Effect of antibiotics in fibrin sealant on healing colonic anastomoses in the rat

In 90 rats a colonic anastomosis was constructed with 12 interrupted 7/0 polypropylene sutures. Group 1 (n = 30) served as a control group. In group 2 (n = 30) the anastomosis was sealed with fibrin adhesive and in group 3 (n = 30) a mixture of fibrin, clindamycin and cefotaxime was used. On days 2,...

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Bibliographic Details
Published inBritish journal of surgery Vol. 79; no. 6; p. 525
Main Authors van der Ham, A C, Kort, W J, Weijma, I M, van den Ingh, H F, Jeekel, H
Format Journal Article
LanguageEnglish
Published England 01.06.1992
Subjects
Anastomosis, Surgical
Animals
Anti-Bacterial Agents - pharmacology
Collagen - metabolism
Colon - metabolism
Colon - pathology
Colon - surgery
Colonic Diseases - etiology
Fibrin Tissue Adhesive - pharmacology
Male
Rats
Rats, Inbred Strains
Tissue Adhesions - etiology
Wound Healing - drug effects
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Summary:In 90 rats a colonic anastomosis was constructed with 12 interrupted 7/0 polypropylene sutures. Group 1 (n = 30) served as a control group. In group 2 (n = 30) the anastomosis was sealed with fibrin adhesive and in group 3 (n = 30) a mixture of fibrin, clindamycin and cefotaxime was used. On days 2, 4 and 7, ten animals in each group were killed. Adhesion formation was significantly increased in groups 2 and 3 compared with the control group. On day 2 the anastomosis was significantly stronger after sealing with antibiotic-fibrin mixture. On day 4 the bursting pressure in group 2 was significantly lower than in groups 1 and 3. At the same time the concentration of hydroxyproline was significantly reduced in group 2, but not in group 3. The addition of antibiotics prevents the negative effect of fibrin adhesive on the healing colonic anastomosis and contributes to a stronger anastomosis on day 2 after operation.
ISSN:0007-1323
DOI:10.1002/bjs.1800790617