The Effects of Ankaferd Blood Stopper on the Recovery Process in an Experimental Oesophageal Perforation Model

Background: Oesophageal perforation is a life-threatening pathology that is generally treated conservatively; however, surgical procedures are frequently performed. A topical haemostatic agent, Ankaferd Blood Stopper (ABS), also has beneficial wound-healing effects. Aims: This study aimed to dete...

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Main Authors: Necla Gürbüz Sarıkaş, Tanzer Korkmaz, Nurettin Kahramansoy, Ali Kılıçgün, Çetin Boran, Güledal Boztaş
Format: Article
Language:English
Published: Galenos Publishing House 2015-03-01
Series:Balkan Medical Journal
Subjects:
Online Access:http://balkanmedicaljournal.org/text.php?lang=en&id=248
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author Necla Gürbüz Sarıkaş
Tanzer Korkmaz
Nurettin Kahramansoy
Ali Kılıçgün
Çetin Boran
Güledal Boztaş
author_facet Necla Gürbüz Sarıkaş
Tanzer Korkmaz
Nurettin Kahramansoy
Ali Kılıçgün
Çetin Boran
Güledal Boztaş
author_sort Necla Gürbüz Sarıkaş
collection DOAJ
description Background: Oesophageal perforation is a life-threatening pathology that is generally treated conservatively; however, surgical procedures are frequently performed. A topical haemostatic agent, Ankaferd Blood Stopper (ABS), also has beneficial wound-healing effects. Aims: This study aimed to determine the effects of ABS following experimental oesophageal perforations. Study Design: Animal experiment. Methods: The experimental rats were classified into 6 groups (with 7 rats in each group). Pairs of groups (primary repair alone and primary repair + ABS) were terminated in the 1st, 2nd, and 3rd weeks following injury. The oesophageal perforations, which were 8-10 mm in length, were created using a nasogastric tube. The perforation sites were repaired with a 6-0 polyglactine thread in the primary repair groups. Additionally, ABS was sprayed over the perforation site in the treatment groups. Each oesophagus was evaluated histopathologically. Results: There were fewer microabscesses and areas of necrosis in the ABS groups compared with the primary repair groups. The histopathological evaluation revealed that the ABS groups had less inflammation and more re-epithelisation compared to the primary repair groups (p=0.002 and p=0.003, respectively). Fibrosis in the ABS groups was moderate in the 2nd week and mild in the 3rd week. Comparing the groups with respect to the time intervals, only the 1st week groups showed a significant difference in terms of re-epithelialisation (p=0.044). Conclusion: Topical ABS application on the repaired experimental oesophageal perforation regions led to positive wound-healing effects compared with the rats that were administered the primary repair alone.
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spelling doaj.art-04b1c90fc2024006b9ffeeb1ffdfa36a2023-02-15T16:09:13ZengGalenos Publishing HouseBalkan Medical Journal2146-31232146-31312015-03-013219610010.5152/balkanmedj.2015.15459The Effects of Ankaferd Blood Stopper on the Recovery Process in an Experimental Oesophageal Perforation ModelNecla Gürbüz Sarıkaş0Tanzer Korkmaz1Nurettin Kahramansoy2Ali Kılıçgün3Çetin Boran4Güledal Boztaş5Department of Pediatric Surgery, Derince Training and Research Hospital, Kocaeli, TurkeyDepartment of Emergency Medicine, Abant İzzet Baysal University Faculty of Medicine, Bolu, TurkeyDepartment of General Surgery, Abant İzzet Baysal University Faculty of Medicine, Bolu, TurkeyDepartment of Thoracic Surgery, Abant İzzet Baysal University Faculty of Medicine, Bolu, TurkeyDepartment of Pathology, Abant İzzet Baysal University Faculty of Medicine, Bolu, TurkeyProvince Health Office, Bolu, TurkeyBackground: Oesophageal perforation is a life-threatening pathology that is generally treated conservatively; however, surgical procedures are frequently performed. A topical haemostatic agent, Ankaferd Blood Stopper (ABS), also has beneficial wound-healing effects. Aims: This study aimed to determine the effects of ABS following experimental oesophageal perforations. Study Design: Animal experiment. Methods: The experimental rats were classified into 6 groups (with 7 rats in each group). Pairs of groups (primary repair alone and primary repair + ABS) were terminated in the 1st, 2nd, and 3rd weeks following injury. The oesophageal perforations, which were 8-10 mm in length, were created using a nasogastric tube. The perforation sites were repaired with a 6-0 polyglactine thread in the primary repair groups. Additionally, ABS was sprayed over the perforation site in the treatment groups. Each oesophagus was evaluated histopathologically. Results: There were fewer microabscesses and areas of necrosis in the ABS groups compared with the primary repair groups. The histopathological evaluation revealed that the ABS groups had less inflammation and more re-epithelisation compared to the primary repair groups (p=0.002 and p=0.003, respectively). Fibrosis in the ABS groups was moderate in the 2nd week and mild in the 3rd week. Comparing the groups with respect to the time intervals, only the 1st week groups showed a significant difference in terms of re-epithelialisation (p=0.044). Conclusion: Topical ABS application on the repaired experimental oesophageal perforation regions led to positive wound-healing effects compared with the rats that were administered the primary repair alone.http://balkanmedicaljournal.org/text.php?lang=en&id=248Ankaferd Blood Stopperexperimentaloesophageal perforation
spellingShingle Necla Gürbüz Sarıkaş
Tanzer Korkmaz
Nurettin Kahramansoy
Ali Kılıçgün
Çetin Boran
Güledal Boztaş
The Effects of Ankaferd Blood Stopper on the Recovery Process in an Experimental Oesophageal Perforation Model
Balkan Medical Journal
Ankaferd Blood Stopper
experimental
oesophageal perforation
title The Effects of Ankaferd Blood Stopper on the Recovery Process in an Experimental Oesophageal Perforation Model
title_full The Effects of Ankaferd Blood Stopper on the Recovery Process in an Experimental Oesophageal Perforation Model
title_fullStr The Effects of Ankaferd Blood Stopper on the Recovery Process in an Experimental Oesophageal Perforation Model
title_full_unstemmed The Effects of Ankaferd Blood Stopper on the Recovery Process in an Experimental Oesophageal Perforation Model
title_short The Effects of Ankaferd Blood Stopper on the Recovery Process in an Experimental Oesophageal Perforation Model
title_sort effects of ankaferd blood stopper on the recovery process in an experimental oesophageal perforation model
topic Ankaferd Blood Stopper
experimental
oesophageal perforation
url http://balkanmedicaljournal.org/text.php?lang=en&id=248
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