Open AccessIntraperitoneal octenidindihydro‐chloride – phenoxyethanol solution to prevent peritoneal adhesion formation in a rat peritonitis model
Author(s) -
GÜZELSAĞALTICI NIHAT,
GIRGIN SADULLAH,
GEDIK ERCAN,
BÜYÜKBAYRAM HÜSEYIN,
BAÇ BILSEL
Publication year - 2007
Publication title -
acta obstetricia et gynecologica scandinavica
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 1.401
H-Index - 102
eISSN - 1600-0412
pISSN - 0001-6349
DOI - 10.1080/00016340701267108
Subject(s) - medicine , peritonitis , saline , adhesion , laparotomy , peritoneum , abdominal surgery , peritoneal fluid , gastroenterology , surgery , chemistry , organic chemistry
Background. Peritoneal adhesion is a common complication following abdominal surgery. Despite recent advances in diagnosis and treatment, it still presents a problem for the patients and surgeons. In the present study, we investigated the effects of octenidindihydro‐chloride – phenoxyethanol (OCP) on peritoneal adhesions. Method. Rats were divided into four groups: Group 1 (saline), Group 2 (peritonitis plus saline), Group 3 (OCP), and Group 4 (peritonitis plus OCP). Peritonitis was induced in the rats of Groups 2 and 4. The abdominal cavities of the rats in Groups 1 and 2 were washed with saline, while those of the rats in Groups 3 and 4 were irrigated with 1:10 OCP solution. Adhesion and fibrotic scores were determined by re‐laparotomy after 21 days. Results. The adhesion scores in Groups 1 (saline), 2 (peritonitis plus saline), 3 (OCP) and 4 (peritonitis plus OCP) were 3.30±0.94, 5.25±1.03, 1.12±0.83 and 0.28±0.48, respectively. Statistical analysis of adhesion scores revealed significant differences between groups, except between Groups 3 and 4 ( p = 0.265). Statistical analyses of grades of histopathological signs showed that Group 1 differed from Groups 2 and 4 ( p = 0.004, p = 0.003, respectively); Group 2 differed from Groups 3 and 4 ( p = 0.001, p = 0.001, respectively). On the other hand, differences between Group 3 and Groups 1 and 4 were not significant ( p = 0.06, p = 0.08, respectively). Conclusion. OCP decreased the peritoneal adhesion formation macroscopically and microscopically in the presence or absence of peritonitis. Peritoneal defects due to trauma are to be left open and OCP diluted 1:1 should not be used intraperitoneally.