Use of polypentapeptides of elastin to prevent postoperative adhesions: efficacy in a contaminated peritoneal model.
We investigated the use of a sheet of polypentapeptide of elastin as a physical barrier to adhesion formation in a contaminated peritoneal wound model. A total of 88 rats were studied with random assignment of animals to three study groups; control (29), polypentapeptide steam sterilized (30), and polypentapeptide gas sterilized (29). Animals were anesthetized and a laparotomy was conducted to reveal the cranial portion of the ileum. The abdominal wall muscle peritoneum was excoriated until hemorrhage was noted. In sham animals, there was no physical barrier placed between bowel loop and the abdominal wall. In two of the study groups, the polypentapeptide sheet was placed directly over the excoriated area. The intestinal loop was then loosely secured to excoriated area with 2-O nylon (stay suture) which was tied subcutaneously in all groups. Four puncture wounds were made with a 20-gauge hypodermic needle in the bowel that was apposed to the excoriated peritoneal musculature which allowed leakage of intestinal contents and contamination. On Day 7 postsurgery, the animals were anesthetized and the stay suture was removed. On Day 14, all animals were sacrificed and adhesions were graded. The incidence of significant adhesions was 28% for the barrier group versus 90% for control animals (P < 0.05). The results of this study indicate that the polypentapeptide of elastin sheet is an effective physical barrier in this surgically induced contaminated wound model.
Hoban
L D
LD
Naval Medical Research Institute, Bethesda, Maryland 20889-5055.
Pierce
M
M
Quance
J
J
Hayward
I
I
McKee
A
A
Gowda
D C
DC
Urry
D W
DW
Williams
T
T
D000818:Animals; D004549:Elastin; D006471:Gastrointestinal Hemorrhage / Q000503:physiopathology; D007410:Intestinal Diseases / Q000503:physiopathology; D007422:Intestines; D010537:Peritoneum / Q000601:surgery*; D011108:Polymers; D011183:Postoperative Complications / Q000517:prevention & control; D019736:Prostheses and Implants; D011677:Punctures; D051381:Rats; D000267:Tissue Adhesions / Q000517:prevention & control*
D011108:Polymers; D004549:Elastin