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Biçer M, Bayram AS, Gürbüz O, Şenkaya I, Yerci Ö, Tok M, Anğ E, Moğol EB, Saba D. Assessment of the Efficacy of the Bio-Absorbable Oxidized Regenerated Cellulose for Prevention of Post-Operative Pericardial Adhesion in the Rabbit Model. J Int Med Res 2008; 36:1311-8. [DOI: 10.1177/147323000803600619] [Citation(s) in RCA: 16] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/17/2022] Open
Abstract
Pericardial adhesions complicate re-operative cardiac surgery and several attempts have been made to reduce adhesion formation. The efficacy of bio-absorbable oxidized regenerated cellulose in preventing post-operative pericardial adhesions was evaluated in the present study. Forty New Zealand white rabbits were divided into four groups of 10. In all rabbits an area of pericardium (2 × 2 cm) was excised. The wound was left open in groups 1 and 2 but replaced with bio-absorbable oxidized regenerated cellulose in groups 3 and 4. Rabbits in groups 1 and 3 were killed 3 weeks after surgery and those in groups 2 and 4 were killed at 6 weeks. Groups 1 and 2 showed more severe pericardial adhesions, more fibrous reaction and increased visibility of coronary vessels than groups 3 and 4, although there was no difference in inflammation. Light microscopy showed a mesothelium-like cell layer in groups 3 and 4. It is concluded that bio-absorbable oxidized regenerated cellulose may be suitable in patients receiving staged cardiac surgery and in those with a high probability of re-operation.
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Affiliation(s)
- M Biçer
- Department of Cardiovascular Surgery, Faculty of Medicine, Uludağ University, Bursa, Turkey
| | - AS Bayram
- Department of Thoracic Surgery, Faculty of Medicine, Uludağ University, Bursa, Turkey
| | - O Gürbüz
- Department of Cardiovascular Surgery, Faculty of Medicine, Uludağ University, Bursa, Turkey
| | - I Şenkaya
- Department of Cardiovascular Surgery, Faculty of Medicine, Uludağ University, Bursa, Turkey
| | - Ö Yerci
- Department of Pathology, Faculty of Medicine, Uludağ University, Bursa, Turkey
| | - M Tok
- Department of Cardiovascular Surgery, Faculty of Medicine, Uludağ University, Bursa, Turkey
| | - E Anğ
- Department of Cardiovascular Surgery, Faculty of Medicine, Uludağ University, Bursa, Turkey
| | - EB Moğol
- Department of Anaesthesiology, Faculty of Medicine, Uludağ University, Bursa, Turkey
| | - D Saba
- Department of Cardiovascular Surgery, Faculty of Medicine, Uludağ University, Bursa, Turkey
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