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J Invest Surg ; 28(6): 334-40, 2015.
Artigo em Inglês | MEDLINE | ID: mdl-26270147

RESUMO

AIM: This study aimed to investigate the effects of L-carnitine, with its known antioxidant properties and positive effects on wound healing, on the healing of colon anastomosis in a cecal ligation and puncture sepsis model in rats. MATERIALS AND METHODS: A total of 40 Sprague-Dawley rats were used. The rats were randomly divided into four groups of 10 (n = 10). Groups 1 and 2 had laparotomy and colon anastomosis performed. Groups 3 and 4 had cecal ligation and puncture (CLP) and colon anastomosis performed. Rats in Groups 1 and 3 were given 15 mL/kg intraperitoneal 0.9% isotonic NaCl, while the rats in Groups 2 and 4 were given 100 mg/kg intraperitoneal L-carnitine. On the postoperative fifth day, the rats were sacrificed and the burst pressure of anastomosis, histopathological effects, and tissue hydroxyproline levels were investigated. RESULTS: In Groups 2 and 4, the anastomosis burst pressure and histopathological results in both noninfected abdomen and presence of peritonitis were statistically high compared to the control group (p < 0.05). Though the hydroxyproline levels were also high, there was no statistically significant difference for this parameter (p > 0.05). CONCLUSIONS: The findings obtained from the experimental sepsis model showed that healing of anastomosis in both the presence of peritonitis and noninfected abdomen was positively affected by the systemic administration of L-carnitine and this may contribute to the safety of anastomosis.


Assuntos
Carnitina/administração & dosagem , Colo/cirurgia , Sepse/cirurgia , Cicatrização/efeitos dos fármacos , Anastomose Cirúrgica , Animais , Antioxidantes/administração & dosagem , Colo/patologia , Colo/fisiopatologia , Modelos Animais de Doenças , Hidroxiprolina/metabolismo , Injeções Intraperitoneais , Pressão , Ratos , Ratos Sprague-Dawley , Sepse/patologia , Sepse/fisiopatologia
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