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Experimental study on the role of mast cells in peritoneal adhesion formation
N Z Cantürk1, B Vural, A Cubukcu
1Department of General Surgery, Medical School of Kocaeli University, Turkey.
Objective:
To investigate the potential role of mast cell stabilisation in the prevention of post-operative adhesions.
Design:
Laboratory animal experiment.
Setting:
University hospital, Turkey.
Subjects:
Ninety Wistar albino rats.
Intervention:
Under anaesthesia, a lower midline laparotomy was performed, the caecum exposed and grasped until haemorrhage occurred. The rats were divided into three groups. Group 1, 2 and 3 were intra-peritoneally administered 1 ml of saline, disodium cromoglycate 5 mg/kg in 1 ml of saline and 10 mg/kg in 1 ml of saline, respectively thirty minutes prior to laparotomy and immediately subsequent to abdominal closure. They were later sacrificed, laparotomy repeated and the presence and extent of intraabdominal adhesions evaluated.
Results:
Adhesion scores were best in the high disodium cromoglycate dose group of rats (p < 0.05) and the number of degranulated mast cells was significantly low in this group (p < 0.05).
Conclusion:
Disodium cromoglycate may be an effective agent for attenuating adhesion formation when administered in suitable doses.