Sofii Imam, Kalembu Ratna Sari, Fauzi Aditya Rifqi, Makrufardi Firdian, Makhmudi Akhmad
Digestive Surgery Division, Department of Surgery, Faculty of Medicine, Public Health and Nursing, Universitas Gadjah Mada/Dr. Sardjito Hospital, Yogyakarta, 55281, Indonesia.
Pediatric Surgery Division, Department of Surgery, Faculty of Medicine, Public Health and Nursing, Universitas Gadjah Mada/Dr. Sardjito Hospital, Yogyakarta, 55281, Indonesia.
Ann Med Surg (Lond). 2021 Jun 20;67:102521. doi: 10.1016/j.amsu.2021.102521. eCollection 2021 Jul.
The method of closing the abdominal wall, as well as, the choice of material for stitching are important aspects of efficient incision closure. Generally, transforming growth factor-beta (TGF-β) is involved in the wound healing process. Suturing procedures also play a part in the wound dehiscence occurrence. This study aimed to compare TGF-β expressions in rats after using the large stitch vs. small stitch technique for abdominal skin wound closure.
A total of twenty Wistar rats () were used in this experiment. Small tissue bites of 5 mm were obtained by the small stitch group and the large stitch group received large bites of 10 mm. Abdominal skin incisions were closed by running sutures. On days 4 and 7, the animals were euthanized. For TGF-β expressions, histological parts of the tissue-embedded sutures were analyzed. With significance set at 0.05 two-way ANOVA showed that on days 4 and 7, the TGF-β expressions of the rats in the small stitch group were nearly identical to those in the large stitch groups.
After including twenty rats in this study, results showed the TGF-β expressions on days 4 and 7 in rats in the small stitch group were equivalent to those in the large stitch group. ( = 0.45).
Between the small and the large stitch groups, the TGF-β expressions are similar, suggesting that the suturing methods do not have any significantly different beneficial impact on the frequency of wound dehiscence.
腹壁闭合方法以及缝合材料的选择是有效切口闭合的重要方面。一般来说,转化生长因子-β(TGF-β)参与伤口愈合过程。缝合操作也在伤口裂开的发生中起作用。本研究旨在比较大鼠腹部皮肤伤口闭合采用大针距与小针距技术后TGF-β的表达情况。
本实验共使用20只Wistar大鼠。小针距组获取5mm的小组织咬除量,大针距组获取10mm的大组织咬除量。腹部皮肤切口采用连续缝合关闭。在第4天和第7天,对动物实施安乐死。对于TGF-β表达,分析组织包埋缝线的组织学部分。显著性水平设定为0.05,双向方差分析显示,在第4天和第7天,小针距组大鼠的TGF-β表达与大针距组几乎相同。
本研究纳入20只大鼠后,结果显示小针距组大鼠在第4天和第7天的TGF-β表达与大针距组相当(P = 0.45)。
在小针距组和大针距组之间,TGF-β表达相似,这表明缝合方法对伤口裂开频率没有任何显著不同的有益影响。