امروز : دوشنبه   ۲۹. آبان ۱۳۹۶   /    1. ربيع‌الاول 1439   /    20. نوامبر 2017

The Effects of Human Amniotic Membrane on Healing of Colonic Anastomosis in Dogs

Background: Anastomotic leakage is claimed to be responsible for about one third of deaths following colon surgeries. Therefore, research on applied materials able to prevent leakage and improve healing requires extra attention.

Objectives: This study was conducted to determine surgical and histological outcomes of applying human amniotic membrane (HAM) in colonic anastomosis in dogs.

Materials and Methods: Eight cross-breed male dogs were divided into two equal groups. After anesthesia and exploration, 5cm of left colon was resected, and end-to-end anastomosis was performed in a single layer. In the treatment group (B), HAM patch measuring 2×3 cm was wrapped around the anastomotic line. Comparison of the two groups was performed using the Mann-Whitney U test due to small sample size, and normal distribution of data was examined using the kolmogorov-simirnov test (P = 0.03).

Results: Modified scoring system for surgical wound healing was used to identify the grade of healing in all samples. The healing score was significantly higher in the HAM group (P = 0.01).

Conclusions: HAM plays a positive role in healing of colonic anastomosis, and would lead to better histological outcomes compared to simple anastomosis in dogs.

Keywords: Colon; Colorectal Surgery; Biologic Dressing; Biocompatible Materials

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