Collagen, fibrinogen and thrombin biological addesive is effective in treating experimental liver injuries

ABSTRACT Objective : to evaluate the effectiveness of a collagen-based adhesive associated with fibrinogen and thrombin in experimental liver injury in rats. Methods : the study included 30 Wistar rats randomly divided into three groups: A, B and C. All underwent standard liver traumatic injury. In group A the lesion was treated with the adhesive; in group B, with conventional absorbable suture; and in group C, there was no treatment. We analyzed the time of hemostasis, mortality, occurrence of adhesions and any histological changes. Results : there was no statistical difference in relation to mortality (p = 0.5820). The group treated with the adhesive showed the lowest hemostasis times (p = 0.0573, odds ratio 13.5) and lower incidence of adhesions (p = 0.0119). Microscopic histological alterations of Groups A and B were similar, with foreign body granuloma formation separating the adhesive material or the suture from the hepatic stroma. Conclusion : the adhesive of collagen associated with fibrinogen and thrombin was effective in the treatment of experimental hepatic injury, providing a lower incidence of adhesions between the liver and surrounding structures.

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Bibliographic Details
Main Authors: OLIVEIRA,FREDERICO MICHELINO DE, CARVALHO,MARCUS VINÍCIUS H. DE, MARCHI,EVALDO, PINTO,CLÓVIS ANTÔNIO LOPES
Format: Digital revista
Language:English
Published: Colégio Brasileiro de Cirurgiões 2016
Online Access:http://old.scielo.br/scielo.php?script=sci_arttext&pid=S0100-69912016000400254
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