Abstract | OBJECTIVE: STUDY DESIGN: A total of 48 females, Sprague Dawley rats, were divided into three groups according to the applied materials. A uterine horn adhesion model was created. The control group (group CO; n = 16) received no special materials except saline infusion. The experimental groups were treated with 1.0 mL HA-CMC solution (group HA-CMC; n = 16) or 1.0 mL PACM solution/gel (group PACM; n = 16). Adhesion scores were evaluated with macroscopic, microscopic, and immunohistochemistry grading 14 days postoperatively. RESULTS: Macroscopic adhesion scores, including extent, severity, and total scores in group HA-CMC and group PACM, were significantly lower than those in group CO (P < .001). Among these three categories of scoring, group PACM had a significantly lower score than did group HA-CMC in adhesion severity (P = .025). In the microscopic adhesion score analysis, the fibrosis scores in group HA-CMC and group PACM were also significantly lower than that of group CO. In group PACM, the fibrosis score was significantly lower than that of group HA-CMC. There were no statistical differences across all three groups in the microscopic inflammation and immunohistochemistry staining. CONCLUSION: Both HA-CMC solution and PACM solution/gel effectively reduced adhesion formation. PACM solution/gel was superior to HA-CMC solution in preventing pelvic adhesion, especially in adhesion severity and microscopic fibrosis.
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Authors | Hyeon-Ji Kim, Hyun Kang, Mi-Kyung Kim, Seung-Su Han |
Journal | Journal of laparoendoscopic & advanced surgical techniques. Part A
(J Laparoendosc Adv Surg Tech A)
Vol. 28
Issue 2
Pg. 134-139
(Feb 2018)
ISSN: 1557-9034 [Electronic] United States |
PMID | 28910183
(Publication Type: Comparative Study, Journal Article)
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Chemical References |
- Alginates
- Hexuronic Acids
- Poloxamer
- Glucuronic Acid
- Hyaluronic Acid
- Carboxymethylcellulose Sodium
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Topics |
- Alginates
(pharmacology)
- Animals
- Carboxymethylcellulose Sodium
(pharmacology)
- Female
- Glucuronic Acid
(pharmacology)
- Hexuronic Acids
(pharmacology)
- Hyaluronic Acid
(pharmacology)
- Immunohistochemistry
- Pelvis
(pathology)
- Poloxamer
(pharmacology)
- Postoperative Complications
(prevention & control)
- Rats
- Rats, Sprague-Dawley
- Temperature
- Tissue Adhesions
(prevention & control)
- Uterine Diseases
(prevention & control)
- Uterus
(drug effects, pathology)
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