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Use of Polypentapeptides of Elastin to Prevent Postoperative Adhesions: Efficacy in a Contaminated Peritoneal Model

Authors: Lynne D. Hoban; Marissa Pierce; Jerry Quance; Isaac Hayward; Adam McKee; NAVAL MEDICAL RESEARCH INST BETHESDA MD
 
Abstract: 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 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 was 28% for the barrier group versus 90% for control animals (P

Limitations: APPROVED FOR PUBLIC RELEASE
Description: Journal article
Pages: 6
Report Date: FEB 1994
Report Number: A352872
Keywords relating to this report:
*CONTAMINATION
*PEPTIDES
*SURGERY
*WOUNDS AND INJURIES
ALBUMINOIDS
ANIMALS
BLOOD BRAIN BARRIER
HEMORRHAGE
INFECTIOUS DISEASES
MEDICAL RESEARCH
MEDICINE
REPRINTS
STERILIZATION
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