Copyright
©The Author(s) 2016.
World J Gastrointest Surg. Sep 27, 2016; 8(9): 627-633
Published online Sep 27, 2016. doi: 10.4240/wjgs.v8.i9.627
Published online Sep 27, 2016. doi: 10.4240/wjgs.v8.i9.627
Table 1 Adhesive score
| Adhesive score |
| 0: No adhesions |
| 1: Extremely soft adhesions |
| 2: Stronger adhesions, but dissectible with dull dissection |
| 3: Stronger adhesions only dissectible with sharpen tools |
| 4: Stenosis |
Table 2 Histopathologic Biert’ scheme
| Parameters | Score | |||
| 0 | 1 | 2 | 3 | |
| Necrosis | No | Small patches | Large patches | Massive |
| PMNs | Normal | Slightly increased | Strong infiltration | Massive infiltration |
| Lymphocytes | Normal | Slightly increased | Strong infiltration | Massive infiltration |
| Macrophages | Normal | Slightly increased | Strong infiltration | Massive infiltration |
| Edema | No | Slight | Strong | Massive |
| Epithelium | Glandular normal | Cubic normal | Cubic incomplete | Absent |
| Submucosa-muscular | Good bridges | Mild bridges | Few bridges | Bridges absent |
| Angiogenesis | Extensive | Strong | Slight | Absent |
| Fibrosis | Extensive | Strong | Slight | Absent |
Table 3 Intra-abdominal adhesion score in survivorings animals
| Mann-Whitney mean ranges | P value | |
| Survivors (15 d vs 30 d) | 25.11 vs 11.12 | 0.0012 |
| Control (15 d vs 30 d) | 10.53 vs 5.5 | 0.017 |
| TachoSil (15 d vs 30 d) | 14.75 vs 6.25 | 0.001 |
| Control vs TachoSil (15 d) | 9.5 vs 10.45 | 0.685 |
| Control vs TachoSil (30 d) | 9.71 vs 8.50 | 0.584 |
Table 4 Most relevant parameters in histopathologic analysis (mean ± SD)
| Control | TachoSil | P value | |
| PMNs | 0.21 ± 0.42 | 0.78 ± 0.64 | 0.010 |
| Macrophages | 0.50 ± 0.65 | 0.89 ± 0.47 | 0.026 |
| Edema | 0.43 ± 0.64 | 0.94 ± 0.63 | 0.017 |
| Epithelium regeneration | 0.64 ± 0.92 | 1.11 ± 0.58 | 0.031 |
- Citation: Suárez-Grau JM, Bernardos García C, Cepeda Franco C, Mendez García C, García Ruiz S, Docobo Durantez F, Morales-Conde S, Padillo Ruiz J. Fibrinogen-thrombin collagen patch reinforcement of high-risk colonic anastomoses in rats. World J Gastrointest Surg 2016; 8(9): 627-633
- URL: https://www.wjgnet.com/1948-9366/full/v8/i9/627.htm
- DOI: https://dx.doi.org/10.4240/wjgs.v8.i9.627
