Influence of the peritoneal lavage with bupivacaine on the survival and resistance of colonic anastomoses performed under fecal peritonitis in rats

PURPOSE: To evaluate the effects of peritoneal lavage with bupivacaine on survival and initial resistance of anastomosis on distal colon, performed under peritonitis or not. METHODS: Forty rats, weighing from 300 to 350g (321.29±11.31g), were randomly divided in four groups and underwent laparotomy...

Full description

Bibliographic Details
Main Authors: Michel Gardere Camargo, João José Fagundes, Raquel Franco Leal, Maria de Lourdes Setsuko Ayrizono, Débora Helena dos Gonçalves Rossi, Priscilla de Sene Portel Oliveira, Wu Feng Chung, Huei Diana Lee, Cláudio Saddy Rodrigues Coy
Format: Article
Language:English
Published: Sociedade Brasileira para o Desenvolvimento da Pesquisa em Cirurgia 2013-11-01
Series:Acta Cirúrgica Brasileira
Subjects:
Online Access:http://www.scielo.br/pdf/acb/v28n11/07.pdf
_version_ 1818490630552158208
author Michel Gardere Camargo
João José Fagundes
Raquel Franco Leal
Maria de Lourdes Setsuko Ayrizono
Débora Helena dos Gonçalves Rossi
Priscilla de Sene Portel Oliveira
Wu Feng Chung
Huei Diana Lee
Cláudio Saddy Rodrigues Coy
author_facet Michel Gardere Camargo
João José Fagundes
Raquel Franco Leal
Maria de Lourdes Setsuko Ayrizono
Débora Helena dos Gonçalves Rossi
Priscilla de Sene Portel Oliveira
Wu Feng Chung
Huei Diana Lee
Cláudio Saddy Rodrigues Coy
author_sort Michel Gardere Camargo
collection DOAJ
description PURPOSE: To evaluate the effects of peritoneal lavage with bupivacaine on survival and initial resistance of anastomosis on distal colon, performed under peritonitis or not. METHODS: Forty rats, weighing from 300 to 350g (321.29±11.31g), were randomly divided in four groups and underwent laparotomy and anastomosis on the distal colon six hours after induction of peritonitis by intraperitoneal injection of autologous fecal material or not. Group 1: No peritonitis and lavage with 3ml NS; Group 2: No peritonitis and lavage with 8 mg.kg-1 (± 0.5 mL) of 0.5% bupivacaine added to 2.5 mL of NS; Group 3: Peritonitis and lavage with 3ml NS; Group 4: Peritonitis and lavage with 8 mg.kg-1 (± 0.5 mL) of 0.5% bupivacaine added to 2.5 mL of NS. Necropsies were performed on the animals that died and the time of death was recorded. Surviving animals were submitted to euthanasia on the fifth post-operative day and Total Energy of Rupture biomechanical test (TER) was applied. RESULTS: Group 4 showed survival increase compared to Group 3, without statistical significance. Group 3 presented the smallest average TER, with statistical significance. CONCLUSION: Peritonitis increased mortality and influenced negatively the resistance of colic anastomosis in rats. Peritoneal lavage with bupivacaine increased anastomotic resistance.
first_indexed 2024-12-10T17:19:33Z
format Article
id doaj.art-6f3e099e38ce48a5804a98f2cea025ce
institution Directory Open Access Journal
issn 0102-8650
language English
last_indexed 2024-12-10T17:19:33Z
publishDate 2013-11-01
publisher Sociedade Brasileira para o Desenvolvimento da Pesquisa em Cirurgia
record_format Article
series Acta Cirúrgica Brasileira
spelling doaj.art-6f3e099e38ce48a5804a98f2cea025ce2022-12-22T01:40:02ZengSociedade Brasileira para o Desenvolvimento da Pesquisa em CirurgiaActa Cirúrgica Brasileira0102-86502013-11-01281178378710.1590/S0102-86502013001100007Influence of the peritoneal lavage with bupivacaine on the survival and resistance of colonic anastomoses performed under fecal peritonitis in ratsMichel Gardere Camargo0João José Fagundes1Raquel Franco Leal2Maria de Lourdes Setsuko Ayrizono3Débora Helena dos Gonçalves Rossi4Priscilla de Sene Portel Oliveira5Wu Feng Chung6Huei Diana Lee7Cláudio Saddy Rodrigues Coy8Universidade Estadual de CampinasUniversidade Estadual de CampinasUniversidade Estadual de CampinasUniversidade Estadual de CampinasUniversidade Estadual de CampinasUniversidade Estadual de CampinasUniversidade Estadual do Oeste do ParanáUniversidade Estadual do Oeste do ParanáUniversidade Estadual de CampinasPURPOSE: To evaluate the effects of peritoneal lavage with bupivacaine on survival and initial resistance of anastomosis on distal colon, performed under peritonitis or not. METHODS: Forty rats, weighing from 300 to 350g (321.29±11.31g), were randomly divided in four groups and underwent laparotomy and anastomosis on the distal colon six hours after induction of peritonitis by intraperitoneal injection of autologous fecal material or not. Group 1: No peritonitis and lavage with 3ml NS; Group 2: No peritonitis and lavage with 8 mg.kg-1 (± 0.5 mL) of 0.5% bupivacaine added to 2.5 mL of NS; Group 3: Peritonitis and lavage with 3ml NS; Group 4: Peritonitis and lavage with 8 mg.kg-1 (± 0.5 mL) of 0.5% bupivacaine added to 2.5 mL of NS. Necropsies were performed on the animals that died and the time of death was recorded. Surviving animals were submitted to euthanasia on the fifth post-operative day and Total Energy of Rupture biomechanical test (TER) was applied. RESULTS: Group 4 showed survival increase compared to Group 3, without statistical significance. Group 3 presented the smallest average TER, with statistical significance. CONCLUSION: Peritonitis increased mortality and influenced negatively the resistance of colic anastomosis in rats. Peritoneal lavage with bupivacaine increased anastomotic resistance.http://www.scielo.br/pdf/acb/v28n11/07.pdfAnesthetics, LocalBupivacaineAnastomosis, SurgicalColonPeritonitisRats
spellingShingle Michel Gardere Camargo
João José Fagundes
Raquel Franco Leal
Maria de Lourdes Setsuko Ayrizono
Débora Helena dos Gonçalves Rossi
Priscilla de Sene Portel Oliveira
Wu Feng Chung
Huei Diana Lee
Cláudio Saddy Rodrigues Coy
Influence of the peritoneal lavage with bupivacaine on the survival and resistance of colonic anastomoses performed under fecal peritonitis in rats
Acta Cirúrgica Brasileira
Anesthetics, Local
Bupivacaine
Anastomosis, Surgical
Colon
Peritonitis
Rats
title Influence of the peritoneal lavage with bupivacaine on the survival and resistance of colonic anastomoses performed under fecal peritonitis in rats
title_full Influence of the peritoneal lavage with bupivacaine on the survival and resistance of colonic anastomoses performed under fecal peritonitis in rats
title_fullStr Influence of the peritoneal lavage with bupivacaine on the survival and resistance of colonic anastomoses performed under fecal peritonitis in rats
title_full_unstemmed Influence of the peritoneal lavage with bupivacaine on the survival and resistance of colonic anastomoses performed under fecal peritonitis in rats
title_short Influence of the peritoneal lavage with bupivacaine on the survival and resistance of colonic anastomoses performed under fecal peritonitis in rats
title_sort influence of the peritoneal lavage with bupivacaine on the survival and resistance of colonic anastomoses performed under fecal peritonitis in rats
topic Anesthetics, Local
Bupivacaine
Anastomosis, Surgical
Colon
Peritonitis
Rats
url http://www.scielo.br/pdf/acb/v28n11/07.pdf
work_keys_str_mv AT michelgarderecamargo influenceoftheperitoneallavagewithbupivacaineonthesurvivalandresistanceofcolonicanastomosesperformedunderfecalperitonitisinrats
AT joaojosefagundes influenceoftheperitoneallavagewithbupivacaineonthesurvivalandresistanceofcolonicanastomosesperformedunderfecalperitonitisinrats
AT raquelfrancoleal influenceoftheperitoneallavagewithbupivacaineonthesurvivalandresistanceofcolonicanastomosesperformedunderfecalperitonitisinrats
AT mariadelourdessetsukoayrizono influenceoftheperitoneallavagewithbupivacaineonthesurvivalandresistanceofcolonicanastomosesperformedunderfecalperitonitisinrats
AT deborahelenadosgoncalvesrossi influenceoftheperitoneallavagewithbupivacaineonthesurvivalandresistanceofcolonicanastomosesperformedunderfecalperitonitisinrats
AT priscilladeseneporteloliveira influenceoftheperitoneallavagewithbupivacaineonthesurvivalandresistanceofcolonicanastomosesperformedunderfecalperitonitisinrats
AT wufengchung influenceoftheperitoneallavagewithbupivacaineonthesurvivalandresistanceofcolonicanastomosesperformedunderfecalperitonitisinrats
AT hueidianalee influenceoftheperitoneallavagewithbupivacaineonthesurvivalandresistanceofcolonicanastomosesperformedunderfecalperitonitisinrats
AT claudiosaddyrodriguescoy influenceoftheperitoneallavagewithbupivacaineonthesurvivalandresistanceofcolonicanastomosesperformedunderfecalperitonitisinrats