AI Article Synopsis

  • The study investigates the effectiveness of two pulmonary surfactants, poractant and beractant, in preventing postoperative adhesions after abdominal surgery, using an experimental model with female rats.
  • Rats were divided into three groups: one received no treatment, while the other two received different surfactants before the surgical incision was closed.
  • Results showed that both surfactants significantly reduced adhesion scores compared to the control group, with beractant showing a slightly better outcome than poractant, although not statistically significant.

Article Abstract

Background: After abdominal surgery, the formation of postoperative adhesion is a serious problem. The aim of the study is to evaluate the efficacy of 2 different pulmonary surfactants, poractant and beractant, on adhesion prevention in an experimental model.

Materials And Methods: An experimental intraabdominal adhesion model was created in 18 adult female rats by cecal abrasion. The rats were randomly assigned to 3 groups. Group I received no further treatment, whereas groups II and III received intraperitoneal poractant and beractant, respectively, before closing the incision. On the 15th postoperative day, all rats underwent relaparotomy, intraabdominal adhesions were scored macroscopically according to Canbaz scoring system, and the cecum in each animal was evaluated microscopically.

Results: The median adhesion scores of group II and III rats were significantly lower when compared with group I (P = .02). Group III had a lower median adhesion score than did group II, but this did not reach significance (P > .05).

Conclusion: These observations suggest that intraperitoneal instillation of both pulmonary surfactants is associated with lower adhesion scores, higher adhesion-free cases, and improved histologic findings.

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http://dx.doi.org/10.1016/j.jpedsurg.2012.01.080DOI Listing

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