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Aydin O, Aydinuraz K, Agalar F, Sahiner IT, Agalar C, Bayram C, Denkbas EB, Atasoy P. The effect of thymoquinone coating on adhesive properties of polypropylene mesh. BMC Surg 2017; 17:40. [PMID: 28416010 PMCID: PMC5393001 DOI: 10.1186/s12893-017-0239-5] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/03/2017] [Accepted: 04/07/2017] [Indexed: 12/17/2022] Open
Abstract
BACKGROUND An incisional hernia is a common complication following abdominal surgery. Polypropylene mesh is frequently used in the repair of such defects and has nearly become the standard surgical treatment modality. Though they are very effective in reducing recurrence, mesh materials exhibit a strong stimulating effect for intraabdominal adhesion. The thymoquinone (TQ) extracted from Nigella sativa seeds has potential medical properties. TQ has anti-inflammatory, antioxidant and antibacterial properties. The aim of this study is to coat polypropylene mesh with TQ in order to investigate the effect of surface modification on intraabdominal adhesions. METHODS TQ-coated polypropylene mesh material was tested for cytotoxicity, contact angle, surface spectroscopy, TQ content, sterility, and electron microscopic surface properties. An experimental incisional hernia model was created in study groups, each consisting of 12 female Wistar rats. The defect was closed with uncoated mesh in control group, with polylactic acid (PLA) coated mesh and PLA-TQ coated mesh in study groups. Adhesion scores and histopathologic properties were evaluated after sacrifice on postoperative 21th day. RESULTS Granuloma formation, lymphocyte and polymorphonuclear leukocyte infiltration, histiocyte fibroblast and giant cell formation, capillary infiltration, collagen content were significantly reduced in the PLA-TQ coated mesh group (p < 0.05). Though not statistically significant, likely due to the limited number of study animals, adhesion formation was also reduced in the PLA-TQ coated mesh group (p: 0.067). CONCLUSION TQ coated mesh is shown to reduce adhesion formation and TQ is a promising coating material for mesh surface modification.
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Affiliation(s)
- Oktay Aydin
- Department of General Surgery, Kirikkale University Medical Faculty, Tahsin Duru Cad. No:14, Yenisehir, Yahsihan, 71450, Kirikkale, Turkey
| | - Kuzey Aydinuraz
- Department of General Surgery, Kirikkale University Medical Faculty, Tahsin Duru Cad. No:14, Yenisehir, Yahsihan, 71450, Kirikkale, Turkey.
| | - Fatih Agalar
- Department of General Surgery, Kirikkale University Medical Faculty, Tahsin Duru Cad. No:14, Yenisehir, Yahsihan, 71450, Kirikkale, Turkey.,Anadolu Medical Center in affiliation with Johns Hopkins Medicine, Cumhuriyet Mahallesi, 2255 sokak No:3 Gebze, 41400, Kocaeli, Turkey
| | - I Tayfun Sahiner
- Department of General Surgery, Kirikkale University Medical Faculty, Tahsin Duru Cad. No:14, Yenisehir, Yahsihan, 71450, Kirikkale, Turkey.,Department of General Surgery, Hitit Universiy Medical Faculty, Bahçelievler Mah. Çamlık Cad. No: 2, 19030, Corum, Turkey
| | - Canan Agalar
- Department of Infectious Diseases and Clinical Microbiology, Kirikkale University Medical Faculty, Tahsin Duru Cad. No:14, Yenisehir, Yahsihan, 71450, Kirikkale, Turkey.,Department of Infectious Diseases and Clinical Microbiology, Fatih Sultan Mehmet Training and Research Hospital, İçerenköy, Ataşehir, 34752, Istanbul, Turkey
| | - Cem Bayram
- Advanced Technologies, Application and Research Center, Hacettepe University, Beytepe, Ankara, Turkey
| | - Emir Baki Denkbas
- Biochemistry Division, Department of Chemistry, Faculty of Science, Hacettepe University, Beytepe, Ankara, Turkey
| | - Pinar Atasoy
- Department of Pathology, Kirikkale University Medical Faculty, Tahsin Duru Cad. No:14, Yenisehir, Yahsihan, 71450, Kirikkale, Turkey
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Kızıltan R, Yılmaz Ö, Çelik S, Yıldırm S, Alp HH, Aras A, Kotan Ç. Effect of thymoquinone on the healing of left colon anastomosis: an experimental study. SPRINGERPLUS 2016; 5:956. [PMID: 27386399 PMCID: PMC4930435 DOI: 10.1186/s40064-016-2674-7] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Received: 02/29/2016] [Accepted: 06/25/2016] [Indexed: 02/03/2023]
Abstract
Aim To evaluate the effect of thymoquinone on the healing of experimental left colon anastomosis in rats. Methods Forty Wistar albino rats weighing 250–300 g were randomly divided into four groups (10 rats/group). Group 1 (control group) rats were not administered Thymoquinone (TQ) for 3 days after the operation. Group 2 was administered daily TQ for 3 days starting from the first day after the operation. Group 3 was not administered TQ for 7 days after the operation. Group 4 was administered daily TQ for 7 days starting from the first day after the operation. Thymoquinone was administered as a single dose oral gavage through a 4F feeding catheter per each day. The bursting strength of the anastomosis was measured on 3rd and 7th postoperative days (POD) and resection was performed. Subsequently, the hydroxyproline level in the resected tissue was measured and a histological evaluation was performed. Results The bursting pressures of the anastomoses were measured to be statistically significantly greater on 7th POD in TQ administered groups compared to those without TQ administration. Tissues were stained with Masson’s trichrome dye in order to evaluate the amount of fibrous tissue reaction for histopathological examination; there was no significant difference in the amount of fibrous tissue between groups 1 and 2, while a very marked increase in the fibrous tissue was detected in groups 3 and 4. Mean tissue hydroxyproline levels of the groups 3 and 4 on 7th POD were 1.30 and 2.72 μg/g-protein, respectively. The difference between the groups was statistically significant (p = 0.001). Conclusions TQ significantly increased the bursting pressure of the anastomosis, tissue hydroxyproline level, and fibrous tissue production.
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Affiliation(s)
- Remzi Kızıltan
- Department of Surgery, School of Medicine, Dursun Odabaş Medical Center, University of Yuzuncu Yil, 65090 Van, Turkey
| | - Özkan Yılmaz
- Department of Surgery, School of Medicine, Dursun Odabaş Medical Center, University of Yuzuncu Yil, 65090 Van, Turkey
| | - Sebahattin Çelik
- Department of Surgery, School of Medicine, Dursun Odabaş Medical Center, University of Yuzuncu Yil, 65090 Van, Turkey
| | - Serkan Yıldırm
- Department of Pathology, School of Veterinary Medicine, University of Yuzuncu Yil, 65090 Van, Turkey
| | - Hamit Hakan Alp
- Department of Biochemistry, School of Medicine, University of Yuzuncu Yil, 65090 Van, Turkey
| | - Abbas Aras
- Department of Surgery, School of Medicine, Dursun Odabaş Medical Center, University of Yuzuncu Yil, 65090 Van, Turkey
| | - Çetin Kotan
- Department of Surgery, School of Medicine, Dursun Odabaş Medical Center, University of Yuzuncu Yil, 65090 Van, Turkey
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Rocca A, Aprea G, Surfaro G, Amato M, Giuliani A, Paccone M, Salzano A, Russo A, Tafuri D, Amato B. Prevention and treatment of peritoneal adhesions in patients affected by vascular diseases following surgery: a review of the literature. Open Med (Wars) 2016; 11:106-114. [PMID: 28352777 PMCID: PMC5329808 DOI: 10.1515/med-2016-0021] [Citation(s) in RCA: 22] [Impact Index Per Article: 2.8] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/03/2016] [Accepted: 03/07/2015] [Indexed: 12/26/2022] Open
Abstract
Intra-abdominal adhesions are the most frequently occurring postoperative complication following abdomino-pelvic surgery. Abdominal and pelvic surgery can lead to peritoneal adhesion formation causing infertility, chronic pelvic pain, and intestinal obstruction. Laparoscopy today is considered the gold standard of care in the treatment of several abdominal pathologies as well as in a wide range of vascular diseases. Laparoscopy has several advantages in comparison to open surgery. These include rapid recovery times, shorter hospitalisation, reduced postoperative pain, as well as cosmetic benefits. The technological improvements in this particular surgical field along with the development of modern techniques and the acquisition of specific laparoscopic skills have allowed for its wider utilization in operations with fully intracorporeal anastomoses. Postoperative adhesions are caused by aberrant peritoneal healing and are the leading cause of postoperative bowel obstruction. The use of anti-adherence barriers is currently being advocated for their prevention. The outcome of the investigation showed adhesion formation inhibition without direct detrimental effects on anastomotic healing. Poor anasto-motic healing can provoke adhesions even in the presence of anti-adhesion barriers. This review gives a short overview on the current evidence on the pathophysiology and prevention of peritoneal adhesions.
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Affiliation(s)
- Aldo Rocca
- Department of Clinical Medicine and Surgery, University of Naples “Federico II”, Naples, Italy . Via Sergio Pansini, 80131 Naples, Italy
| | - Giovanni Aprea
- Department of Clinical Medicine and Surgery, University of Naples Federico II, Italy
| | | | - Maurizio Amato
- Department of Clinical Medicine and Surgery, University of Naples Federico II, Italy
| | - Antonio Giuliani
- Unit of Hepatobiliary Surgery and Liver Transplant Center, Department of Gastroenterology and Transplantation, ”A. Cardarelli” Hospital, Naples, Italy
| | - Marianna Paccone
- Department of Medicine and Health Sciences “Vincenzo Tiberio”, University of Molise, Campobasso, Italy
| | - Andrea Salzano
- Department of Translational Medical Sciences, University of Naples “Federico II”, Naples, Italy
| | - Anna Russo
- Santa Maria delle Grazie Hospital, Pathology Unit, Pozzuoli, Naples, Italy
| | - Domenico Tafuri
- Department of Sport Sciences and Wellness, University of Naples “Parthenope”, Naples, Italy
| | - Bruno Amato
- Department of Clinical Medicine and Surgery, University of Naples Federico II, Italy
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