Non-suture technique for rabbit oviduct anastomosis with 2-octyl cyanoacrylate: a histopathologic and biomechanical analysis

J Obstet Gynaecol Res. 2013 Mar;39(3):685-91. doi: 10.1111/j.1447-0756.2012.02002.x. Epub 2012 Oct 29.

Abstract

Aim: The aim of this study was to investigate histological and biomechanical properties of oviduct anastomosis with 2-octyl cyanoacrylate (OCA) in the rabbit.

Material and methods: Sixty female rabbits were randomly divided equally into three groups: A (control), B (traditional catgut suture), and C (non-suture technique using OCA). After suture or OCA anastomosis, gross examination (adhesion formation) and histopathology (hematoxylin-eosin), ultrastructure (transmission electron microscopy), and biomechanics (bursting pressure) on para-anastomotic site were investigated on oviduct taken at 1 (A1, B1, C1) and 4 (A2, B2, C2) weeks, respectively.

Results: Adhesion score in group B was more severe than that in groups A and C at 1 and 4 weeks. Histopathology showed that acute endosalpingitis in group B was the most intense at 1 week, followed by significantly more tissue stimulation induced by catgut and foreign-body giant cells in group B than in group C at 4 weeks. Ultrastructural damage of ciliated cells was reversed partly (B2) and completely (C2) at 4 weeks. Bursting pressure in C1 was weaker than that in B1, followed by no significant difference at 4 weeks.

Conclusion: Non-suture using OCA for oviduct anastomosis can be accepted as a new-perspective technique.

Publication types

  • Research Support, Non-U.S. Gov't

MeSH terms

  • Anastomosis, Surgical / adverse effects
  • Anastomosis, Surgical / methods*
  • Animals
  • Biomechanical Phenomena
  • Cyanoacrylates / therapeutic use*
  • Female
  • Oviducts / surgery*
  • Oviducts / ultrastructure
  • Rabbits
  • Stress, Mechanical
  • Tissue Adhesions / etiology
  • Tissue Adhesives / therapeutic use*

Substances

  • Cyanoacrylates
  • Tissue Adhesives
  • octyl 2-cyanoacrylate