PURPOSE:To evaluate the effects of copaiba oil on the correction of abdominal defect treated with the use of polypropylene/ polyglecaprone mesh in rats.
METHODS:A defect in the abdominal wall was created and corrected with polypropylene/polyglecaprone mesh in 36 rats. They were randomly distributed into three groups: control, copaiba by oral administration (gavage) and copaiba oil dip in the mesh. Euthanasia was performed after seven, 14 and 21 post-operative days. The healing process was analyzed regarding the meshes and macroscopic and microscopic aspects.
RESULTS:All animals had abdominal adhesions, which were smaller in the copaiba (gavage) group (p<0.05). In microscopy, all animals had an acute inflammation stage and the inflammatory response was best characterized by foreign body-type granulomas around the mesh fragments, which was not found in the mesh fragments within the copaiba dip group. There was a greater area of necrosis and fibrosis in the copaiba dip group compared to the control group (p<0.05). The copaiba (gavage) group had a greater quantity of collagen fibers compared to the control group.
CONCLUSION:Copaiba oil administered by gavage decreased the amount of abdominal adhesions, besides accelerating the process of collagen fibers formation, without damages within the early stages of healing. However, when used by dip directly on the mesh, it had corrosive effects compromising the healing process of the abdominal wall.
Background: The use of meshes in hernia surgical repair promoted revolution in the surgical
area; however, some difficulties had come, such as a large area of fibrosis,
greater postoperative pain and risk of infection. The search for new substances
that minimize these effects should be encouraged. Medicinal plants stand out due
possible active ingredients that can act on these problems. Aim: To check the copaiba oil influence in the repair of abdominal defects in rats
corrected with Vicryl(c) mesh. Method: Twenty-four Wistar rats were submitted to an abdominal defect and corrected with
Vicryl(c) mesh. They were distributed into two groups: control and
copaíba via gavage, administered for seven days after surgery. The analysis of the
animals took place on 8, 15 and 22 postoperative days. It analyzed the amount of
adhesions and microscopic analysis of the mesh. Results: There was no statistical difference regarding the amount of adhesions. All animals
had signs of acute inflammation. In the control group, there were fewer
macrophages in animals of the 8th compared to other days and greater
amount of necrosis on day 8 than on day 22. In the copaiba group, the number of
gigantocytes increased compared to the days analyzed. Conclusion: Copaiba oil showed an improvement in the inflammatory response accelerating its
beginning; however, did not affect the amount of abdominal adhesions or collagen
fibers.
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