Effect of aprotinin on fibrinopurulent peritonitis in rats

The effect of aprotinin on the clinical and pathologic course of experimentally induced peritonitis in the rat was studied. Peritonitis was induced in 40 rats by creating a closed ileal loop 4 cm long 5 cm from the ileocecal valve. The rats were divided into two groups of 20 rats each. Group 1 serve...

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Veröffentlicht in:The American journal of surgery 1985-11, Vol.150 (5), p.550-553
Hauptverfasser: Chalkiadakis, George E., Kostakis, Alkis, Karydakis, Periklis, Chalkiadakis, Mary E., Matsikas, Pantelis, Karayannoccos, Panayotis E., Sechas, Michael, Skalkeas, Gregory D.
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container_end_page 553
container_issue 5
container_start_page 550
container_title The American journal of surgery
container_volume 150
creator Chalkiadakis, George E.
Kostakis, Alkis
Karydakis, Periklis
Chalkiadakis, Mary E.
Matsikas, Pantelis
Karayannoccos, Panayotis E.
Sechas, Michael
Skalkeas, Gregory D.
description The effect of aprotinin on the clinical and pathologic course of experimentally induced peritonitis in the rat was studied. Peritonitis was induced in 40 rats by creating a closed ileal loop 4 cm long 5 cm from the ileocecal valve. The rats were divided into two groups of 20 rats each. Group 1 served as a control group, whereas each animal in Group 2 received a bolus dose of aprotinin (10 ml) intraperitoneally immediately after closing the laparotomy. In the aprotinin-treated group, survival was drastically increased (p < 0.01) and formation of adhesions and abscesses was considerably reduced. The results of peritoneal cultures showed a decreased incidence of Escherichia coli and Clostridia in the aprotinin-treated group. We conclude that the administration of aprotinin significantly prolongs the survival time of animals with peritonitis and reduces the development of adhesions and abscesses in the peritoneal cavity. This beneficial effect can be attributed to decreased fibrinogen deposits within the peritoneal cavity and the stabilization of the organism after bacterial shock. Thus, bacteria were more susceptible to cellular and noncellular clearing mechanisms.
doi_str_mv 10.1016/0002-9610(85)90434-9
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Peritonitis was induced in 40 rats by creating a closed ileal loop 4 cm long 5 cm from the ileocecal valve. The rats were divided into two groups of 20 rats each. Group 1 served as a control group, whereas each animal in Group 2 received a bolus dose of aprotinin (10 ml) intraperitoneally immediately after closing the laparotomy. In the aprotinin-treated group, survival was drastically increased (p &lt; 0.01) and formation of adhesions and abscesses was considerably reduced. The results of peritoneal cultures showed a decreased incidence of Escherichia coli and Clostridia in the aprotinin-treated group. We conclude that the administration of aprotinin significantly prolongs the survival time of animals with peritonitis and reduces the development of adhesions and abscesses in the peritoneal cavity. This beneficial effect can be attributed to decreased fibrinogen deposits within the peritoneal cavity and the stabilization of the organism after bacterial shock. 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subjects Abscess - physiopathology
Abscess - prevention & control
Animals
Aprotinin - pharmacology
Biological and medical sciences
Clostridium Infections - physiopathology
Clostridium Infections - prevention & control
Digestive system
Escherichia coli Infections - physiopathology
Escherichia coli Infections - prevention & control
Female
Fibrin - physiology
Male
Medical sciences
Peritonitis - mortality
Peritonitis - physiopathology
Peritonitis - prevention & control
Pharmacology. Drug treatments
Rats
Rats, Inbred Strains
Surgical Wound Infection - physiopathology
Surgical Wound Infection - prevention & control
Tissue Adhesions - physiopathology
Tissue Adhesions - prevention & control
title Effect of aprotinin on fibrinopurulent peritonitis in rats
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