Open Access
Copyright: The authors. This article is an open access
article licensed under the terms of the Creative Commons Attribution License
(http://creativecommons.org/licenses/by/2.0) which permits unrestricted use,
distribution and reproduction in any medium, provided the work is properly
cited.
R esearch
(Published online: 07-03-2015)
5.
The effect of gabapentin and pregabalin on
intestinal incision wound healing in rabbits - M.
Korkmaz, T. B. Saritas, A. Sevimli, Z. K. Saritas and B. Elitok
Veterinary World, 8(3): 279-283
doi:
10.14202/vetworld.2015.279-283
M.
Korkmaz:
Department of Surgery, Faculty of Veterinary Medicine, Afyon
Kocatepe University, 03200, Afyonkarahisar, Turkey; musakorkmaz@aku.edu.tr
T. B.
Saritas:
Department of Anaesthesiology and Reanimation, Meram Medical
School, Necmettin Erbakan University, 42080, Konya, Turkey;
tsaritas@konya.edu.tr
A.
Sevimli:
Department of Pathology, Faculty of Veterinary Medicine, Afyon
Kocatepe University, 03200, Afyonkarahisar, Turkey; alpers@aku.edu.tr
Z. K.
Saritas:
Department of Surgery, Faculty of Veterinary Medicine, Afyon
Kocatepe University, 03200, Afyonkarahisar, Turkey; zksaritas@hotmail.com
B.
Elitok: Department of Internal Medicine, Faculty of Veterinary
Medicine, Afyon Kocatepe University, 03200, Afyonkarahisar,
Turkey;
belitok@yahoo.com
Received: 18-11-2014, Revised: 15-01-2015, Accepted: 25-01-2015,
Published online: 07-03-2015
Corresponding author:
M. Korkmaz, e-mail: musakorkmaz@aku.edu.tr
Citation:
Korkmaz M, Saritas TB,
Sevimli A, Saritas ZK, Elitok B (2015) The effect of gabapentin
and pregabalin on intestinal incision wound healing in rabbits,
Veterinary World 8(3):279-283.
Abstract
Aim:
To evaluate the macroscopic and
histologic effects of pregabalin (PG) gabapentin (GB) on
longitudinal intestinal wound healing in New Zealand rabbits.
Materials and Methods: The animals were divided into three
groups randomly; the control group (n=6), PG group (n=6) and GB
group (n=6). All animals were premedicated with xylazine HCI, 5
mg/kg i.m. and general anaesthesia was performed by ketamine HCI
50 mg/kg i.m injection. A 4 cm incision in the caecum through
median laparotomy was achieved under aseptic surgery. Intestinal
wound was closed with double-sutured. All animals were received
parenteral antibiotic treatment for 5 days. PG and GB groups were
treated by PG (30 mg/kg, oral, daily) and GB (30 mg/kg, oral,
daily) for 10 days respectively. Control group did not receive any
treatment. The animals were euthanized on day 10 and the caecum
was examined by laparotomy. Adhesion formation was observed, and
tissue samples were taken from suture lines for histologic
examination. Cellular infiltration (polymorphonuclear white blood
cells and mononuclear cells), accumulation of connective tissue,
vascularization and extent of necrosis were evaluated and scored
separately for each of mucosal, submucosal, muscular and serosal
layers of caecum.
Results: Adhesions were more severe in the GB group compared
to other groups. No statistically significant differences were
detected among the three groups about the wound healing.
Conclusion: It was suggested that the use of
gabapentinoids had no significant effect on wound healing in
patients undergoing gastrointestinal surgery and further studies
with treatment periods longer than 10 days are needed.
Keywords: gabapentin, intestinal incisional
wound, pregabalin, rabbit.
References
1. Stadelmann, W.K., Digenis, A.G. and Tobin GR. (1998)
Physiology and healing dynamics of chronic cutaneous wounds.
Am. J. Surg., 176 2A Suppl: 26-38. |
|
2. Cronin, K., Jackson, D.S. and Dunphy J.E. (1968) Changing
bursting strength and collagen content of the healing colon.
Surg. Gynecol. Obstet., 126(4): 747-753.
PMid:4868381 |
|
3. Graham, M.F., Drucker, D.E., Diegelmann, R.E. and Elson,
C.O. (1987) Collagen synthesis by human intestinal smooth
muscle cells in culture. Gastroenterology, 92(2): 400-405.
PMid:3792777 |
|
4. Graham, M.F., Blomguist, P. and Zederfeldt, B. (1992) The
alimentary canal. In: Cohen, I.K., Diegelmann, R.F. and
Lindblad, W.J. editors. Wound Healing: Biochemical and
Clinical Aspects. WB Sunders Company, Philadephia. p433-449. |
|
5. Brasken, P. (1991) Healing of experimental colon
anastomoses. Eur. J. Surg., 566: 8-51. |
|
6. Frostberg, E., Ström, P., Gerke, O. and Qvist, N. (2014)
Infliximab's influence on anastomotic strength and degree of
inflammation in intestinal surgery in a rabbit model. BMC
Surg., 14(1): 23.
http://dx.doi.org/10.1186/1471-2482-14-23
PMid:24762063 PMCid:PMC4017771 |
|
7. Carrico, T.J., Mehrhof Jr, A.I., and Cohen, I.K. (1984)
Biology of wound healing. Surg. Clin. North Am., 64(4):
721-733.
PMid:6382655 |
|
8. Gottschalk, A. and Smith, D.S. (2001) New concepts in acute
pain therapy: preemptive analgesia. Am. Fam. Physician., 63:
1979-84.
PMid:11388713 |
|
9. Carstensen, M. and Moller, A.M. (2010) Adding ketamine to
morphine for intravenous patient controlled analgesia for
acute postoperative pain: a qualitative review of randomized
trials. Br. J. Anaesth., 104: 401-406.
http://dx.doi.org/10.1093/bja/aeq041
PMid:20207747 |
|
10. Wood, S. (2010) Postoperative pain 1: understanding the
factors affecting patients' experiences of pain. Nurs. Times,
106: 10-13. |
|
11. Chelly, J.E., Ploskanych, T., Dai, F. and Nelson, J.B.
(2011) Multimodal analgesic approach incorporating
paravertebral blocks for open radical retro-pubic
prostatectomy: a randomized double-blind placebo-controlled
study. Can. J. Anaesth., 58: 371-8.
http://dx.doi.org/10.1007/s12630-010-9442-x
PMid:21174182 |
|
12. Gajraj, N.M. (2007) Pregabalin: its pharmacology and use
in pain management. Anesth. Analg., 105: 1805-1815.
http://dx.doi.org/10.1213/01.ane.0000287643.13410.5e
PMid:18042886 |
|
13. Zhang, J., Ho, K.Y. and Wang, Y. (2011) Efficacy of
pregabalin in acute postoperative pain: a meta-analysis. Br.
J. Anaesth., 106: 454-462.
http://dx.doi.org/10.1093/bja/aer027
PMid:21357616 |
|
14. Kong, V.K. and Irwin, M.G. (2007) Gabapentin A: multimodal
perioperative drug? Br. J. Anaesth., 99: 775-786.
http://dx.doi.org/10.1093/bja/aem316
PMid:18006529 |
|
15. Tiippana, E.M., Hamunen, K., Kontinen, V.K. and Kalso, E.
(2007) Do surgical patients benefit from perioperative
gabapentin/pregabalin? A systematic review of efficacy and
safety. Anaesth. Analg., 104: 1545-1556.
http://dx.doi.org/10.1213/01.ane.0000261517.27532.80
PMid:17513656 |
|
16. Evans, D.M., McAree, K., Guyton, D.P, Hawkins, N. and
Stakleff, K., (1993) Dose dependency and wound healing aspects
of the use of tissue plasminogen activator in the prevention
of intra-abdominal adhesions. Am. J. Surg., 165: 229-232.
http://dx.doi.org/10.1016/S0002-9610(05)80516-1 |
|
17. Tadros, T., Wobbes, T. and Hendrics, T. (1992) Blood
transfusion impairs the healing of experimental intestinal
anastomoses. Ann. Surg., 215: 276-281.
http://dx.doi.org/10.1097/00000658-199203000-00013
PMid:1543401 PMCid:PMC1242433 |
|
18. Foster, M.E., Laycock, J.R.D., Silver, I.A. and Leaper,
D.J. (1985) Hypovolemia and healing in colonic anastomoses.
Br. J. Surg., 72: 831-834.
http://dx.doi.org/10.1002/bjs.1800721019
PMid:4041717 |
|
19. Kologlu, M. and Sayer, I. (1999) Effects of persistently
elevated intraabdominal pressure on healing of colonic
anastomoses. Am. J. Surg., 178: 293-297.
http://dx.doi.org/10.1016/S0002-9610(99)00175-0 |
|
20. Eubanks, T.R., Greenberg, J.J., Dobrin, P.B., Harford,
F.J. and Gamelli, R.L. (1997) The effects of different
corticosteroids on the healing colon anastomoses and cecum in
rat model. Am. J. Surg., 63: 266-306. |
|
21. Lee, H.J., Kwon, J.Y., Shin, S.W., Baek, S.H., Choi, K.U.,
Jeon, Y.H. and Baik, S.W. (2010) Effects of sevoflurane on
collagen production and growth factor expression in rats with
an excision wound. Acta. Anaesthesiol. Scand., 54(7): 885-893.
http://dx.doi.org/10.1111/j.1399-6576.2009.02190.x
PMid:20039844 |
|
22. Dere, K., Sen, H., Teksoz, E., Ozkan, S., Dagli, G.,
Sucullu, I. and Kucukodaci, Z. (2009) The comparison of the
effects of different doses of levobupivacaine infiltration on
wound healing. Invest. Surg., 22(2): 112-116.
http://dx.doi.org/10.1080/08941930802713019
PMid:19283613 |
|
23. Stein, C. and Kuchler, S. (2012) Non-analgesic effects of
opioids: peripheral opioid effects on inflammation and wound
healing. Curr. Pharm. Des., 18(37): 6053-6069.
http://dx.doi.org/10.2174/138161212803582513
PMid:22747536 |
|
24. Sarıtaş, T.B., Korkmaz, M., Sevimli, A. and Sarıtaş, Z.K.
(2014) Comparison of the effects of gabapentin and pregabalin
on wound healing in rats. Int. Wound J., DOI:
10.1111/iwj.12364.
http://dx.doi.org/10.1111/iwj.12364 |
|
25. Chambers, W.M. and Mortensen, N.J. (2004) Postoperative
leakage and abscess formation after colorectal surgery. Best.
Pract. Res. Clin. Gastroenterol., 18(5):865-80.
http://dx.doi.org/10.1016/S1521-6918(04)00087-3 |
|
26. Ott, M.M., Norris, P.R., Diaz, J.J., Collier, B.R.,
Jenkins, J.M., Gunter, O.L. and Morris, J.A. (2011) Colon
anastomosis after damage control laparotomy: recommendations
from 174 trauma colectomies. J. Trauma., 70(3): 595-602.
http://dx.doi.org/10.1097/TA.0b013e31820b5dbf
PMid:21610348 |
|
27. Ozel, L., Ozel, M.S., Toros, A.B., Kara, M., Ozkan, K.S.,
Tellioglu, G. and Berber, I. (2009) Effect of early
preoperative 5-fluorouracil on the integrity of colonic
anastomoses in rats. World J. Gastroenterol., 15(33): 4156.
http://dx.doi.org/10.3748/wjg.15.4156
PMid:19725150 PMCid:PMC2738812 |
|
28. Binnebösel, M., Klink, C.D., Grommes, J., Jansen, M.,
Neumann, U.P. and Junge, K. (2011) Influence of small
intestinal serosal defect closure on leakage rate and adhesion
formation: a pilot study using rabbit models. Langenbecks
Arch. Surg., 396(1): 133-137.
http://dx.doi.org/10.1007/s00423-010-0672-8
PMid:20614131 |
|
29. Yang, H., Liang, G., Hawkins, B., Madesh, M., Pierwola, A.
and Wei, H. (2008) Inhalational anaesthetics induce cell
damage by disruption of intracellular calcium homeostasis with
different potencies Anaesthesiology, 109: 243-250. |
|
30. Helmy, S.A. and Al-Attiyah, R.J. (2000) The effects of
halothane and isoflurane on plasma cytokine levels.
Anaesthesia, 55: 904-910.
http://dx.doi.org/10.1046/j.1365-2044.2000.01472-2.x
PMid:10947757 |
|
31. Sills, G.J. (2006) The mechanisms of action gabapentin and
pregabalin. Curr. Opin. Pharmacol., 120: 421-433. |
|
32. Ling, B., Coudore, F., Decalonne, L., Eschalier, A. and
Authier N. (2008) Comparative antiallodynic activity of
morphine, pregabalin and lidocaine in a rat model of
neuropathic pain produced by one oxaliplatin injection.
Neuropharmacology, 55: 724-728.
http://dx.doi.org/10.1016/j.neuropharm.2008.06.007
PMid:18598708 |
|
33. Teresiak-Mikołajczak, E., Czarnecka-Operacz, M.,
Jenerowicz, D. and Silny, W. (2013) Neurogenic markers of the
inflammatory process in atopic dermatitis: relation to the
severity and pruritus. Postepy. Dermatol. Alergol., 30:
286-292.
http://dx.doi.org/10.5114/pdia.2013.38357
PMid:24353488 PMCid:PMC3858656 |
|