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Colonic anastomosis with fibrin glue in diabetic rats

BACKGROUND: The aim of this experimental study was to assess healing in colonic anastomosis with fibrin glue in normal and diabetics rats. METHODS: One hundred and sixty Wistar rats were randomly assigned for two groups (normal and diabetics). The animals underwent a partial left colectomy and after an end-to-end anastomosis or a fibrin glue anastomosis. The rats were submitted to a new operative procedure on the 4th or 7th postoperative day, when the anastomosis were observed. The bursting pressure measurements were recorded. RESULTS: Mortality and anastomosis dehiscence were greater in diabetic animals on 4th and 7th days of observation when compared to controlled rats. There have been no differences between groups and sub-groups regarding the use of fibrine patch or handmade suture. There were no significant differences on hidroxiproline tissue concentration. CONCLUSIONS: Aloxane-induced Diabetes mellitus impairs normal healing in colonic anastomosis in rats, and there were no benefits in normal or diabetic groups with the use of fibrin glue.

Anastomosis, surgical; Fibrin tissue adhesive; Colon; Diabetes mellitus; Rats


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