Molsidomine (MOL) reduces postoperative pelvic adhesion: A rat uterine horn model

Molsidomine (MOL) reduces postoperative pelvic adhesion: A rat uterine horn model

Aim: Postoperative pelvic adhesions (PPAs) are a common complication that leads to many problems. This study aimed to compare the role of Seprafilm (a protective barrier), and molsidomine (MOL), recognized for its antioxidative and antiproliferative effects, in preventing pelvic adhesion.Material and Methods: A total of 30 of female Wistar albino rats were randomly divided into 3 groups. They underwent bilateral uterine horn injury. The rats in the Sham group (n=10) received no special treatment. The rats in the Seprafilm group (n=10) were treated withSeprafilm. The rats in the MOL group (n=10) received 10 mg/kg MOL orally for 14 days. Adhesion scores were evaluated using macroscopic, microscopic, and immunohistochemical grading 14 days postoperatively.Results:The Majuzi adhesion score of the rats in the MOL group [1 (0-4)] was lower than the score of the rats in the sham [4 (2-5)] and Seprafilm [4 (1-5)] (p

___

  • 1. Drollette CM, Badawy SZ. Pathophysiology of pelvic adhesions. modern trends in preventing infertility. J Reprod Med 1992;37:107-21.
  • 2. Ivarsson ML, Holmdahl L, Franzén G, et al. Cost of bowel obstruction resulting from adhesions. Eur J Surg 1997;163:679-84.
  • 3. Ray NF, Denton WG, Thamer M, et al. Abdominal Adhesiolysis: Inpatient Care and Expenditures in the United States in 1994. J Am Coll Surg 1998;186:1-9.
  • 4. Arung W, Meurisse M, Detry O. Pathophysiology and prevention of postoperative peritoneal adhesions. World J Gastroenterol 2011;17:4545.
  • 5. Koninckx PR, Gomel V. Introduction. quality of pelvic surgery and postoperative adhesions fertilsteril 2016;106:991-3.
  • 6. Polat N, Ozer MA, Parlakpinar H, et al. Effects of molsidomine on retinal ischemia/reperfusion injury in rabbits. Biotech Histochem 2018;93:188-97.
  • 7. Durak MA, Parlakpinar H, Polat A, et al. Protective and therapeutic effects of molsidomine on radiation induced neural injury in rats Biotech Histochem 2017;92:68-77.
  • 8. Singh RJ, Hogg N, Joseph J, et al. The peroxynitrite generator, sin-1, becomes a nitric oxide donor in the presence of electron acceptors. arch biochembiophys 1999;361:331-9.
  • 9. Gupta A, Sharma S, Chopra K. Reversal of iron-induced nephrotoxicity in rats by molsidomine, a nitric oxide donor. Food ChemToxicol 2008;46:537-43.
  • 10. Walder CE, Thiemermann C, Vane JR. The involvement of endothelium-derived relaxing factor in the regulation of renal cortical blood flow in the rat. Br J Pharmacol 1991;102:967-73.
  • 11. Kalouda T, Pitsikas N. The nitric oxide donor molsidomine induces anxiolytic-like behaviour in two different rat models of anxiety. Pharmacol Biochem Behav 2015;138:111-6.
  • 12. Lee JH, Go AK, Oh SH, et al. Tissue anti-adhesion potential of ibuprofen-loaded PLLA–PEG diblock copolymer films. Biomaterials 2005;26:671-8.
  • 13. Shahram E, Sadraie SH, Kaka G, et al. Evaluation of chitosan–gelatin films for use as postoperative adhesion barrier in rat cecum model. Int J Surg 2013;11:1097-102.
  • 14. Karatas A, Ozlu T, Ozyalvacli G, et al. Intraperitoneal nigella sativa for prevention of postoperative intra-abdominal adhesions in rats. J Invest Surg 2014;27:319-26.
  • 15. Mazujı Mk, Kalambahetı K, Pawar B. Prevention of Adhesions With Polyvinylpyrrolidone. Arch Surg 1964;89:1011-5.
  • 16. Sun Y, Oberley LW, Li Y. A simple method for clinical assay of superoxide dismutase. Clin Chem 1988;34:497-500.
  • 17. Durak I, Akyol O, Es MU, et al. Element structure in stenotic mitral valves. Am J Cardiol 1993;71:355.
  • 18. Beutler E, Duron O, Kelly Bm. Improved method for the determination of blood glutathione. J Lab Clin Med 1963;61:882-8.
  • 19. Esterbauer H, Cheeseman KH. Determination of aldehydic lipid peroxidation products: malonaldehyde and 4-hydroxynonenal. Methods Enzymol 1990;186:407-21.
  • 20. Soneja A, Drews M, Malinski T. Role of nitric oxide, nitroxidative and oxidative stress in wound healing. Pharmacol Rep 2005;57:10-9.
  • 21. Kukovetz WR, Holzmann S. Cyclic GMP as the mediator of molsidomine-induced vasodilatation. Eur J Pharmacol 1986;122:103-9.
  • 22. Chander V, Chopra K. Renal Protective Effect of Molsidomine and l-Arginine in Ischemia-Reperfusion Induced Injury in Rats. J Surg Res 2005;128:132-9.
  • 23. Fukatsu K, Saito H, Han I, et al. Nitric oxide donor decreases neutrophil adhesion in both lung and peritoneum during peritonitis. J Surg Res 1998;74:119-24.
  • 24. Disli OM, Sarihan E, Colak MC, et al. Effects of molsidomine against doxorubicin-induced cardiotoxicity in rats. Eur Surg Res 2013;51:79-90.
  • 25. Kilic T, Parlakpinar H, Polat A, et al. Protective and therapeutic effect of molsidomine on bleomycin-induced lung fibrosis in rats. Inflammation. 2014;37:1167-78.
  • 26. Kmieć M, Ochmański W. Molsidomine: importance in treatment of circulation disorders. Przegl Lek 1998;55:532-6.
  • 27. Messin R, Karpov Y, Baikova N, et al. Short- and long-term effects of molsidomine retard and molsidomine nonretard on exercise capacity and clinical status in patients with stable angina: a multicenter randomized double-blind crossover placebo-controlled trial. J Cardiovasc Pharmacol 1998;31:271-6.
  • 28. Karakoc HT, Altintas R, Parlakpinar H, et al. Protective effects of molsidomine against cisplatin-induced nephrotoxicity. Adv Clin Exp Med 2015;24:585-93.
  • 29. Diamond MP, Burns EL, Accomando B, et al. Seprafilm® adhesion barrier: (1) a review of preclinical, animal, and human investigational studies. Gynecol Surg 2012;9:237-45.
  • 30. Zeng Q, Yu Z, You J, et al. Efficacy and safety of seprafilm for preventing postoperative abdominal adhesion: systematic review and meta-analysis. World J Surg 2007;31:2125-31.
  • 31. Eroglu A, Demirci S, Kurtman C, et al. Prevention of intra-abdominal adhesions by using seprafilm in rats undergoing bowel resection and radiation therapy. Color Dis 2001;3:33-7.
  • 32. Oncel M, Remzi FH, Senagore AJ, et al. Application of Adcon-P or Seprafilm in consecutive laparotomies using a murine model. Am J Surg 2004;187:304-8.
  • 33. Stawicki SP, Green JM, Martin ND, et al. Results of a prospective, randomized, controlled study of the use of carboxymethylcellulose sodium hyaluronate adhesion barrier in trauma open abdomens. Surg 2014;156:419-30.
Annals of Medical Research-Cover
  • Yayın Aralığı: Aylık
  • Yayıncı: İnönü Üniversitesi Tıp Fakültesi
Sayıdaki Diğer Makaleler

The value of standard chest radiography in the diagnosis of scoliosis

Hanifi UCPUNAR, Nizamettin KOCKARA

Outcomes of percutaneous endoscopic gastrostomy: One surgeon experience

Özlem ÖZDEMİR, Cagri AKALIN, Hamza CİNAR

Should neurology patients be treated in the general intensive care unit or not?

Fatih ÜÇKARDEŞ, Ali Zeynal Abidin TAK, Öznur ULUDAĞ, Yaşar ALTUN, Ilhan CAĞ, Emre GEDİK

Laparoscopic cholecystectomy under spinal anesthesia in high risk patients: A single center experience

Mehmet BAYRAK, Yasemin ALTINTAŞ

Usage length of sternum components and sternal angle through images obtained by computerized tomography image reconstruction in gender determination

Zulal ONER, Bunyamin SAHİN, Ibrahim KURTUL, Serkan ÖNER

Comparison of sagittal lumbosacral parameters in patients with ankylosing spondylitis and chronic mechanical back pain

Ejder Berk, Vedat NACİTARHAN, Tuba Tulay KOCA, Burhan Fatih KOÇYİĞİT

A case of erythema ab igne induced by laptop computer

Murat ÖZTÜRK, Göktürk DERE

Concordance of the frequency, typing, and results of high risk human papilloma virus in cervical cytology materials with biopsy: Retrospective analysis of 5604 patients

Fatoş TEKELİOĞLU, Hatice KARAMAN, Ebru AKAY

Molecule associated with autism: Folic acid. Do we use it correctly?

Mehmet TECELLİOGLU, Turgay KARATAS, Mustafa CANBOLAT, Mehmet KARATAS, Deniz SENOL, Davut OZBAG

Two rare cases; primary soft tissue hydatid cyst mimicking soft tissue tumor

Ali Erkan YENİGUL, Durmus Ali CETİN