DIFFERENT SURGICAL METHODS IN COLON ANASTOMOSIS: EXPERIMENTAL STUDY.

AIM: Although many methods have been defined for colonic anastomosis, anastomotic leak still remains important for sepsis control and successful healing. The purpose of this study was to compare the effects of conventional suture, polyglactin 910 mesh, and omental flap coverage on healing and anastomotic leak in experimental colonic anastomosis in rats. METHOD: This study was conducted on 18 Wistar rats and the animals were divided into three groups as follows: Group 1: primary suture group; Group 2: primary suture plus polyglactin 910 mesh group; and Group 3: primary suture plus omental flap coverage group. Groups were compared in terms of anastomotic bursting pressure, inflammation, fibroblastic activity, neovascularization, and collagen amount. RESULTS: There was a statistically significant difference in anastomotic bursting pressure between Groups 1 and 2 and between Groups 1 and 3 (p=0.004, p<0.05). There was a significant difference in fibroblastic activity between Groups 1 and 3 (p=0.011, p<0.05) and between Groups 2 and 3 (p=0.030, p<0.05). There was a significant difference in neovascularization and collagen between Groups 1 and 2 and between Groups 1 and 3 (p<0.05). CONCLUSION: This experimental study found that polyglactin 910 mesh and omental flap coverage for colocolic anastomoses improved the physical strength and healing of the anastomosis compared to conventional hand-stitched anastomoses. The polyglactin may be a safe alternative to 910 mesh in cases where the omental flap coverage cannot be used in the colonic anastomosis.

Different surgical methods in colon anastomosis: experimental study / Diferentes métodos cirúrgicos em anastomose do cólon: estudo experimental

ABSTRACT - BACKGROUND: Although many methods have been defined for colonic anastomosis, anastomotic leak still remains important for sepsis control and successful healing. AIM: The purpose of this study was to compare the effects of conventional suture, polyglactin 910 mesh, and omental flap coverage on healing and anastomotic leak in experimental colonic anastomosis in rats. METHOD: This study was conducted on 18 Wistar rats and the animals were divided into three groups as follows: Group 1: primary suture group; Group 2: primary suture plus polyglactin 910 mesh group; and Group 3: primary suture plus omental flap coverage group. Groups were compared in terms of anastomotic bursting pressure, inflammation, fibroblastic activity, neovascularization, and collagen amount. RESULTS: There was a statistically significant difference in anastomotic bursting pressure between Groups 1 and 2 and between Groups 1 and 3 (p=0.004, p<0.05). There was a significant difference in fibroblastic activity between Groups 1 and 3 (p=0.011, p<0.05) and between Groups 2 and 3 (p=0.030, p<0.05). There was a significant difference in neovascularization and collagen between Groups 1 and 2 and between Groups 1 and 3 (p<0.05). CONCLUSION: This experimental study found that polyglactin 910 mesh and omental flap coverage for colocolic anastomoses improved the physical strength and healing of the anastomosis compared to conventional hand-stitched anastomoses. The polyglactin may be a safe alternative to 910 mesh in cases where the omental flap coverage cannot be used in the colonic anastomosis.

RESUMO - RACIONAL: Embora muitos métodos tenham sido definidos para anastomose colônica, a fistula anastomótica ainda permanece importante para o controle da sepse e a cura bem-sucedida. OBJETIVO: comparar os efeitos da sutura convencional, tela de poliglactina 910 e cobertura de retalho omental na cicatrização e extravasamento anastomótico em anastomose colônica experimental em ratos. MÉTODO: estudo realizado em 18 ratos Wistar, sendo os animais divididos em 3 grupos. Grupo 1: Grupo de sutura primária; Grupo 2: sutura primária com malha de poliglactina 910; Grupo 3: Grupo sutura primária com cobertura de retalho omental. Os grupos foram comparados em termos de pressão de ruptura anastomótica, inflamação, atividade fibroblástica, neovascularização e quantidade de colágeno. RESULTADOS: houve diferença estatisticamente significativa na pressão de ruptura da anastomose entre os Grupos 1 e 2 e os Grupos 1 e 3 (p=0,004, p<0.05). Houve uma diferença significativa na atividade fibroblástica entre os Grupos 1 e 3 (p=0,011, p<0.05) e os Grupos 2 e 3 (p=0,030, p<0.05). Houve uma diferença significativa na neovascularização e colágeno entre os Grupos 1 e 2 e entre os Grupos 1 e 3 (p<0,05, p<0.05). CONCLUSÃO: o estudo experimental demonstrou que a tela de poliglactina 910 e a cobertura do retalho omental para anastomoses colocólicas melhoraram a resistência física e a cicatrização da anastomose em comparação com as anastomoses suturadas manualmente convencionais. A poliglactina pode ser uma alternativa segura à tela 910 nos casos em que a cobertura do retalho omental não pode ser utilizada na anastomose colônica.

Comparison of use of isoflurane or sevoflurane for anaesthesia induced by mask in calves

Background: Inhalation anaesthesia is an effective and reliable general anaesthesia method for inactivity, analgesia, and unconsciousness in extensive surgical procedures. Although widely used, especially in small animals, there are very few studies investigated the reliability and superiority of inhalation anaesthesia in surgical procedures for ruminants. This study intended to evaluate the anaesthetic effects of isoflurane and sevoflurane in different surgical cases with endotracheal intubation following the induction of anaesthesia using a calve-specific facemask, which is not yet a routine option in cattle. Materials, Methods & Results: The study was conducted on 14 calves, from new-born up to 3 months-old, that undergoing various surgical operations. The animals were divided into isoflurane and sevoflurane groups, and each group contained 7 animals. In all cases, atropine (0.04 mg/kg was administered intramusculer as premedication before 15 min from anaesthesia induction. For induction, the anaesthetic agent was given at an inspiratory concentration of 3-5% in the isoflurane group and at an inspiratory concentration of 5 - 7% in the sevoflurane group during 5 min via mask at 15 min after atropine administration. In both groups, endotracheal intubation was performed (about 1-3 min) after of general anaesthesia symptoms starting. At 5 min after induction, anaesthesia was continued at 1.5 - 3% in the isoflurane group and at 2.5 - 4% in the sevoflurane group during operation. The animals were monitored during anaesthesia and, anaesthetic effect, reaction of the calve, pronounced side effects, Heart Rate (HR), Systolic Arterial Blood Pressure (SABP), Diastolic Arterial Blood Pressure (DABP), Mean Arterial Blood Pressure (MABP), Respiration Rate (RR), Pulse Rate (PR), Arterial Oxygen Saturation (SpO2 ) were recorded at before anaesthesia, the premedication period, 5...

Comparison of the effects of isoflurane and sevoflurane general anaesthesia after induction by propofol on clinical and physiological measurements in calves

Background: In veterinary surgical operations for cats and dogs, inhalation anaesthesia is known to be a good option forgeneral anaesthesia in long operations or emergency cases. Studies have revealed that during inhalation anaesthesia, theheart and respiratory functions of the animals are more stable compared to injectable anaesthesia. However, there are fewstudies performed with the use of inhalation anaesthesia in ruminants. In this research, the goal is to evaluate the effectsof isoflurane and sevoflurane after induction with propofol in calves based on clinical and physiological parameters andto find a more reliable strategy for general anaesthesia in ruminants.Materials, Methods & Results: The research was carried out on 30 calves, from new-born up to 3-month-old, undergoingsurgery operation. Each group consisted of 15 animals that were divided as isoflurane and sevoflurane. For premedication,atropine was administered at a dose of 0.04 mg/kg via subcutaneous injection in calves. For induction, 15 min after atropineapplication, propofol was given at 5-6 mg/kg via intravenous infusion. Then, endotracheal intubation was performed andinhalation anaesthesia began at 5 min after induction. In the isoflurane group, the onset of anaesthesia concentration wasset to 3-5% and the maintenance was set to a concentration of 1.5-3%. In the sevoflurane group, the onset of anaesthesiaconcentration was set to 5-7% and the maintenance was set to a concentration of 2.5-4%. To monitor the calves, the heartrate (HR), the pulse rate (PR), the systolic blood pressure (SBP), the diastolic blood pressure (DBP), the respiratory rate(RR), the rectal temperature (RT) and the electrocardiogram (ECG) measurements were recorded before anaesthesia, thepremedication, the induction periods, at 5, 15, 30, 45, 60, and 75 min after the onset of inhalation anaesthesia during theoperation period. Blood samples were taken before anaesthesia, premedication, induction periods...(AU)

Comparison of the effects of isoflurane and sevoflurane general anaesthesia after induction by propofol on clinical and physiological measurements in calves

Background: In veterinary surgical operations for cats and dogs, inhalation anaesthesia is known to be a good option forgeneral anaesthesia in long operations or emergency cases. Studies have revealed that during inhalation anaesthesia, theheart and respiratory functions of the animals are more stable compared to injectable anaesthesia. However, there are fewstudies performed with the use of inhalation anaesthesia in ruminants. In this research, the goal is to evaluate the effectsof isoflurane and sevoflurane after induction with propofol in calves based on clinical and physiological parameters andto find a more reliable strategy for general anaesthesia in ruminants.Materials, Methods & Results: The research was carried out on 30 calves, from new-born up to 3-month-old, undergoingsurgery operation. Each group consisted of 15 animals that were divided as isoflurane and sevoflurane. For premedication,atropine was administered at a dose of 0.04 mg/kg via subcutaneous injection in calves. For induction, 15 min after atropineapplication, propofol was given at 5-6 mg/kg via intravenous infusion. Then, endotracheal intubation was performed andinhalation anaesthesia began at 5 min after induction. In the isoflurane group, the onset of anaesthesia concentration wasset to 3-5% and the maintenance was set to a concentration of 1.5-3%. In the sevoflurane group, the onset of anaesthesiaconcentration was set to 5-7% and the maintenance was set to a concentration of 2.5-4%. To monitor the calves, the heartrate (HR), the pulse rate (PR), the systolic blood pressure (SBP), the diastolic blood pressure (DBP), the respiratory rate(RR), the rectal temperature (RT) and the electrocardiogram (ECG) measurements were recorded before anaesthesia, thepremedication, the induction periods, at 5, 15, 30, 45, 60, and 75 min after the onset of inhalation anaesthesia during theoperation period. Blood samples were taken before anaesthesia, premedication, induction periods...

Effects of flunixin meglumine on oxidant and antioxidant system after disbudding with caustic paste in calves

Background: Disbudding is often practiced in modern farm because of the reasons for the safekeeping of the animal, other animals lessen the risk of injury and less aggressive behavior. Without regard to the method of disbudding leads to disruption behavioral changes, cardiac and endocrine responses related pain of animals. Sedation, local anesthesia and analgesia are performed studies in order to eliminate of cardiac, endocrine, behavioral response which is caused by pain associated with disbudding. In this study, it was aimed to determine the effect on the oxidant and antioxidant system in the calves of disbudding by using the caustic paste with and without painkiller.Materials, Methods & Results: The animal material of the study was created 24 Simmentals calves in different sexes on average 2 weeks (± 2 days) and 50 kg (± 15 kg) live weight. The cases were randomly divided into 2 groups of 12 calves in each group. In the group I (analgesia group); caustic paste+painkiller (2.2 mg-1 flunixin meglumine intravenous, IV) and group II (non-analgesia group); as disbudding applied with caustic pasta application only were divided into 2 groups. In the I group, 15th min before the application, flunixin meglumine at a dose of 2.2 mg-1 was administered IV and the horn blunting was performed by caustic paste method. Blood samples were taken at 15, 30 and 60th min after completion of horn blunting and physiological findings were recorded. In group II, the horns of the calves were disbudding with the same technique (but no analgesia aplication). Blood samples were taken at 15, 30 and 60th min after completion of horn blunting and physiological findings were record. Cortisol, glucose, total oxidant capacity (TOC) and total antioxidant capacity (TAC), 8-hydroxy-2’-deoxyguanosine (8-OHdG), glutathione (GSH), superoxide dismutase (SOD) enzymes measurements (ELISA) were performed in both groups.[...]

Effects of flunixin meglumine on oxidant and antioxidant system after disbudding with caustic paste in calves

Background: Disbudding is often practiced in modern farm because of the reasons for the safekeeping of the animal, other animals lessen the risk of injury and less aggressive behavior. Without regard to the method of disbudding leads to disruption behavioral changes, cardiac and endocrine responses related pain of animals. Sedation, local anesthesia and analgesia are performed studies in order to eliminate of cardiac, endocrine, behavioral response which is caused by pain associated with disbudding. In this study, it was aimed to determine the effect on the oxidant and antioxidant system in the calves of disbudding by using the caustic paste with and without painkiller.Materials, Methods & Results: The animal material of the study was created 24 Simmentals calves in different sexes on average 2 weeks (± 2 days) and 50 kg (± 15 kg) live weight. The cases were randomly divided into 2 groups of 12 calves in each group. In the group I (analgesia group); caustic paste+painkiller (2.2 mg-1 flunixin meglumine intravenous, IV) and group II (non-analgesia group); as disbudding applied with caustic pasta application only were divided into 2 groups. In the I group, 15th min before the application, flunixin meglumine at a dose of 2.2 mg-1 was administered IV and the horn blunting was performed by caustic paste method. Blood samples were taken at 15, 30 and 60th min after completion of horn blunting and physiological findings were recorded. In group II, the horns of the calves were disbudding with the same technique (but no analgesia aplication). Blood samples were taken at 15, 30 and 60th min after completion of horn blunting and physiological findings were record. Cortisol, glucose, total oxidant capacity (TOC) and total antioxidant capacity (TAC), 8-hydroxy-2-deoxyguanosine (8-OHdG), glutathione (GSH), superoxide dismutase (SOD) enzymes measurements (ELISA) were performed in both groups.[...](AU)

Effect of ozone and methylprednisolone treatment following crush type sciatic nerve injury.

PURPOSE:: To assess and compare the histopathological effects of ozone therapy and/or methylprednisolone (MPS) treatment on regeneration after crush type sciatic nerve injury. METHODS:: Forty Sprague-Dawley male rats were randomly allocated into four groups. Four groups received the following regimens intraperitoneally every day for 14 days after formation of crush type injury on sciatic nerve: Group I: ozone (20mcg/ml); Group II: methylprednisolone (2mg/kg); Group III: ozone (20 mcg/ml) and methylprednisolone (2mg/kg); Group IV: isotonic saline (0.9%). The histomorphological evaluation was made after biopsies were obtained from the sites of injury. RESULTS:: Significant differences were noted between groups in terms of degeneration (p=0.019), nerve sheath cell atrophy (p=0.012), intraneural inflammatory cellular infiltration (p=0.002), perineural granulation tissue formation (p=0.019), perineural vascular proliferation (p=0.004), perineural inflammatory cellular infiltration (p<0.001) and inflammation in peripheral tissue (p=0.006). Degeneration was remarkably low in Group III, while no change in nerve sheath cell was noted in Group II. CONCLUSION:: The combined use of methylprednisolone and ozone treatment can have beneficial effects for regeneration after crush type nerve injury.

Effect of ozone and methylprednisolone treatment following crush type sciatic nerve injury

PURPOSE:To assess and compare the histopathological effects of ozone therapy and/or methylprednisolone (MPS) treatment on regeneration after crush type sciatic nerve injury.METHODS:Forty Sprague-Dawley male rats were randomly allocated into four groups. Four groups received the following regimens intraperitoneally every day for 14 days after formation of crush type injury on sciatic nerve: Group I: ozone (20mcg/ml); Group II: methylprednisolone (2mg/kg); Group III: ozone (20 mcg/ml) and methylprednisolone (2mg/kg); Group IV: isotonic saline (0.9%). The histomorphological evaluation was made after biopsies were obtained from the sites of injury.RESULTS:Significant differences were noted between groups in terms of degeneration (p=0.019), nerve sheath cell atrophy (p=0.012), intraneural inflammatory cellular infiltration (p=0.002), perineural granulation tissue formation (p=0.019), perineural vascular proliferation (p=0.004), perineural inflammatory cellular infiltration (p<0.001) and inflammation in peripheral tissue (p=0.006). Degeneration was remarkably low in Group III, while no change in nerve sheath cell was noted in Group II.CONCLUSION:The combined use of methylprednisolone and ozone treatment can have beneficial effects for regeneration after crush type nerve injury.(AU)

Effect of ozone and methylprednisolone treatment following crush type sciatic nerve injury

ABSTRACT PURPOSE: To assess and compare the histopathological effects of ozone therapy and/or methylprednisolone (MPS) treatment on regeneration after crush type sciatic nerve injury. METHODS: Forty Sprague-Dawley male rats were randomly allocated into four groups. Four groups received the following regimens intraperitoneally every day for 14 days after formation of crush type injury on sciatic nerve: Group I: ozone (20mcg/ml); Group II: methylprednisolone (2mg/kg); Group III: ozone (20 mcg/ml) and methylprednisolone (2mg/kg); Group IV: isotonic saline (0.9%). The histomorphological evaluation was made after biopsies were obtained from the sites of injury. RESULTS: Significant differences were noted between groups in terms of degeneration (p=0.019), nerve sheath cell atrophy (p=0.012), intraneural inflammatory cellular infiltration (p=0.002), perineural granulation tissue formation (p=0.019), perineural vascular proliferation (p=0.004), perineural inflammatory cellular infiltration (p<0.001) and inflammation in peripheral tissue (p=0.006). Degeneration was remarkably low in Group III, while no change in nerve sheath cell was noted in Group II. CONCLUSION: The combined use of methylprednisolone and ozone treatment can have beneficial effects for regeneration after crush type nerve injury.