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Updated: Nov 4, 2025

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Cecal Ligation Puncture Procedure
Published on: May 7, 2011
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Cecal Ligation and Puncture.
Susanne Drechsler1, Marcin Osuchowski2
1Ludwig Boltzmann Institute for Experimental and Clinical Traumatology in the AUVA Research Center, Vienna, Austria.
Methods in Molecular Biology (Clifton, N.J.)
|May 28, 2021
Summary
The cecal ligation and puncture (CLP) model simulates abdominal sepsis in rodents by creating a polymicrobial infection. This "gold standard" model requires careful management of analgesia, antibiotics, and fluids for clinical relevance.
Area of Science:
- Surgical models
- Infectious disease research
- Rodent models
Background:
- Cecal ligation and puncture (CLP) is the established standard rodent model for inducing abdominal sepsis.
- This model replicates a polymicrobial infectious focus with continuous leakage within the abdominal cavity.
- It is crucial for studying the pathophysiology and potential treatments of sepsis.
Purpose of the Study:
- To describe the standard procedure for the cecal ligation and puncture (CLP) rodent model.
- To highlight factors influencing CLP severity and clinical relevance.
- To emphasize critical care interventions for enhancing the model's applicability.
Main Methods:
- Surgical induction of sepsis via cecal ligation and puncture under anesthesia and analgesia.
- Manipulation of ligation length and needle size to modulate infection severity.
- Administration of supportive care including analgesia, antibiotics, and fluid resuscitation.
Main Results:
- The CLP procedure reliably establishes a polymicrobial infectious focus.
- Clinical signs of systemic bacterial infection develop within 24 hours post-procedure.
- Adjustable parameters allow for controlled induction of sepsis of varying severity.
Conclusions:
- The CLP model is a valuable tool for abdominal sepsis research.
- Optimizing surgical technique and supportive care enhances the model's clinical relevance.
- This model facilitates the investigation of sepsis pathogenesis and therapeutic strategies.

