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1.
Acta Cir Bras ; 35(4): e202000401, 2020.
Article in English | MEDLINE | ID: mdl-32555935

ABSTRACT

PURPOSE: To evaluate the effect of N-Acetylcysteine (NAC) in newborn rats submitted to hypoxia and reoxygenation (H/R) conditions in an experimental model of necrotizing enterocolitis. METHODS: Eight pregnant rats and their 70 cubs were used (5 groups) and exposed to H/R conditions and received NAC at different times. The animals in the H/R groups were placed in a gas chamber (100% CO2) for 10 minutes and then reoxygenated for 10 minutes (100% O2), twice a day for the first three days of life, with a six-hour span between events. On the third day of life, the animals were anesthetized, laparotomized and the intestines were resected. RESULTS: The H/R and NAC groups showed changes in the intestinal wall in relation to the number, height and width of the villi when compared to the control group (p<0.0001), but with better preservation of structures in the NAC group. There were no differences between groups regarding the number (%) of mitoses. CONCLUSION: The administration of NAC decreased the lesions in the intestinal wall of rats submitted to H/R, therefore suggesting that this drug can be used to prevent the development of necrotizing enterocolitis in newborns.


Subject(s)
Acetylcysteine/pharmacology , Enterocolitis, Necrotizing/prevention & control , Hypoxia/pathology , Ileum/drug effects , Ileum/pathology , Protective Agents/pharmacology , Animals , Disease Models, Animal , Female , Male , Pregnancy , Rats, Wistar , Reference Values , Reproducibility of Results , Time Factors , Treatment Outcome
2.
Acta cir. bras ; 35(4): e202000401, 2020. tab, graf
Article in English | LILACS | ID: biblio-1130631

ABSTRACT

Abstract Purpose To evaluate the effect of N-Acetylcysteine (NAC) in newborn rats submitted to hypoxia and reoxygenation (H/R) conditions in an experimental model of necrotizing enterocolitis. Methods Eight pregnant rats and their 70 cubs were used (5 groups) and exposed to H/R conditions and received NAC at different times. The animals in the H/R groups were placed in a gas chamber (100% CO2) for 10 minutes and then reoxygenated for 10 minutes (100% O2), twice a day for the first three days of life, with a six-hour span between events. On the third day of life, the animals were anesthetized, laparotomized and the intestines were resected. Results The H/R and NAC groups showed changes in the intestinal wall in relation to the number, height and width of the villi when compared to the control group (p<0.0001), but with better preservation of structures in the NAC group. There were no differences between groups regarding the number (%) of mitoses. Conclusion The administration of NAC decreased the lesions in the intestinal wall of rats submitted to H/R, therefore suggesting that this drug can be used to prevent the development of necrotizing enterocolitis in newborns.


Subject(s)
Animals , Male , Female , Pregnancy , Acetylcysteine/pharmacology , Protective Agents/pharmacology , Enterocolitis, Necrotizing/prevention & control , Ileum/drug effects , Ileum/pathology , Hypoxia/pathology , Reference Values , Time Factors , Reproducibility of Results , Treatment Outcome , Rats, Wistar , Disease Models, Animal
3.
Eur J Pediatr Surg ; 29(4): 368-370, 2019 Aug.
Article in English | MEDLINE | ID: mdl-31426116

ABSTRACT

The embryology of anorectal malformation (ARM) is a controversial issue. The study in humans is difficult due to the scarcity of fetuses with this anomaly. Therefore, ARM animal models, naturally obtained or induced by drugs, have been employed to understand physiopathology and possible treatments. Pigs, rabbits, rats, and mice have been employed as animal models. Additionally, many drugs have been used with this purpose: Etretinate, Ethylenethiourea, and Adriamycin. The animal more frequently used is the rat because of good reproducibility, low cost, and easy handling. Pig is a good model, but it is expensive, and difficult to handling and lodging. Concerning the drugs, Adriamycin promotes a more severe ARM compared with Ethylenethiourea. The models of ARM are of value in the understanding of the embryologic development. Nowadays, researches are aimed at identifying the molecular mechanism of this process, providing the basis for the application of tissue engineering in future experiments with ARM.


Subject(s)
Anorectal Malformations , Disease Models, Animal , Translational Research, Biomedical/methods , Animals , Anorectal Malformations/etiology , Anorectal Malformations/physiopathology , Anorectal Malformations/therapy , Humans
4.
Acta Cir Bras ; 34(4): e201900407, 2019 Apr 29.
Article in English | MEDLINE | ID: mdl-31038585

ABSTRACT

PURPOSE: To evaluate the functional and structural response of tadalafil effects in the intestinal mucosa, using an experimental model of hypoxia and reoxygenation injury in rats. METHODS: The animals were divided into 4 groups: CTL, H/R, H/R+Td and M+Td. The newborn rats allocated in groups H/R, H/R+Td and M+Td were submitted twice a day, to a gas chamber with CO2 at 100% for 10 minutes and afterward reoxygenation with O2 at 98% for 10 minutes, in the three first days of life. Tadalafil dose was given to newborn of group H/R+Td and to the pregnant rat of group M+Td. Histological analysis was made with hematoxylin-eosin technique and oxidative stress through nitrite and nitrate levels and lipid peroxidation. RESULTS: The histological analysis showed a reduction of mucosa alterations in the groups that received tadalafil. In the oxidative stress evaluation, occurred an increase of NO levels and less lipidic peroxidation in the ileum segments that received tadalafil. CONCLUSION: Tadalafil provides tissue protection when administered independently to both, pregnant or newborns.


Subject(s)
Hypoxia/metabolism , Intestinal Mucosa/drug effects , Intestinal Mucosa/metabolism , Oxidative Stress/drug effects , Oxygen/metabolism , Phosphodiesterase 5 Inhibitors/pharmacology , Tadalafil/pharmacology , Animals , Animals, Newborn , Female , Humans , Intestinal Mucosa/pathology , Lipid Peroxidation , Malondialdehyde/analysis , Nitrates/analysis , Nitrites/analysis , Pregnancy , Random Allocation , Rats, Wistar , Reproducibility of Results , Time Factors
5.
Acta cir. bras ; 34(4): e201900407, 2019. graf
Article in English | LILACS | ID: biblio-1001083

ABSTRACT

Abstract Purpose: To evaluate the functional and structural response of tadalafil effects in the intestinal mucosa, using an experimental model of hypoxia and reoxygenation injury in rats. Methods: The animals were divided into 4 groups: CTL, H/R, H/R+Td and M+Td. The newborn rats allocated in groups H/R, H/R+Td and M+Td were submitted twice a day, to a gas chamber with CO2 at 100% for 10 minutes and afterward reoxygenation with O2 at 98% for 10 minutes, in the three first days of life. Tadalafil dose was given to newborn of group H/R+Td and to the pregnant rat of group M+Td. Histological analysis was made with hematoxylin-eosin technique and oxidative stress through nitrite and nitrate levels and lipid peroxidation. Results: The histological analysis showed a reduction of mucosa alterations in the groups that received tadalafil. In the oxidative stress evaluation, occurred an increase of NO levels and less lipidic peroxidation in the ileum segments that received tadalafil. Conclusion: Tadalafil provides tissue protection when administered independently to both, pregnant or newborns.


Subject(s)
Humans , Animals , Female , Pregnancy , Oxygen/metabolism , Oxidative Stress/drug effects , Phosphodiesterase 5 Inhibitors/pharmacology , Tadalafil/pharmacology , Intestinal Mucosa/drug effects , Intestinal Mucosa/metabolism , Hypoxia/metabolism , Time Factors , Lipid Peroxidation , Random Allocation , Reproducibility of Results , Rats, Wistar , Intestinal Mucosa/pathology , Animals, Newborn , Malondialdehyde/analysis , Nitrates/analysis , Nitrites/analysis
6.
Acta Cir Bras ; 32(11): 964-972, 2017 11.
Article in English | MEDLINE | ID: mdl-29236801

ABSTRACT

PURPOSE: To investigate the effects of atenolol in inflammatory mediator and oxidative stress in a myocardial injury by intestinal ischemia/reperfusion in rat model. METHODS: Adult Wistar male rats were randomly (n=8), anesthetized and divided in: Sham: submitted to operation only; group SS+IR: intravenous saline infusion following superior mesenteric artery occlusion during 60 minutes (ischemia) and open for 120 minutes (reperfusion); group AT+IR: intravenous atenolol infusion (2 mg/kg) following superior mesenteric artery occlusion during 60 minutes (ischemia) and open for 120 minutes (reperfusion); and group AT+I+AT+R: intravenous atenolol infusion following superior mesenteric artery occlusion during 60 minutes (ischemia) and in the time 45 minutes other atenolol doses were administrated and the artery was open for 120 minutes (reperfusion), all animals were submitted to muscular relaxation for mechanical ventilation. In the end of experiment the animals were euthanized and the hearts tissue were morphology analyzed by histology and malondialdehyde by ELISA, and the plasma were analyzed for tumor necrosis factor-alpha by ELISA. RESULTS: The group SS+IR demonstrated the higher malondialdehyde levels when compared with the atenolol treated-groups (p=0.001) in the heart tissue. The tumor necrosis factor-alpha level in plasma decrease in the treated groups when compared with SS+IR group (p=0.001). Histology analyses demonstrate pyknosis, edema, cellular vacuolization, presence of inflammatory infiltrate and band contraction in the heart tissue of the rats. CONCLUSION: Atenolol significantly reduce the degree of cardiac damage after intestinal ischemia-reperfusion.


Subject(s)
Antihypertensive Agents/pharmacology , Atenolol/pharmacology , Heart/drug effects , Intestines/blood supply , Reperfusion Injury/pathology , Animals , Antihypertensive Agents/pharmacokinetics , Antihypertensive Agents/therapeutic use , Atenolol/therapeutic use , Cardiovascular Diseases/prevention & control , Male , Mesenteric Artery, Superior , Rats , Rats, Wistar
7.
Acta cir. bras ; 32(11): 964-972, Nov. 2017. graf
Article in English | LILACS | ID: biblio-886186

ABSTRACT

Abstract Purpose: To investigate the effects of atenolol in inflammatory mediator and oxidative stress in a myocardial injury by intestinal ischemia/reperfusion in rat model. Methods: Adult Wistar male rats were randomly (n=8), anesthetized and divided in: Sham: submitted to operation only; group SS+IR: intravenous saline infusion following superior mesenteric artery occlusion during 60 minutes (ischemia) and open for 120 minutes (reperfusion); group AT+IR: intravenous atenolol infusion (2 mg/kg) following superior mesenteric artery occlusion during 60 minutes (ischemia) and open for 120 minutes (reperfusion); and group AT+I+AT+R: intravenous atenolol infusion following superior mesenteric artery occlusion during 60 minutes (ischemia) and in the time 45 minutes other atenolol doses were administrated and the artery was open for 120 minutes (reperfusion), all animals were submitted to muscular relaxation for mechanical ventilation. In the end of experiment the animals were euthanized and the hearts tissue were morphology analyzed by histology and malondialdehyde by ELISA, and the plasma were analyzed for tumor necrosis factor-alpha by ELISA. Results: The group SS+IR demonstrated the higher malondialdehyde levels when compared with the atenolol treated-groups (p=0.001) in the heart tissue. The tumor necrosis factor-alpha level in plasma decrease in the treated groups when compared with SS+IR group (p=0.001). Histology analyses demonstrate pyknosis, edema, cellular vacuolization, presence of inflammatory infiltrate and band contraction in the heart tissue of the rats. Conclusion: Atenolol significantly reduce the degree of cardiac damage after intestinal ischemia-reperfusion.


Subject(s)
Animals , Male , Rats , Atenolol/pharmacology , Reperfusion Injury/pathology , Heart/drug effects , Intestines/blood supply , Antihypertensive Agents/pharmacology , Atenolol/therapeutic use , Cardiovascular Diseases/prevention & control , Rats, Wistar , Mesenteric Artery, Superior , Antihypertensive Agents/therapeutic use , Antihypertensive Agents/pharmacokinetics
8.
Acta Cir Bras ; 32(8): 673-679, 2017 Aug.
Article in English | MEDLINE | ID: mdl-28902943

ABSTRACT

PURPOSE:: To analyze the use of this sponge in pediatric patients undergoing split-liver transplantation. METHODS:: Retrospective study, including 35 pediatric patients undergoing split-liver transplantation, divided into two groups according to the use of the sponge: 18 patients in Group A (no sponge) and 17 in Group B (with sponge). RESULTS:: The characteristics of recipients and donors were similar. We observed greater number of reoperation due to bleeding in the wound area in Group A (10 patients - 55.5%) than in Group B (3 patients - 17.6%); p = 0.035. The median volume of red blood cells transfused in Group A was significantly higher (73.4 ± 102.38 mL/kg) than that in Group B (35.1 ± 41.67 mL/kg); p = 0.048. Regarding bile leak there was no statistical difference. CONCLUSION:: The use of the human fibrinogen and thrombin sponge, required lower volume of red blood cell transfusion and presented lower reoperation rates due to bleeding in the wound area.


Subject(s)
Fibrinogen/therapeutic use , Hemostasis, Surgical/methods , Hemostatics/therapeutic use , Liver Transplantation/methods , Surgical Sponges , Thrombin/therapeutic use , Blood Loss, Surgical/prevention & control , Erythrocyte Transfusion , Female , Hepatectomy/methods , Humans , Infant , Liver/surgery , Liver Transplantation/adverse effects , Male , Reoperation , Reproducibility of Results , Retrospective Studies , Statistics, Nonparametric , Surgical Wound/drug therapy , Treatment Outcome
9.
Acta cir. bras ; 32(8): 673-679, Aug. 2017. tab, graf
Article in English | LILACS | ID: biblio-886232

ABSTRACT

Abstract Purpose: To analyze the use of this sponge in pediatric patients undergoing split-liver transplantation. Methods: Retrospective study, including 35 pediatric patients undergoing split-liver transplantation, divided into two groups according to the use of the sponge: 18 patients in Group A (no sponge) and 17 in Group B (with sponge). Results: The characteristics of recipients and donors were similar. We observed greater number of reoperation due to bleeding in the wound area in Group A (10 patients - 55.5%) than in Group B (3 patients - 17.6%); p = 0.035. The median volume of red blood cells transfused in Group A was significantly higher (73.4 ± 102.38 mL/kg) than that in Group B (35.1 ± 41.67 mL/kg); p = 0.048. Regarding bile leak there was no statistical difference. Conclusion: The use of the human fibrinogen and thrombin sponge, required lower volume of red blood cell transfusion and presented lower reoperation rates due to bleeding in the wound area.


Subject(s)
Humans , Male , Female , Infant , Fibrinogen/therapeutic use , Hemostatics/therapeutic use , Thrombin/therapeutic use , Surgical Sponges , Liver Transplantation/methods , Hemostasis, Surgical/methods , Reoperation , Reproducibility of Results , Retrospective Studies , Blood Loss, Surgical/prevention & control , Liver Transplantation/adverse effects , Treatment Outcome , Erythrocyte Transfusion , Statistics, Nonparametric , Surgical Wound/drug therapy , Hepatectomy/methods , Liver/surgery
10.
Acta Cir Bras ; 32(3): 236-242, 2017 Mar.
Article in English | MEDLINE | ID: mdl-28403348

ABSTRACT

PURPOSE:: To evaluate the effect of remote ischemic preconditioning (r-IPC) administered to pregnant rats, in the ileum of newborn rats subjected to hypoxia and reoxygenation. METHODS:: We used three pregnant rats and their newborn rats distributed in three groups: 1) Control (C) - Newborn rats born from a pregnant rat which did not undergo any intervention; 2) Hypoxia-Reoxygenation (H/R) - Newborn rats born from a pregnant rat which did not undergo any intervention, and were subjected to hypoxia-reoxygenation; 3) Remote Ischemic Preconditioning (r-IPC) - newborn rats born from a pregnant rat which was subjected to remote ischemic preconditioning twenty-four hours before giving birth and the newborn rats were subjected to hypoxia-reoxygenation. Segments of ileum were prepared for histological analysis by HE and immunohistochemistry by the Ki67 to evaluate cell proliferation, crypt depth and villus height and evaluation of apoptosis by cleaved caspase-3. RESULTS:: The intensity of the lesions was lower in the r-IPC than in the H/R group, showing significant difference (p<0.01). The r-IPC group showed a higher proliferative activity compared to the H/R group (p<0.01), with deeper crypts (r-IPC > H/R - p < 0.05), and higher villi, showing significant difference (r-IPC > H/R - (p <0.01). The occurrence of apoptosis in the H/R group was lower in comparison to groups C and r-IPC, with significant difference (H/R < r-IPC; p<0.05). CONCLUSION:: The remote ischemic preconditioning applied to the pregnant rat protected the ileum of newborn rats subjected to hypoxia and reoxygenation, with decreased intensity of the lesions in the ileum mucosa and preservation of proliferative activity, keeping the villus height and crypt depth similar to group C.


Subject(s)
Enterocolitis, Necrotizing/prevention & control , Ileum/blood supply , Ischemic Preconditioning/methods , Animals , Animals, Newborn , Apoptosis , Caspase 3/analysis , Cell Hypoxia , Disease Models, Animal , Enterocolitis, Necrotizing/pathology , Female , Ileum/pathology , Immunohistochemistry , Intestinal Mucosa/blood supply , Ki-67 Antigen/analysis , Pregnancy , Rats , Reperfusion Injury/prevention & control , Reproducibility of Results , Time Factors , Treatment Outcome
11.
Acta cir. bras ; 32(3): 236-242, Mar. 2017. graf
Article in English | LILACS | ID: biblio-837688

ABSTRACT

Abstract Purpose: To evaluate the effect of remote ischemic preconditioning (r-IPC) administered to pregnant rats, in the ileum of newborn rats subjected to hypoxia and reoxygenation. Methods: We used three pregnant rats and their newborn rats distributed in three groups: 1) Control (C) - Newborn rats born from a pregnant rat which did not undergo any intervention; 2) Hypoxia-Reoxygenation (H/R) - Newborn rats born from a pregnant rat which did not undergo any intervention, and were subjected to hypoxia-reoxygenation; 3) Remote Ischemic Preconditioning (r-IPC) - newborn rats born from a pregnant rat which was subjected to remote ischemic preconditioning twenty-four hours before giving birth and the newborn rats were subjected to hypoxia-reoxygenation. Segments of ileum were prepared for histological analysis by HE and immunohistochemistry by the Ki67 to evaluate cell proliferation, crypt depth and villus height and evaluation of apoptosis by cleaved caspase-3. Results: The intensity of the lesions was lower in the r-IPC than in the H/R group, showing significant difference (p<0.01). The r-IPC group showed a higher proliferative activity compared to the H/R group (p<0.01), with deeper crypts (r-IPC > H/R - p < 0.05), and higher villi, showing significant difference (r-IPC > H/R - (p <0.01). The occurrence of apoptosis in the H/R group was lower in comparison to groups C and r-IPC, with significant difference (H/R < r-IPC; p<0.05). Conclusion: The remote ischemic preconditioning applied to the pregnant rat protected the ileum of newborn rats subjected to hypoxia and reoxygenation, with decreased intensity of the lesions in the ileum mucosa and preservation of proliferative activity, keeping the villus height and crypt depth similar to group C.


Subject(s)
Animals , Female , Rats , Ischemic Preconditioning/methods , Enterocolitis, Necrotizing/prevention & control , Ileum/blood supply , Time Factors , Pregnancy , Immunohistochemistry , Reperfusion Injury/prevention & control , Cell Hypoxia , Reproducibility of Results , Treatment Outcome , Apoptosis , Ki-67 Antigen/analysis , Enterocolitis, Necrotizing/pathology , Disease Models, Animal , Caspase 3/analysis , Ileum/pathology , Intestinal Mucosa/blood supply , Animals, Newborn
12.
Pharmacogn Mag ; 13(49): 76-80, 2017.
Article in English | MEDLINE | ID: mdl-28216886

ABSTRACT

BACKGROUND: Mikania laevigata leaves are commonly used in Brazil as a medicinal plant. OBJECTIVE: To obtain hydroalcoholic dried extract by nebulization and evaluate its antiulcerogenic potential. MATERIALS AND METHODS: Plant material and hydroalcoholic extract were processed and analyzed for their physicochemical characteristics. A method using HPLC was validated to quantify coumarin and o-coumaric acid. Hydroalcoholic extract was spray dried and the powder obtained was characterized in terms of its physicochemical parameters and potential for antiulcerogenic activity. RESULTS: The analytical method proved to be selective, linear, precise, accurate, sensitive, and robust. M. laevigata spray dried extract was obtained using colloidal silicon dioxide as adjuvant and was shown to possess 1.83 ± 0.004% coumarin and 0.80 ± 0.012% o-coumaric acid. It showed significant antiulcer activity in a model of an indomethacin-induced gastric lesion in mice and also produced a gastroprotective effect. CONCLUSION: This dried extract from M. laevigata could be a promising intermediate phytopharmaceutical product. SUMMARY: Research and development of standardized dried extract of Mikania laevigata leaves obtained through spray drying and the production process was monitored by the chemical profile, physicochemical properties and potential for anti-ulcerogenic activity. Abbreviations used: DE: M. laevigata spray dried extract, HE: hydroalcoholic extract.

13.
ABCD (São Paulo, Impr.) ; 29(4): 236-239, Oct.-Dec. 2016. tab, graf
Article in English | LILACS | ID: biblio-837538

ABSTRACT

ABSTRACT Background: Surgical strategy to increase the number of liver transplants in the pediatric population is the ex-situ liver transection (reduction or split). However, it is associated with complications such as hemorrhage and leaks. The human fibrinogen and thrombin sponge is useful for improving hemostasis in liver surgery. Aim: Compare pediatric liver transplants with ex-situ liver transection (reduction or split) with or without the human fibrinogen and thrombin sponge. Methods: Was performed a prospective analysis of 21 patients submitted to liver transplantation with ex-situ liver transection with the application of the human fibrinogen and thrombin sponge in the wound area (group A) and retrospective analysis of 59 patients without the sponge (group B). Results: The characteristics of recipients and donors were similar. There were fewer reoperations due to bleeding in the wound area in group A (14.2%) compared to group B (41.7%, p=0.029). There was no difference in relation to the biliary leak (group A: 17.6%, group B: 5.1%, p=0.14). Conclusion: There was a lower number of reoperations due to bleeding of the wound area of ​​the hepatic graft when the human fibrinogen and thrombin sponge were used.


RESUMO Racional: Estratégia cirúrgica para aumentar o número de transplantes hepáticos na população pediátrica é a transecção hepática ex-situ (redução ou split). No entanto, ela está associada com complicações, tais como hemorragia e fístulas. A esponja de fibrinogênio e trombina humana é útil para melhorar a hemostasia nas operações hepáticas. Objetivo: Comparar transplantes hepáticos pediátricos com transecção hepática ex-situ (redução ou split) com ou sem a esponja de fibrinogênio e trombina humana. Métodos: Foi realizada análise prospectiva de 21 pacientes submetidos ao transplante de fígado com transecção hepática ex-situ com a aplicação da esponja de fibrinogênio e trombina humana na área cruenta (grupo A) e análise retrospectiva de 59 pacientes sem a esponja (grupo B). Resultados: As características dos receptores e doadores eram semelhantes. Observou-se menor número de reoperações devido à hemorragia na área da cruenta no grupo A (14,2%) em comparação com o grupo B (41,7%, p=0,029). Não houve diferença em relação à fístula biliar (grupo A: 17,6%, grupo B: 5,1%, p=0,14). Conclusão: Houve menor número de reoperações por sangramento da área cruenta do enxerto hepático quando a esponja de fibrinogênio e trombina humana foi utilizada.


Subject(s)
Humans , Child , Fibrinogen/administration & dosage , Surgical Sponges , Liver Transplantation , Surgical Wound/drug therapy , Hepatectomy/methods , Liver/surgery , Thrombin/administration & dosage , Prospective Studies , Retrospective Studies
14.
J Surg Res ; 203(1): 113-20, 2016 06 01.
Article in English | MEDLINE | ID: mdl-27338542

ABSTRACT

BACKGROUND: Renal ischemia/reperfusion injury induced by hemorrhagic shock (HS) and subsequent fluid resuscitation is a common cause of acute renal failure. The objective of this study was to evaluate the effect of combining N-acetylcysteine (NAC) with fluid resuscitation on renal injury in rats that underwent HS. MATERIALS AND METHODS: Two groups of male Wistar rats were induced to controlled HS at 35 mm Hg mean arterial pressure for 60 min. After this period, the HS and fluid resuscitation (HS/R) group was resuscitated with lactate containing 50% of the blood that was withdrawn. The HS/R + NAC group was resuscitated with Ringer's lactate combined with 150 mg/kg of NAC and blood. The sham group animals were catheterized but were not subjected to shock. All animals were kept under anesthesia and euthanized after 120 min of fluid resuscitation or observation. RESULTS: Animals treated with NAC presented attenuation of histologic lesions, reduced oxidative stress, and apoptosis markers when compared with animals from the HS/R group. The serum creatinine was similar in all the groups. CONCLUSIONS: NAC is a promising drug for combining with fluid resuscitation to attenuate the kidney injury associated with HS.


Subject(s)
Acetylcysteine/therapeutic use , Acute Kidney Injury/therapy , Antioxidants/therapeutic use , Fluid Therapy , Reperfusion Injury/therapy , Resuscitation/methods , Shock, Hemorrhagic/complications , Acetylcysteine/pharmacology , Acute Kidney Injury/etiology , Acute Kidney Injury/metabolism , Animals , Antioxidants/pharmacology , Apoptosis/drug effects , Biomarkers/metabolism , Combined Modality Therapy , Male , Random Allocation , Rats , Rats, Wistar , Reperfusion Injury/etiology , Reperfusion Injury/metabolism , Shock, Hemorrhagic/metabolism , Treatment Outcome
15.
Acta Cir Bras ; 31(1): 22-7, 2016 Jan.
Article in English | MEDLINE | ID: mdl-26840352

ABSTRACT

PURPOSE: To determine the effect of a single dose of adriamycin (ADR) to induce anorectal malformations (ARMs) and determine the effect of folic acid (FA) in this model. METHODS: Ten female Wistar rats were divided randomly in two groups. Group A - ADR; Group B - FA+ADR. Dams from group B received daily, since two weeks before the pregnancy to the end of pregnancy, FA (50mg/kg) by gavage. Dams from both groups received ADR (6mk/kg) by intraperitoneal injection on gestational day (GD) 8. Their fetuses were harvested by cesarean section on GD21 and were examined looking for ARMs. The thickness of anal stratified squamous epithelium (ASSE) and intestinal epithelium (IE) were analyzed. p≤0.05*. RESULTS: 81 fetuses were harvested. The number of fetuses; number of ARMs; mean (∆%) (± SD) were determined to be, respectively: ADR - 41[29;65%(±37%)] versus FA+ADR - 40[04;16%(±36%)] (p=0.05). AMRs were significantly lower in FA+ADR group than in ADR group (p=0.05). The thickness (µm) of ASSE (± SD) and IE (± SD) were measured, respectively: ADR - [25.98(±0.74) and 19.48(±1.68)] versus FA+ADR - [24.74(±0.91) and 24.80(±0.81)] (p<0.005). The thickness of IE was significantly enlarged when FA was given (p<0.005). CONCLUSIONS: Single dose of adriamycin on D8 was able to induce anorectal malformations. Folic acid reduces the number and enlarged the IE of ARMs ADR-induced.


Subject(s)
Anus, Imperforate/prevention & control , Folic Acid/administration & dosage , Animals , Anorectal Malformations , Anus, Imperforate/chemically induced , Anus, Imperforate/pathology , Disease Models, Animal , Doxorubicin , Epithelium/abnormalities , Epithelium/pathology , Female , Fetus/abnormalities , Pregnancy , Random Allocation , Rats, Wistar , Topoisomerase II Inhibitors
16.
Acta cir. bras ; 31(1): 22-27, Jan. 2016. tab, graf
Article in English | LILACS | ID: lil-771851

ABSTRACT

PURPOSE: To determine the effect of a single dose of adriamycin (ADR) to induce anorectal malformations (ARMs) and determine the effect of folic acid (FA) in this model. METHODS: Ten female Wistar rats were divided randomly in two groups. Group A - ADR; Group B - FA+ADR. Dams from group B received daily, since two weeks before the pregnancy to the end of pregnancy, FA (50mg/kg) by gavage. Dams from both groups received ADR (6mk/kg) by intraperitoneal injection on gestational day (GD) 8. Their fetuses were harvested by cesarean section on GD21 and were examined looking for ARMs. The thickness of anal stratified squamous epithelium (ASSE) and intestinal epithelium (IE) were analyzed. p≤0.05*. RESULTS: 81 fetuses were harvested. The number of fetuses; number of ARMs; mean (∆%) (± SD) were determined to be, respectively: ADR - 41[29;65%(±37%)] versus FA+ADR - 40[04;16%(±36%)] (p=0.05). AMRs were significantly lower in FA+ADR group than in ADR group (p=0.05). The thickness (µm) of ASSE (± SD) and IE (± SD) were measured, respectively: ADR - [25.98(±0.74) and 19.48(±1.68)] versus FA+ADR - [24.74(±0.91) and 24.80(±0.81)] (p<0.005). The thickness of IE was significantly enlarged when FA was given (p<0.005). CONCLUSIONS: Single dose of adriamycin on D8 was able to induce anorectal malformations. Folic acid reduces the number and enlarged the IE of ARMs ADR-induced.


Subject(s)
Animals , Female , Pregnancy , Anus, Imperforate/prevention & control , Folic Acid/administration & dosage , Anus, Imperforate/chemically induced , Anus, Imperforate/pathology , Disease Models, Animal , Doxorubicin , Epithelium/abnormalities , Epithelium/pathology , Fetus/abnormalities , Random Allocation , Rats, Wistar , Topoisomerase II Inhibitors
17.
Arq Bras Cir Dig ; 29(4): 236-239, 2016.
Article in English, Portuguese | MEDLINE | ID: mdl-28076477

ABSTRACT

Background: Surgical strategy to increase the number of liver transplants in the pediatric population is the ex-situ liver transection (reduction or split). However, it is associated with complications such as hemorrhage and leaks. The human fibrinogen and thrombin sponge is useful for improving hemostasis in liver surgery. Aim: Compare pediatric liver transplants with ex-situ liver transection (reduction or split) with or without the human fibrinogen and thrombin sponge. Methods: Was performed a prospective analysis of 21 patients submitted to liver transplantation with ex-situ liver transection with the application of the human fibrinogen and thrombin sponge in the wound area (group A) and retrospective analysis of 59 patients without the sponge (group B). Results: The characteristics of recipients and donors were similar. There were fewer reoperations due to bleeding in the wound area in group A (14.2%) compared to group B (41.7%, p=0.029). There was no difference in relation to the biliary leak (group A: 17.6%, group B: 5.1%, p=0.14). Conclusion: There was a lower number of reoperations due to bleeding of the wound area of ​​the hepatic graft when the human fibrinogen and thrombin sponge were used.


Racional: Estratégia cirúrgica para aumentar o número de transplantes hepáticos na população pediátrica é a transecção hepática ex-situ (redução ou split). No entanto, ela está associada com complicações, tais como hemorragia e fístulas. A esponja de fibrinogênio e trombina humana é útil para melhorar a hemostasia nas operações hepáticas. Objetivo: Comparar transplantes hepáticos pediátricos com transecção hepática ex-situ (redução ou split) com ou sem a esponja de fibrinogênio e trombina humana. Métodos: Foi realizada análise prospectiva de 21 pacientes submetidos ao transplante de fígado com transecção hepática ex-situ com a aplicação da esponja de fibrinogênio e trombina humana na área cruenta (grupo A) e análise retrospectiva de 59 pacientes sem a esponja (grupo B). Resultados: As características dos receptores e doadores eram semelhantes. Observou-se menor número de reoperações devido à hemorragia na área da cruenta no grupo A (14,2%) em comparação com o grupo B (41,7%, p=0,029). Não houve diferença em relação à fístula biliar (grupo A: 17,6%, grupo B: 5,1%, p=0,14). Conclusão: Houve menor número de reoperações por sangramento da área cruenta do enxerto hepático quando a esponja de fibrinogênio e trombina humana foi utilizada.


Subject(s)
Fibrinogen/administration & dosage , Hepatectomy/methods , Liver Transplantation , Liver/surgery , Surgical Sponges , Surgical Wound/drug therapy , Thrombin/administration & dosage , Child , Humans , Prospective Studies , Retrospective Studies
18.
Acta Cir Bras ; 30(8): 517-22, 2015 Aug.
Article in English | MEDLINE | ID: mdl-26352330

ABSTRACT

PURPOSE: To investigate the effect of folic acid (FA) in an experimental model of anorectal malformations (ARMs) ethylenethiourea (ETU) induced. METHODS: Eight female Wistar rats were divided randomly in two groups. Group A - ETU; Group B - FA+ETU; Dams from group B received daily, since two weeks before pregnancy to the end of pregnancy, FA (50mg/kg) by gavage. Dams from groups A and B, received 1% ETU (125 mk/kg) by gavage on gestational day (GD) 11. Their fetuses were harvested by cesarean section on GD21 and were examined looking for ARMs. The thickness of anal stratified squamous epithelium (ASSE) and intestinal epithelium (IE) were analyzed. p < 0.05*. RESULTS: One hundred and one embryos were harvested. The number of embryos; number of ARMs; mean statistical % (± SD) were determined to be, respectively: ETU - 49 [30;65% (± 24%)] versus FA+ETU - 52 [1;02% (± 3%)] (p = 0.025). AMRs were significantly lower in FA+ETU group than in ETU group (p = 0.025). The thickness (µm) of ASSE (± SD) and IE (± SD) were measured, respectively: ETU - [27.75 (± 0.56) and 18.88 (± 0.93)] versus FA+ETU - [28.88 (± 0.61) and 21.11 (± 0.16)] (p = 0.001). The thickness of IE was significantly enlarged when FA was given (p=0.001). CONCLUSION: Folic acid reduces the number and enlarged the IE of ARMs ETU-induced.


Subject(s)
Anus, Imperforate/prevention & control , Folic Acid/therapeutic use , Vitamin B Complex/therapeutic use , Anal Canal/abnormalities , Anal Canal/embryology , Animals , Anorectal Malformations , Anus, Imperforate/chemically induced , Disease Models, Animal , Ethylenethiourea , Female , Fetus/abnormalities , Pregnancy , Random Allocation , Rats, Wistar , Rectum/abnormalities , Rectum/embryology , Reproducibility of Results
19.
Acta cir. bras ; 30(8): 517-522, Aug. 2015. tab, ilus
Article in English | LILACS | ID: lil-757983

ABSTRACT

PURPOSE: To investigate the effect of folic acid (FA) in an experimental model of anorectal malformations (ARMs) ethylenethiourea (ETU) induced.METHODS:Eight female Wistar rats were divided randomly in two groups. Group A - ETU; Group B - FA+ETU; Dams from group B received daily, since two weeks before pregnancy to the end of pregnancy, FA (50mg/kg) by gavage. Dams from groups A and B, received 1% ETU (125mk/kg) by gavage on gestational day (GD) 11. Their fetuses were harvested by cesarean section on GD21 and were examined looking for ARMs. The thickness of anal stratified squamous epithelium (ASSE) and intestinal epithelium (IE) were analyzed. p<0.05*.RESULTS:One hundred and one embryos were harvested. The number of embryos; number of ARMs; mean statistical % (± SD) were determined to be, respectively: ETU - 49 [30;65% (±24%)] versus FA+ETU - 52 [1;02% (±3%)] (p=0.025). AMRs were significantly lower in FA+ETU group than in ETU group (p=0.025). The thickness (µm) of ASSE (± SD) and IE (± SD) were measured, respectively: ETU - [27.75 (±0.56) and 18.88 (±0.93)] versus FA+ETU - [28.88 (±0.61) and 21.11 (±0.16)] (p=0.001). The thickness of IE was significantly enlarged when FA was given (p=0.001).CONCLUSION:Folic acid reduces the number and enlarged the IE of ARMs ETU-induced.


Subject(s)
Animals , Female , Pregnancy , Anus, Imperforate/prevention & control , Folic Acid/therapeutic use , Vitamin B Complex/therapeutic use , Anal Canal/abnormalities , Anal Canal/embryology , Anus, Imperforate/chemically induced , Disease Models, Animal , Ethylenethiourea , Fetus/abnormalities , Random Allocation , Rats, Wistar , Reproducibility of Results , Rectum/abnormalities , Rectum/embryology
20.
Acta Cir Bras ; 29(7): 438-44, 2014 Jul.
Article in English | MEDLINE | ID: mdl-25054874

ABSTRACT

PURPOSE: To evaluate the effects of maternal remote ischemic preconditioning (IPCr) in the colonic mucosa of newborn rats subjected to hypoxia and reoxygenation. METHODS: Newborn Wistar rats were divided into three groups. Control Group (CG), Hypoxia and Reoxygenation Group (HRG) and Remote Ischemic Preconditioning Group (IPCrG). Hypoxia and reoxygenation was performed 2x per day, with an interval of 6 hours, on the 1st, 2nd and 3rd days of life, with 10 minutes of CO2 at 100%, followed by 10 minutes O2 at 100%(HRG/IPCrG). The maternal IPCr was performed 24 hours before delivery by applying a rubber band tourniquet to the left hind limb (IPCrG). Segments of the colon underwent histological (HE) and immunohistochemical analysis for caspase-3 and COX - 2. RESULTS: The histological findings showed no intestinal mucosal damage in the CG group and severe lesions in HRG that was attenuated in the IPCrG (p<0.05). The expression of the apoptotic cells was lower in the HRG group than in the CG and IPCrG. The COX-2 expression was intense in HRG and attenuated in the IPCrG (p<0.05). CONCLUSIONS: Maternal IPCr protected the colonic mucosa of newborn rats subjected to hypoxia and reoxygenation, reducing the morphological alterations and inflammatory response. It ameliorates the occurrence of apoptosis, keeping the physiological process of renewal and regeneration in the epithelial lining of the colonic mucosa.


Subject(s)
Colon/blood supply , Enterocolitis, Necrotizing/pathology , Intestinal Mucosa/blood supply , Ischemic Preconditioning/methods , Animals , Apoptosis/physiology , Caspase 3/analysis , Cell Hypoxia/physiology , Colon/pathology , Cyclooxygenase 2/analysis , Enterocolitis, Necrotizing/physiopathology , Female , Immunohistochemistry , Male , Pregnancy , Random Allocation , Rats, Wistar , Reperfusion Injury/prevention & control , Time Factors
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