[Prevention of peritoneal adhesion formation with a combination of carboxymethyl-cellulose and papain: experimental study]

Arq Gastroenterol. 1991 Apr-Jun;28(2):63-8.
[Article in Portuguese]

Abstract

The inhibitory action of sodium carboxymethylcellulose (CMC) and papain (PP) in peritoneal adhesions formation, were studied in Wistar rats. After ether anesthesia and a midline laparotomy incision, the right parietal peritoneum was pinched with a fine hemostat and the pinched peritoneal fold was then ligated. This maneuver was repeated thrice creating four point as if they were little "polyps" with a standardized size. Before closing the incision, it was deposited on the four points of each animal the following substances: group A--saline solution; group B--CMC 2%; group C--PP 0.4% in distilled water; group D--CMC 2% + PP 0.2%; group E--CMC 2% + PP 0.4%. After ten days, the rats were sacrificed and classified according to the number of "points" that showed adhesions with the abdominal structures. There was a statistically significant decrease in the incidence of adhesions only in the group E (CMC + PP 0.4%).

Publication types

  • Comparative Study

MeSH terms

  • Animals
  • Carboxymethylcellulose Sodium / therapeutic use*
  • Drug Combinations
  • Female
  • Papain / therapeutic use*
  • Peritoneum*
  • Rats
  • Rats, Inbred Strains
  • Tissue Adhesions / prevention & control

Substances

  • Drug Combinations
  • Papain
  • Carboxymethylcellulose Sodium