2008, Number 2
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Rev Med Hosp Gen Mex 2008; 71 (2)
Evaluation of inhibitors of ciclooxigenase 2 in the prevention of post surgical adhesions in an animal model. Preliminary study
Gutiérrez-Vega R, Higuera-Hidalgo FR, Amancio-Chasin O
Language: Spanish
References: 20
Page: 83-87
PDF size: 92.58 Kb.
ABSTRACT
Purpose: Evaluate the utility of parecoxib and meloxicam, two selective COX 2 inhibitors, to prevent the formation of postsurgical adhesions in rats.
Method: In animal model of peritoneal sepsis, by tie and punction of ceacum; in the postoperative they were randomly assigned in 3 groups: I control, II meloxicam, III parecoxib. The treatment was administered during ten days. The number of adhesions by group was identified. Results were studied with parametric ANOVA test.
Results: There were fewer adhesions in groups treated with meloxicam and parecoxib, which was more evident in group treated with parecoxib. The total of adhesions by group was: control, 53 adhesions; meloxicam 38 adhesions and parecoxib 31 adhesions. The statistical analysis did not identify statistical differences between the groups.
Conclusions: The administration of inhibitors of cyclooxygenase 2 should be evaluated with a significant sample to validate its possible therapeutic utility; as well as to study its effect on the gastrointestinal healing.
REFERENCES
Holmadhl L, Ivarsson ML. The role of cytokines, coagulation, and fibrinolysis in peritoneal tissue repair. Eur J Surg 1999; 165: 1012-1019.
Müller SA, Treutner KH, Haase G, Kinzel S, Tietze L, Schumpelick V. Effect of intraperitoneal antiadhesive fluids in a rat peritonitis model. Arch Surg 2003; 138: 286-290.
Reijnen PJ, Kooistra T, Falk P, Hendriks T, Goor HV. Time course of peritoneal tissue plasminogen activator after experimental colonic surgery: Effect of hyaluronan-based antiadhesive agents and bacterial peritonitis. Br J Surg 2002; 89: 103-109.
Liu Y. Crosslinked hyaluronan hydrogels containing mitomycin C reduce postoperative abdominal adhesions. Fertil Steril 2005; 83 (suppl 1): 1275-1283.
Tüzüner A. The effect of hyaluronan-based agents on adhesion formation in an intraabdominal sepsis model. Dig Dis Sci 2004; 49: 1054-1061.
Reijnem MM, Goor HV, Falk P, Hedgren M, Holmdahl L. Sodium hyaluronate increases the fibrinolytic response of human peritoneal mesothelial cells exposed to tumor necrosis factor alpha. Arch Surg 2001; 136: 291-296.
Tarhan OR. Effects of seprafilm on peritoneal fibrinolytic system. ANZ J Surg 2005; 75: 690-692.
Schindler AE. Gonadotropin-releasing hormone agonists for prevention of postoperative adhesions: An overview. Gynecol Endocrinol 2004; 19: 51-55.
Hellebrekers BW, Trimbos-Kemper T, Trimbos JB, Emeis JJ, Kooistra T. Use of fibrinolytic agents in the prevention of postoperative adhesion formation. Fertil Steril 2000; 74: 203-212.
Arikan S, Adas G, Barut G, Toklu AS, Kocakusak A, Uzun H et al. An evaluation of low molecular weight heparin and hyperbaric oxygen treatment in the prevention of intra-abdominal adhesions and wound healing. Am J Surg 2005; 189: 155-160.
Hobson KG, DeWing M, Ho HS, Wolfe BM, Cho K, Greenhalgh DG. Expression of transforming growth factor beta 1 in patients with and without previous abdominal surgery. Arch Surg 2003; 138: 1249-1252.
Greene AK, Alwayn IP, Nose V, Flynn E, Sampson D, Zurakowski D et al. Prevention of intra-abdominal adhesions using the antiangiogenic COX-2 inhibitor celecoxib. Ann Surg 2005; 242: 140-146.
Becker JM, Stucchi AF. Intra-abdominal adhesion prevention: Are we getting any closer? Ann Surg 2004; 240: 202-204.
diZerega GS. Biochemical events in peritoneal tissue repair. Eur J Surg 1997; Suppl 577: 10-16.
Bulbuloglu E, Ezberci F, Gul M, Kurutas EB, Bozkurt S, Kale I T et al. Effects of the intraperitoneal lornoxicam on the formation of intraperitoneal adhesions in rat peritonitis model. ANZ J Surg 2005; 75: 1115-1119.
Celebioglu B, Eslambouli NR, Olcay E, Atakan S. The effect of tenoxicam on intraperitoneal adhesions and prostaglandin E2 levels in mice. Anesth Analg 1999; 88: 939-942.
Guvenal T, Cetin A, Ozdemir H, Yanar O, Kaya T. Prevention of postoperative adhesion formation in rat uterine horn model by nimesulide: a selective COX-2 inhibitors. Hum Repr 2001; 16: 1732-1735.
Wilkinson-Berka JL, Alousis NS, Kelly DJ et al. COX-2 inhibition and retinal angiogenesis in a mouse model of retinopathy of prematurity. Invest Ophthalmol Vis Sci 2003; 44: 974-979.
Tsujii M, Kawano S, Tsuji S et al. Cyclooxygenase regulates angiogenesis induced by colon cancer cells. Cell 1998; 93: 705-716.
Ghosh AK, Hirasawa N, Niki H et al. Cyclooxygenase-2 mediated angiogenesis in carrageenin-induced granulation tissue in rats. J Pharmacol Exp Ther 2000; 295: 802-809.