PURPOSE:To evaluate the effect of local nitroglycerin on the viable area of a prefabricated flap for vascular implant in rats, and to investigate the surgical delay procedure. METHODS:A femoral pedicle was implanted under the skin of the abdominal wall in forty Wistar rats. The animals were divided into four groups of ten: group 1 -without surgical delay procedure and local nitroglycerin; group 2 -with surgical delay procedure, but without local nitroglycerin; group 3 -without surgical delay procedure, but with local nitroglycerin; and group 4 -with simultaneous surgical delay procedure and local nitroglycerin. The percentages of the viable areas, in relation to the total flap, were calculated using AutoCAD R 14. RESULTS:The mean percentage value of the viable area was 8.9% in the group 1. 49.4% in the group 2; 8.4% in the group 3 and 1.1% in the group 4. There was significant difference between groups 1 and 2 (p=0.005), 1 and 4 (p=0.024), 2 and 3 (p=0.003), 2 and 4 (p=0.001). These results support the hypothesis that the closure of the arterial venous channels is responsible for the phenomenon of surgical delay procedure. CONCLUSION:Local nitroglycerin did not cause an increase in the prefabricated viable flap area by vascular implantation and decreased the viable flap area that underwent delay procedures.Key words: Surgical Flaps. Nitroglycerin. Rats. RESUMO OBJETIVO:Avaliar o efeito da nitroglicerina tópica sobre a área viável de um modelo de retalho pré-fabricado por implante vascular em ratos e analisar o mecanismo de autonomização cirúrgica aplicada a retalhos pré-fabricados. MÉTODOS:Foram utilizados 40 ratos Wistar. No primeiro tempo cirúrgico -20 ratos foram submetidos a implante do pedículo femoral na região subdérmica da parede abdominal, e 20 submetidos à autonomização cirúrgica de retalho cutâneo de parede abdominal e, simultaneamente, implante do pedículo femoral na região subdérmica deste retalho. No segundo tempo -após três semanas e em todos os animais, era elevado um retalho cutâneo ilhado, pediculado unicamente nos vasos implantados e divididos em quatro grupos de dez animais: grupo 1, com retalhos submetidos unicamente a implante do pedículo femoral na região subdérmica da parede abdominal; grupo 2, com retalhos submetidos à autonomização cirúrgica e implante do pedículo femoral na região subdérmica deste retalho; Sá JZ et al. -Acta Cirúrgica Brasileira -Vol. 27 (12) 2012grupo 3, com retalhos submetidos unicamente a implante do pedículo femoral na região subdérmica da parede abdominal tratados com nitroglicerina tópica; grupo 4, com retalhos submetidos à autonomização cirúrgica e implante do pedículo femoral na região subdérmica deste retalho tratados com nitroglicerina tópica. O percentual de área viável, em relação à área total do retalho, foi calculado sete dias após o segundo tempo cirúrgico. RESULTADOS:O valor médio de área viável alcançou 8,9% no grupo 1; 49,4% no grupo 2; 8,4% no grupo 3; e 1,1% no grupo 4. Houve diferença significante entre os grupos 1 e 2 (p=0,005); 1 e 4 (p=...
Context:Regeneration corresponds to the replacement of damaged cells with ones that have the same morphology and function. For experimental evaluation of materials that may favor the process of bone healing, defects are created with dimensions that prevent spontaneous regeneration. For the development and use of new drugs, it is necessary to study its effects in vitro, which depends on the formulation, concentration, and rate of irradiation in vivo and the route and frequency of administration; thus, it is possible to characterize the physiological and molecular mechanisms involved in the response and cellular effects.Objective:The objective of this study was to assess the effect of Cramoll-1,4 on the process of bone repair.Materials and Methods:A formulation of biopharmaceutical lectin Cramoll-1,4 at a concentration of 300 mg/100 mL was applied in a single application via gamma radiation and its effect on the process of bone repair in rats was assessed.Results:Histologically, it was observed that the bone defect is coated by loose connective tissue rich in fibroblasts, providing a range similar to the thick bone original and competing with site of new bone formation. This prevented direct contact between the formulation and experimental bone tissue, as, despite its proven effectiveness in experiments on the repair of skin lesions, the formulation used did not promote bone stimulation that would have promoted the tissue repair process.Conclusion:Because of the direct interference of loose tissue repair that prevented direct contact of the implant with the bone interface, the formulation did not promote bone stimulation.
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