Costa Walder, Silva Alcino Lázaro da, Costa Gustavo Rocha, Nunes Tarcizo Afonso
Surgical and Ophthalmological Applied Sciences, School of Medicine, UFMG, Minas Gerais, Brazil.
Acta Cir Bras. 2012 Feb;27(2):162-7. doi: 10.1590/s0102-86502012000200011.
To investigate the microscopic changes in the rectus abdominis muscle in rats subjected to five delay procedure.
30 male Holtzmann rats, weighting between 250 and 350 grams, were used. The animals were divided into five groups (n=6): A - cranial section of the right muscle; B - caudal section of the right muscle; C - craniocaudal section of the right muscle; D - cranial section reflecting the right muscle in the craniocaudal direction; E - caudal section reflecting the right muscle in the caudocranial direction. On the seventh day after surgery, a resection of the cranial and caudal fragments of the right and left muscles, respectively, was performed for microscopic analysis. Histological alterations were quantified and the right and left (control) muscle fragments compared. Fisher's exact test was used for statistical purposes with a significance level of 5%.
The comparison between right and left muscles showed statistically significant differences in group A - inflammatory infiltrate in the cranial fragment (p=0.015); in group C - inflammatory infiltrate (p=0.000) and necrosis (p=0.015) in the caudal fragment; and in group E - edema in the caudal fragment (p=0.000). No significant alterations were noted in groups B and D.
Irrigation exclusively through the perforating muscle vessels is inappropriate; irrigation exclusively through the cranial pedicle causes milder, insignificant histological alterations, when compared with irrigation exclusively through the caudal pedicle; irrigation exclusively through the caudal pedicle causes more pronounced, but still insignificant, histological alterations when compared with other forms of devascularization.
研究接受五种延迟手术的大鼠腹直肌的微观变化。
使用30只体重在250至350克之间的雄性霍尔兹曼大鼠。将动物分为五组(n = 6):A组 - 右侧肌肉的头侧部分;B组 - 右侧肌肉的尾侧部分;C组 - 右侧肌肉的头-尾侧部分;D组 - 沿头-尾方向翻转右侧肌肉的头侧部分;E组 - 沿尾-头方向翻转右侧肌肉的尾侧部分。在手术后第七天,分别切除左右侧肌肉的头侧和尾侧片段进行微观分析。对组织学改变进行量化,并比较左右侧(对照)肌肉片段。采用Fisher精确检验进行统计学分析,显著性水平为5%。
左右侧肌肉比较显示,A组头侧片段有统计学显著差异 - 炎性浸润(p = 0.015);C组尾侧片段有炎性浸润(p = 0.000)和坏死(p = 0.015);E组尾侧片段有水肿(p = 0.000)。B组和D组未观察到显著改变。
仅通过肌肉穿支血管进行灌注是不合适的;与仅通过尾侧蒂进行灌注相比,仅通过头侧蒂进行灌注引起的组织学改变较轻且无统计学意义;与其他去血管化形式相比,仅通过尾侧蒂进行灌注引起的组织学改变更明显,但仍无统计学意义。