medigraphic.com
SPANISH

Cirujano General

ISSN 2594-1518 (Electronic)
ISSN 1405-0099 (Print)
  • Contents
  • View Archive
  • Information
    • General Information        
    • Directory
  • Publish
    • Instructions for authors        
    • Send manuscript
  • medigraphic.com
    • Home
    • Journals index            
    • Register / Login
  • Mi perfil

2013, Number 1

<< Back Next >>

Cir Gen 2013; 35 (1)

Role of alopurinol in peritoneal adherences when placing a polypropylene mesh. Experimental study in rats

Ayala-García MA, Ramírez-Barba ÉJ, Quiroz-Guerrero JJ,Ortiz-Martínez JJ, González-Yebra B
Full text How to cite this article

Language: Spanish
References: 17
Page: 16-19
PDF size: 165.04 Kb.


Key words:

Allopurinol, peritoneal adhesions, polypropylene mesh.

ABSTRACT

Objective: To determine the effect of allopurinol on peritoneal adhesions when placing a polypropylene mesh.
Setting: Experimental Surgery Unit of the University of Guanajuato, México.
Design: Experimental, prospective, comparative, controlled, double-blinded, randomized assignment study.
Statistical analysis: χ2.
Material and Methods: We compared two groups of 30 Wistar rats each, in which we placed a polypropylene mesh: Group A, without treatment, versus group B with allopurinol at mg/kg per day administered through an orogastric catheter.
Results: This study determined that the prevalence of visceral peritoneal-prosthetic adhesions in Wistar rats when placing a polypropylene mesh is of 100% with and without allopurinol treatment.
Conclusions: We did not obtain statistical differences of the beneficial effect of allopurinol in preventing adhesions, this can indicate that allopurinol’s effect is only exerted in preventing adhesions when they are due to ischemia but not when they are caused by a granulomatous-type foreign body reaction.


REFERENCES

  1. Godden AR, Daniels IR, Giordano P. The role of biologic meshes in abdominal wall reconstruction. Colorectal Dis. 2012; 14: 7-11.

  2. Satterwhite TS, Miri S, Chung C, Spain D, Lorenz HP, Lee GK. Outcomes of complex abdominal herniorrhaphy: experience with 106 cases. Ann Plast Surg. 2012; 68: 382-388.

  3. Seker D, Kulacoglu H. Long-term complications of mesh repairs for abdominal-wall hernias. J Long Term Eff Med Implants. 2011; 21: 205-218.

  4. Arung W, Meurisse M, Detry O. Pathophysiology and prevention of postoperative peritoneal adhesions. World J Gastroenterol. 2011; 17: 4545-4553.

  5. Brochhausen C, Schmitt VH, Planck CN, Rajab TK, Hollemann D, Tapprich C, et al. Current strategies and future perspectives for intraperitoneal adhesion prevention. J Gastrointest Surg. 2012; 16: 1256-1274.

  6. Lucas PA, Warejka DJ, Zhang LM, Newman WH, Young HE. Effect of rat mesenchymal stem cell on development of abdominal adhesions after surgery. J Surg Res. 1996; 62: 229-232.

  7. Briennon X, Lermite E, Meunier K, Desbois E, Hamy A, Arnaud JP. Surgical treatment of large incisional hernias by intraperitoneal insertion of Parietex® composite mesh with an associated aponeurotic graft (280 cases). J Visc Surg. 2011; 148: 54-58.

  8. Yee SS, Medina VEA, Cabrera MB, Justo RI. Efecto de la sutura peritoneal en la formación de adherencias postoperatorias. Estudio experimental en ratas. Cir Gen. 2002; 24: 22-27.

  9. Rijhwani A, Sen S, Gunasekaran S, Ponnaiya J, Balasuibramanian K, Mammen KE. Allopurinol reduces the severity of peritoneal adhesions in mice. J Pediatr Surg. 1995; 30: 533-537.

  10. Di Vita G, Asaro M, Carpino S, Siragusa G, Aragona S. Role of aminophylline and allopurinol in the reformation of peritoneal adhesions. Minerva Chir. 1990; 45: 289-293.

  11. Cassone EJ, Arzuza G. Efecto del alopurinol y de la vitamina E en las adherencias peritoneales postoperatorias. Estudio experimental. Rev Argent Resid Cir. 1996; 1: 12-14.

  12. Hemadeh O, Chilukuri S, Bonet V. Prevention of peritoneal adhesions by administration of sodium carboximethyl cellulose and oral vitamin E. Surgery. 1993; 114: 907-910.

  13. Granger DN, Hólwarth ME, Parks DA. Ischemia-reperfusion injury: Role of oxygen-derived free radicals. Acta Physiol Scand Suppl. 1986; 548: 47-63.

  14. Cassone E, Maneschi E, Faccas J. Effects of allopurinol on ischemic experimental pancreatitis. lnt J Pancreatol. 1991; 8: 227-234.

  15. Stocker SL, Williams KM, McLachlan AJ, Graham GG, Day RO. Pharmacokinetic and pharmacodynamic interaction between allopurinol and probenecid in healthy subjects. Clin Pharmacokinet. 2008; 47: 111-118.

  16. Stocker SL, Graham GG, McLachlan AJ, Williams KM, Day RO. Pharmacokinetic and pharmacodynamic interaction between allopurinol and probenecid in patients with gout. J Rheumatol. 2011; 38: 904-910.

  17. Chaparro MD, García RA, Aragón FM, Sosa LA, Dávila SF, Rivera CJ. Comparación de tres métodos para inducir adherencias peritoneales: modelo experimental en ratas. Rev Sanid Milit Mex. 2007; 61: 367-370.




2020     |     www.medigraphic.com

Mi perfil

C?MO CITAR (Vancouver)

Cir Gen. 2013;35