Eyarefe David O, Kuforiji David I, Jarikre Theophilus A, Emikpe Benjamin O
Department of Veterinary Surgery and Radiology, University of Ibadan, Nigeria.
Departmentt of Veterinary Pathology, University of Ibadan, Nigeria.
Int J Vet Sci Med. 2017 Nov 13;5(2):128-134. doi: 10.1016/j.ijvsm.2017.10.002. eCollection 2017 Dec.
Electrosurgery reduces surgical bleeding, and delayed wound healing. This study evaluated comparative incisional wound healing potential of honey in wound created with electroscalpel and cold scalpel. The study used twelve (12) adult male albino rats (130 ± 20 g), randomly grouped into Electro-cautery (n = 6) and Cold scalpel (n = 6). Each rat had three full thickness (6 mm diameter) skin wounds (a, b and c) created on its dorsum with either Electroscalpel (ES) or Cold blade scalpel (CS), and treated topically with Silver sulphadiazine (SSD, wound a), untreated (control, wound b) and Bee honey (H, wound c). The wounds were evaluated for gross (exudation, edema, hyperemia, contraction), histologic (granulation, angiogenesis, fibroplasia, epithelialization) and immunologic healing indices using standard techniques. Data were analyzed with Chi-square, Two-way Analysis of Variance (ANOVA) and Duncan Multiple Range tests (DMRT) at α = 0.05. Wound hyperemia and edge edema were prominent in the ES group from day 4 to 6 ( = .000). Percentage wound contraction was higher in the CS than ES group from days 5 to 7 ( = .006) and in the CS treated with honey than ES treated with honey from days 7 to 14 ( = .000). Granulation tissue reduced in ES group treated with SSD than in honey and control wounds. Fibroelastic tissue increased in SSD and honey treated wounds of ES group, and higher in honey treated wounds of CS group ( < .05). Fibroplasia was sustained in honey and SSD treated wounds than control. Honey can be applied to electroscalpel surgical wound to facilitate rapid healing during surgical management of tumours having vascular network.
电外科手术可减少手术出血,但会导致伤口愈合延迟。本研究评估了蜂蜜对电刀和冷刀造成的伤口的切口愈合潜力的比较。该研究使用了十二只(12只)成年雄性白化大鼠(体重130±20克),随机分为电灼组(n = 6)和冷刀组(n = 6)。每只大鼠在其背部用电动手术刀(ES)或冷刀手术刀(CS)制造三个全层(直径6毫米)皮肤伤口(a、b和c),并分别用磺胺嘧啶银(SSD,伤口a)局部治疗、不治疗(对照,伤口b)和蜂蜜(H,伤口c)。使用标准技术对伤口的大体(渗出、水肿、充血、收缩)、组织学(肉芽形成、血管生成、纤维组织增生、上皮形成)和免疫愈合指标进行评估。数据采用卡方检验、双向方差分析(ANOVA)和邓肯多重极差检验(DMRT)进行分析,α = 0.05。从第4天到第6天,ES组伤口充血和边缘水肿明显(P = 0.000)。从第5天到第7天,CS组伤口收缩百分比高于ES组(P = 0.006),从第7天到第14天,CS组用蜂蜜治疗的伤口收缩百分比高于ES组用蜂蜜治疗的伤口(P = 0.000)。与蜂蜜和对照伤口相比,ES组用SSD治疗的伤口肉芽组织减少。ES组用SSD和蜂蜜治疗的伤口中纤维弹性组织增加,CS组用蜂蜜治疗的伤口中纤维弹性组织增加更高(P < 0.05)。与对照相比,蜂蜜和SSD治疗的伤口中纤维组织增生持续存在。在具有血管网络的肿瘤手术治疗期间,蜂蜜可应用于电刀手术伤口以促进快速愈合。