ABSTRACT
Intestinal adhesions are bands of fibrous tissue created by the intimate contact of two injured surface tissues; these appear in 93% of the patient undergoing intra-abdominal or gastrointestinal surgery. The comorbidities associated with the formation of adhesions have an impact on quality care offered to patients, leading to an increase in healthcare. Goals of this study was to perform a review that includes different therapeutic alternatives in basic and clinical research to prevent the formation of postoperative abdominal peritoneal adhesions. A bibliographic search was conducted in different databases including Pub med, Medline, Cochrane, science direct, from the years 2000 to 2018 using the keywords: gastrointestinal adhesions, small bowel obstruction, prophylaxis, treatment. Only experimental and clinical articles were selected. The development of peritoneal adhesions in most of the experimental studies occurred with cecal abrasion, studying the effect of biodegradable materials, drugs and gels such as mXG Hydrogel. Nanofiber membranes, agents created with recombinant technology such as periostin antisense oligonucleotide and aerosol applications such as polysaccharide 4DryField PH, are positioned to replace in the future the actual limited mechanical barriers application commonly used in abdominal surgery such as seprafilm and interceed. There are several anti-adhesion agents in experimental phase with different mechanism of action that could be used in the short term to prevent the formation of post-surgical intestinal adhesions. The inclusion of gastrointestinal surgeons in basic research is increasing and necessary with multidisciplinary collaboration. It is expected in short term the study and development of a greater number of materials to minimize tissue trauma and decrease the formation of post-surgical adhesions.
ABSTRACT
The contamination levels of Toxocara spp. eggs in soil samples from a university campus in Mexico City were evaluated and analysed according to garden size, and were related with the percentage of Toxocara spp. eggs and its viability according to the soil characteristics. A total of 1458 soil samples collected in 15 gardens (six large and nine small) were analysed by sedimentation-flotation with zinc sulphate solution on at 33%. Contamination was low (12.9%), and egg viability was high (65.5%). The size of the garden had no influence on the presence and viability of Toxocara spp. eggs. Contamination was negatively correlated with the percentage of vegetation (r = -0. 61, P < 0.01) and the viability was negatively associated with the percentage of clay in the soil samples (r = -0.51, P < 0.04). The size of the garden did not influence the presence and viability of Toxocara spp. eggs.
Os níveis de contaminação de ovos de Toxocara spp. em amostras de solo de um Campus Universitário na Cidade do México foi avaliado e analisado de acordo com o tamanho dos jardins, e relacionado com a porcentagem da presença de Toxocara spp. e sua viabilidade com as características do solo. Um total de 1458 amostras de solo coletadas em 15 jardins (seis grandes e nove pequenos) foram analisados pelo método de sedimentação-flutuação em sulfato de zinco 33%. A contaminação foi baixa (12.9%), e a viabilidade de ovos foi alta (65.5%). O tamanho do jardim não teve influência sobre a presença e a viabilidade de ovos de Toxocara spp. A contaminação foi negativamente correlacionada com o percentual de vegetação (r = -0.61 P < 0.01) e a viabilidade negativamente associado com a porcentagem de argila nas amostras de solo (r = -0.51 P < 0.04). O tamanho do jardim não influenciou a presença e viabilidade de ovos de Toxocara spp.