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

• Published in: British 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
• Language: English
• 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
• DOI: 10.1002/bjs.1800790617
• ISSN: 0007-1323

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.