.
Aims: We compared the anti-adhesive effects of two different agents on postoperative adhesion formation in a cecal abrasion model.
Study Design: Experimental animal study.
Methods: Forty Wistar albino type female rats were anesthetized and underwent laparotomy. Study groups comprised Sham, Control, Mitomycin-C, 4% Icodextrin, and Mitomycin-C +4% Icodextrin groups. Macroscopic and histopathological evaluations of adhesions were performed.
Results: The frequencies of moderate and severe adhesions were significantly higher in the control group than the other groups. The mitomycin-C and Mitomycin-C +4% Icodextrin groups were associated with significantly lower adhesion scores compared to the control group and 4% Icodextrin group scores (p=0.002 and p=0.008, respectively). The adhesion scores of the Mitomycin-C group were also significantly lower than those of the 4% Icodextrin group (p=0.008).
Conclusion: Despite its potential for bone marrow toxicity, Mitomycin-C seems to effectively prevent adhesions. Further studies that prove an acceptable safety profile relating to this promising anti-adhesive agent are required before moving into clinical trials.

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Keywords : Cecal abrasion, intraabdominal adhesions, mitomycin-C, 4% icodextrin

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