AI Article Synopsis
- The study aimed to explore the changes in the body caused by hydronephrosis due to ureteral obstruction from calculi, using a new rabbit model with injected flowable resin to simulate stone formation.
- Forty rabbits were split into two groups; one had resin injected to create stones, while the other received saline as a control. Tests, including X-rays and blood tests, tracked the effects of the obstruction over a week.
- The results showed successful model creation in 17 rabbits, with noticeable obstruction and kidney damage present, but most physiological indicators returned to normal by the third day post-surgery, suggesting a reliable method for future studies.
Article Abstract
Background: The purpose of this study was to characterize the pathophysiological changes of hydronephrosis caused by ureteral calculi obstruction in a new rabbit ureteral calculi model by implanting flowable resin.
Methods: Forty New Zealand rabbits were randomly divided into two groups: the calculi group and the sham control group. In the calculi group (n = 20), rabbits were operated at left lower abdomen and the left ureter was exposed. Then flowable resin (flowable restorative dental materials) was injected into the left ureter using a 0.45 mm diameter intravenous infusion needle. Then light-cured for 40 s by means of a dental curing light to form calculi. In the sham control group, normal saline was injected into the ureter. Rabbits underwent X-ray and routine blood and urine tests preoperatively, as well as X-ray, CT, dissection, HE staining and routine blood and urine tests on 1, 3, 5 and 7 days postoperatively. Stone formation was assessed by X-ray and unenhanced CT scan after surgery. The pathophysiological changes were evaluated through dissection, HE staining and routine blood and urine tests.
Results: Ureteral calculi models were successfully constructed in 17 rabbits. In calculi group, high-density shadows were observed in the left lower abdomen on postoperative day 1st, 3rd, 5th and 7th by X-ray and CT scan. Dissection found obstruction formation of the left ureters, dilatation of the renal pelvis and upper ureter during 7 days after surgery. The renal long-diameters of the left ureters increased only on the 1st postoperative day. HE staining found ureteral and kidney damage after surgery. In calculi group and sham group,the serum creatinine, urea nitrogen, white blood cells and urine red blood cells were raised at day 1 after surgery. However, the indicators returned to normal at day 3, 5, and 7.
Conclusions: This is a stable, less complicated operation and cost-effective ureteral calculi model by implanting flowable resin. And this novel model may allow us to further understand the pathophysiology changes caused by ureteral calculi obstruction.
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|---|---|
| http://www.ncbi.nlm.nih.gov/pmc/articles/PMC9295447 | PMC |
| http://dx.doi.org/10.1186/s12894-022-01056-x | DOI Listing |
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