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Rat Modelinde Laminektomi Sonrası Epidural Fibrozisin Topikal Aminoguanidin Kullanılarak İnhibisyonu

Year 2018, Volume: 7 Issue: 1, 18 - 22, 01.04.2018

Abstract

Amaç: Bu deneysel çalışmada, laminektomi sonrası epidural fibrozisin indüklenebilir nitrik oksit sentaz iNOS inhibitörü olan aminoguanidin topikal uygulanması ile önlenmesini araştırdık. Gereç ve Yöntem: Bu çalışmada her biri 10 rat içeren 3 grup oluşturuldu. kullandık. Tüm ratlarda lomber laminektomi yapıldı. Kontrol grubu grup1 epidural mesafeye herhangi bir malzeme yerleştirilmeden kapatıldı. Spongostan ve spongostan artı aminoguanidin gruplarında epidural mesafeye, kapatmadan önce sırasıyla salin 0.9 % NAC emdirilmiş spongostan ve aminoguanidin 50 mg/kg B. W. emdirilmiş spongostan yerleştirildi. Bu hayvanların hepsi operasyondan sonraki 14. günde sakrifiye edildi. Her bir ratda histolojik olarak ektradural fibrozis ve kompresyon değerlendirildi. Sonuçlar: Spongostan artı aminoguanidin grubunda fibröz proliferasyon veya kompresyon yokken, kontrol ve spongostan gruplarında, sırasıyla belirgin ve orta derecede fibrozis ve kompresyon mevcuttu. Sonuç: Aminoguanidinin, laminektomi sonrası epidural fibrozis ve kompresyonun önlenmesinde ideal bir inhibitör olabileceği gösterildi

References

  • Ben Debba M, Augustus van Aphen H, Long DM. Association between peridural scar and activity-related pain after lumbar discectomy. Neurol Res 1999; 21 (Supll 1): 537-42.
  • Boden SC, Wiesel SW. The multiply operated low back patient. In: Rothman and Simeone, eds. The spine. Philadelphia: Saunders Co 1992: 1899-906.
  • Ebeling U, Kalbarcyk H, Reulen HJ. Microsurgical reoperation following lumbar disc surgery. Timing, surgical findings, and outcome in 92 patients. J Neurosurg 1989; 70(3): 397-404.
  • Fritsch EW, Heisel J, Rupp S. The failed back surgery syndrome: reasons, intraoperative findings, and long-term results: a report of 182 operative treatments. Spine 1996; 21(5): 626-33.
  • Gabriel EM, Friedman AH. The failed back surgery syndrome in Neurosurgery. In: Wilkins RH, Rengachary SS, eds. New York: McGraw- Hill Health Professions Divisions 1996: 3863-70.
  • Guyer RD, Patterson M, Ohnmeiss DD. Failed back surgery syndrome: diagnostic evaluation. J Am Acad Orthop Surg 2006 Sep; 14(9): 534-43.
  • Kim SS, Michelsen CB. Revision surgery for failed back surgery syndrome. Spine 1992; 17:
  • Kim CH, Chung CK, Park CS, Choi B, Kim MJ, Park BJ. Reoperation rate after surgery for lumbar herniated intervertebral disc disease: nationwide cohort study. Spine 2013; 38(7): 581-90.
  • Law JD, Lehman RA, Kirsch WM. Reoperation after lumbar intervertebral disc surgery. J Neurosurg 1978; 48(2): 259-63.
  • Maroon JC, Abla A, Bost J. Association between peridural scar and persisten low back pain after lumbar discectomy. Neurol Res 1999; 21(Supll 19: 543-6.
  • North RB, Campbell JN, James CS, et al. Failed back surgery syndrome: 5-year follow in 102 patients undergoing repeated operation. Neurosurgery 1991; 28: 685-90.
  • Ozer AF1, Oktenoglu T, Sasani M, Bozkus H, Canbulat N, Karaarslan E, Sungurlu SF, Sarioglu AC. Preserving the ligamentum flavum in lumbar discectomy: a new technique that prevents scar tissue formation in the first 6 months postsurgery. Neurosurgery 2006; 59(1 Suppl 1): 126-33.
  • Ozgen S, Naderi S, Ozek MM, Pamir MD. Finding and outcome of revision lumbar disc surgery. J Spinal Disord 1999; 12(4): 287-9.
  • Wenger M, Mariani L, Kalbarczyk A, Groger U. Long-term outcome of 104 patients after lumbar sequestrectomy according to Williams. Neurosurgery 2001; 49(2): 329-34.
  • de Divitiis E, Cappabianca P. Preserving the ligamentum flavum in lumbar discectomy: a new technique that prevents scar tissue formation in the first 6 months postsurgery. Neurosurgery 2007; 61(6): 1340.
  • Brotchi J, Pirotte B, De Witte O, Levivier M. Prevention of epidural fibrosis in a prospective series of 100 primary lumbo-sacral discectomy patients: follow-up and assessment at re- operation. Neurol Res 1999; 21(Suppl 1): 47-50.
  • Geisler FH. Prevention of peridural fibrosis: current methodologies. Neurol Res 1999; 1(Suppl 1): 9-22.
  • Gill GG, Sakowich L, Thompson EC. Pedicled fat grafts for the prevention of scar formation after leminectomy. An experimental study in dogs. Spine 1979; 4: 176-86.
  • Hinton JL Jr, Warejcka DJ, Mei Y, et al. Inhibition of epidural scar formation after lumbar laminectomy in the rat. Spine 1995; 20(5): 564- 70.
  • Jacobs RR, McClain O, Neff J. Control of postlaminectomy scar formation. An experimental and clinical study. Spine 1980; 5: 223-9.
  • Kuivila Te, Berry JL, Bell GR, Steffee AD. Heparinized materials for the control of the formation of the laminectomy membrane in experimental laminectomies in dogs. Clin Orthop 1988; 236: 166-74.
  • Mohsenipour I, Daniaux M, Aichner F, Twerdy K. Prevention of local scar formation after operative discectomy for lumbar disc herniation. Acta Neurochir (Wien) 1998; 140 (1): 9-14 .
  • Tao H, Wang Q, LU R. Prevention of epidural scar adhesion following lumbar spine operation. Chung Hua Wai Ko Tsa Chih 1996; 34(6): 344-7.
  • Xiong M, Song Y, Liu L. An experimental study of prevention of peridural adhesion following laminectomy. Chung Kuo Hsiu Fu Chung Chien Wai Ko Tsa Chih 1998; 12(5): 272-5.
  • Lee Ck, Alexander H. Prevention of postlaminectomy scar formation. Spine 1984; 9: 305-12.
  • Martin-Ferrer S. Failure of autologous fat grafts to prevent postoperative epidural fibrosis in surgery of the lumbar spine. Neurosurgery 1989; 24(5): 718-21.
  • Nussbaum CE, McDonald JV, Baggs RB. Use of Vicryl (polyglactin 910) mesh to limit epidural scar formation after laminectomy. Neurosurgery 1990; 26: 649-54.
  • Mayer PJ, Jacopsen FS. Cauda equina syndrome after surgical treatment of lumbar spine stenosis with application of free autogenous fat graft. J Surg Bone Joint Surg (Am) 1989;71:1090-3.
  • Abo El-Noor MM, Elgazzar FM, Alshenawy HA. Role of inducible nitric oxide synthase and interleukin-6 expression in estimation of skin burn age and vitality. J Forensic Leg Med. 2017; 52: 148-53.
  • Diegelmann RF, Evans MC. Wound healing: an overview of acute, fibrotic and delayed healing, Front. Biosci 2004; 9: 283-9.
  • Efron D, Kirk SJ, Regan MC, Wasserkrug HL, Barbul A. Nitric oxide generation from L- arginine is required for optimal peripheral blood lymphocyte DNA synthesis. Surgery 1991; 110: 327-34.
  • McCall TB, Boughton-Smith NK, Palmer RM, Whittle BJ, Moncada S. Synthesis of nitric oxide from L-arginine by neutrophils. Release and interaction with superoxide anion. Biochem J 1989; 261: 293-6.
  • Rizk M, Witte MB, Barbul A. Nitric oxide and wound healing, World J. Surg. 2004;28(3):301-6.
  • Shi H P, Efron D T, Most D, Tantry U, and Barbul A. “The role of iNOS in wound healing,” Surgery 2001; 130(2): 225-9,
  • Schaffer MR, Tantry U, Thornton FJ, Barbul A. Inhibition of nitric oxide synthesis in wounds: pharmacology and effect on accumulation of collagen in wounds in mice. Eur J Surg 1999; 165(3): 262-7.
  • Stallmeyer B; Kämpfer H; Kolb N; Pfeilschifter J; Frank S. The Function of Nitric Oxide in Wound Repair: Inhibition of Inducible Nitric Oxide-Synthase Severely Impairs Wound Reepithelialization. J Invest Dermatol 1999; 113(6): 1090-8.
  • Wang R, Ghahary A, Shen YJ, Scott PG, Tredget EE. Human dermal fibroblasts produce nitric oxide and express both constituve and inducible nitric oxide synthase isoforms. J Invest Dermatol 1996; 106(3): 419-27.
  • Albina JE, Mills CD, Barbul A, et al. Arginine metabolism in wounds. Am J Physiol 1988; 254:
  • Krieg T, Braun-Falco O. Fibrocytes and fibroblasts. Definition and significance in wound healing and fibrotic disease of the skin. Z Hautkr 1989; 64 (9): 775-6.
  • Reichner JS, Meszaros AJ, Louis CA, et al. Molecular and metabolic evidence for the restricted expression of inducible Nitric oxide synthase in healing wounds. Am J Pathol 1999; 154(4): 1097-104.
  • Schaffer MR, Tantry U, Gross SS, Wasserburg HL, Barbul A. Nitric oxide regulates wound healing. J Surg Res 1996; 63(1): 237-40.
  • Schaffer MR, Efron PA, Thorton FJ, et al. Nitric oxide, an autocrine regulator of wound fibroblast synthetic function. J Immunol 1997; 158(5): 2375-81.
  • Tracey WR, Tse J, Cartere G. Lipopolysaccharide-induced changes in plasma nitrite and nitrate concentrations in rats and mice: pharmacological evaluation of nitric oxide synthase inhibitors. J Pharmacol Exp Ther 1995; 272: 1011-5.
  • Babu RB, Griffth OW. Design of isoform- selective inhibitors of nitric oxide synthase. Curr Opin Chem Biol 1998; 2: 491-500.

Inhibition of Epidural Fibrosis After Laminectomy Using Topical Aminoguanidine in A Rat Model

Year 2018, Volume: 7 Issue: 1, 18 - 22, 01.04.2018

Abstract

Aim: In this experimental study, we investigated prevention of epidural fibrosis following laminectomy with topical application of aminoguanidine, a selective inhibitor of inducible nitric oxide synthase iNOS . Materials and Methods: We used 3 groups each containing 10 male wistar rats. All rats were made laminectomy in lumbar spine. The control group was closed without placing any material on the epidural space. In the spongostan and spongostan plus aminoguanidine, groups the saline 0.9 % NaCl soaked spongastan and aminoguanidine 50 mg/kg B.W. soaked spongostan were placed epidurally respectively before closing. All of these animals were sacrificied on the 14th days after operation. The extradural fibrosis and compression in every animal were evaluated by histological examinations. Results: While there was not any fibrous proliferation or compression in the group of spongostan plus aminoguanidine group. There were obvious and moderate extradural fibrosis and compression in the control and spongostan groups. Conclusion: It was suggested that aminoguanidine may be an ideal inhibitor in the prevention of epidural fibrosis and compression following laminectomy

References

  • Ben Debba M, Augustus van Aphen H, Long DM. Association between peridural scar and activity-related pain after lumbar discectomy. Neurol Res 1999; 21 (Supll 1): 537-42.
  • Boden SC, Wiesel SW. The multiply operated low back patient. In: Rothman and Simeone, eds. The spine. Philadelphia: Saunders Co 1992: 1899-906.
  • Ebeling U, Kalbarcyk H, Reulen HJ. Microsurgical reoperation following lumbar disc surgery. Timing, surgical findings, and outcome in 92 patients. J Neurosurg 1989; 70(3): 397-404.
  • Fritsch EW, Heisel J, Rupp S. The failed back surgery syndrome: reasons, intraoperative findings, and long-term results: a report of 182 operative treatments. Spine 1996; 21(5): 626-33.
  • Gabriel EM, Friedman AH. The failed back surgery syndrome in Neurosurgery. In: Wilkins RH, Rengachary SS, eds. New York: McGraw- Hill Health Professions Divisions 1996: 3863-70.
  • Guyer RD, Patterson M, Ohnmeiss DD. Failed back surgery syndrome: diagnostic evaluation. J Am Acad Orthop Surg 2006 Sep; 14(9): 534-43.
  • Kim SS, Michelsen CB. Revision surgery for failed back surgery syndrome. Spine 1992; 17:
  • Kim CH, Chung CK, Park CS, Choi B, Kim MJ, Park BJ. Reoperation rate after surgery for lumbar herniated intervertebral disc disease: nationwide cohort study. Spine 2013; 38(7): 581-90.
  • Law JD, Lehman RA, Kirsch WM. Reoperation after lumbar intervertebral disc surgery. J Neurosurg 1978; 48(2): 259-63.
  • Maroon JC, Abla A, Bost J. Association between peridural scar and persisten low back pain after lumbar discectomy. Neurol Res 1999; 21(Supll 19: 543-6.
  • North RB, Campbell JN, James CS, et al. Failed back surgery syndrome: 5-year follow in 102 patients undergoing repeated operation. Neurosurgery 1991; 28: 685-90.
  • Ozer AF1, Oktenoglu T, Sasani M, Bozkus H, Canbulat N, Karaarslan E, Sungurlu SF, Sarioglu AC. Preserving the ligamentum flavum in lumbar discectomy: a new technique that prevents scar tissue formation in the first 6 months postsurgery. Neurosurgery 2006; 59(1 Suppl 1): 126-33.
  • Ozgen S, Naderi S, Ozek MM, Pamir MD. Finding and outcome of revision lumbar disc surgery. J Spinal Disord 1999; 12(4): 287-9.
  • Wenger M, Mariani L, Kalbarczyk A, Groger U. Long-term outcome of 104 patients after lumbar sequestrectomy according to Williams. Neurosurgery 2001; 49(2): 329-34.
  • de Divitiis E, Cappabianca P. Preserving the ligamentum flavum in lumbar discectomy: a new technique that prevents scar tissue formation in the first 6 months postsurgery. Neurosurgery 2007; 61(6): 1340.
  • Brotchi J, Pirotte B, De Witte O, Levivier M. Prevention of epidural fibrosis in a prospective series of 100 primary lumbo-sacral discectomy patients: follow-up and assessment at re- operation. Neurol Res 1999; 21(Suppl 1): 47-50.
  • Geisler FH. Prevention of peridural fibrosis: current methodologies. Neurol Res 1999; 1(Suppl 1): 9-22.
  • Gill GG, Sakowich L, Thompson EC. Pedicled fat grafts for the prevention of scar formation after leminectomy. An experimental study in dogs. Spine 1979; 4: 176-86.
  • Hinton JL Jr, Warejcka DJ, Mei Y, et al. Inhibition of epidural scar formation after lumbar laminectomy in the rat. Spine 1995; 20(5): 564- 70.
  • Jacobs RR, McClain O, Neff J. Control of postlaminectomy scar formation. An experimental and clinical study. Spine 1980; 5: 223-9.
  • Kuivila Te, Berry JL, Bell GR, Steffee AD. Heparinized materials for the control of the formation of the laminectomy membrane in experimental laminectomies in dogs. Clin Orthop 1988; 236: 166-74.
  • Mohsenipour I, Daniaux M, Aichner F, Twerdy K. Prevention of local scar formation after operative discectomy for lumbar disc herniation. Acta Neurochir (Wien) 1998; 140 (1): 9-14 .
  • Tao H, Wang Q, LU R. Prevention of epidural scar adhesion following lumbar spine operation. Chung Hua Wai Ko Tsa Chih 1996; 34(6): 344-7.
  • Xiong M, Song Y, Liu L. An experimental study of prevention of peridural adhesion following laminectomy. Chung Kuo Hsiu Fu Chung Chien Wai Ko Tsa Chih 1998; 12(5): 272-5.
  • Lee Ck, Alexander H. Prevention of postlaminectomy scar formation. Spine 1984; 9: 305-12.
  • Martin-Ferrer S. Failure of autologous fat grafts to prevent postoperative epidural fibrosis in surgery of the lumbar spine. Neurosurgery 1989; 24(5): 718-21.
  • Nussbaum CE, McDonald JV, Baggs RB. Use of Vicryl (polyglactin 910) mesh to limit epidural scar formation after laminectomy. Neurosurgery 1990; 26: 649-54.
  • Mayer PJ, Jacopsen FS. Cauda equina syndrome after surgical treatment of lumbar spine stenosis with application of free autogenous fat graft. J Surg Bone Joint Surg (Am) 1989;71:1090-3.
  • Abo El-Noor MM, Elgazzar FM, Alshenawy HA. Role of inducible nitric oxide synthase and interleukin-6 expression in estimation of skin burn age and vitality. J Forensic Leg Med. 2017; 52: 148-53.
  • Diegelmann RF, Evans MC. Wound healing: an overview of acute, fibrotic and delayed healing, Front. Biosci 2004; 9: 283-9.
  • Efron D, Kirk SJ, Regan MC, Wasserkrug HL, Barbul A. Nitric oxide generation from L- arginine is required for optimal peripheral blood lymphocyte DNA synthesis. Surgery 1991; 110: 327-34.
  • McCall TB, Boughton-Smith NK, Palmer RM, Whittle BJ, Moncada S. Synthesis of nitric oxide from L-arginine by neutrophils. Release and interaction with superoxide anion. Biochem J 1989; 261: 293-6.
  • Rizk M, Witte MB, Barbul A. Nitric oxide and wound healing, World J. Surg. 2004;28(3):301-6.
  • Shi H P, Efron D T, Most D, Tantry U, and Barbul A. “The role of iNOS in wound healing,” Surgery 2001; 130(2): 225-9,
  • Schaffer MR, Tantry U, Thornton FJ, Barbul A. Inhibition of nitric oxide synthesis in wounds: pharmacology and effect on accumulation of collagen in wounds in mice. Eur J Surg 1999; 165(3): 262-7.
  • Stallmeyer B; Kämpfer H; Kolb N; Pfeilschifter J; Frank S. The Function of Nitric Oxide in Wound Repair: Inhibition of Inducible Nitric Oxide-Synthase Severely Impairs Wound Reepithelialization. J Invest Dermatol 1999; 113(6): 1090-8.
  • Wang R, Ghahary A, Shen YJ, Scott PG, Tredget EE. Human dermal fibroblasts produce nitric oxide and express both constituve and inducible nitric oxide synthase isoforms. J Invest Dermatol 1996; 106(3): 419-27.
  • Albina JE, Mills CD, Barbul A, et al. Arginine metabolism in wounds. Am J Physiol 1988; 254:
  • Krieg T, Braun-Falco O. Fibrocytes and fibroblasts. Definition and significance in wound healing and fibrotic disease of the skin. Z Hautkr 1989; 64 (9): 775-6.
  • Reichner JS, Meszaros AJ, Louis CA, et al. Molecular and metabolic evidence for the restricted expression of inducible Nitric oxide synthase in healing wounds. Am J Pathol 1999; 154(4): 1097-104.
  • Schaffer MR, Tantry U, Gross SS, Wasserburg HL, Barbul A. Nitric oxide regulates wound healing. J Surg Res 1996; 63(1): 237-40.
  • Schaffer MR, Efron PA, Thorton FJ, et al. Nitric oxide, an autocrine regulator of wound fibroblast synthetic function. J Immunol 1997; 158(5): 2375-81.
  • Tracey WR, Tse J, Cartere G. Lipopolysaccharide-induced changes in plasma nitrite and nitrate concentrations in rats and mice: pharmacological evaluation of nitric oxide synthase inhibitors. J Pharmacol Exp Ther 1995; 272: 1011-5.
  • Babu RB, Griffth OW. Design of isoform- selective inhibitors of nitric oxide synthase. Curr Opin Chem Biol 1998; 2: 491-500.
There are 44 citations in total.

Details

Primary Language Turkish
Journal Section Research Article
Authors

M Arif Aladağ This is me

Publication Date April 1, 2018
Published in Issue Year 2018 Volume: 7 Issue: 1

Cite

APA Aladağ, M. A. (2018). Rat Modelinde Laminektomi Sonrası Epidural Fibrozisin Topikal Aminoguanidin Kullanılarak İnhibisyonu. Annals of Health Sciences Research, 7(1), 18-22.
AMA Aladağ MA. Rat Modelinde Laminektomi Sonrası Epidural Fibrozisin Topikal Aminoguanidin Kullanılarak İnhibisyonu. Ann Health Sci Res. April 2018;7(1):18-22.
Chicago Aladağ, M Arif. “Rat Modelinde Laminektomi Sonrası Epidural Fibrozisin Topikal Aminoguanidin Kullanılarak İnhibisyonu”. Annals of Health Sciences Research 7, no. 1 (April 2018): 18-22.
EndNote Aladağ MA (April 1, 2018) Rat Modelinde Laminektomi Sonrası Epidural Fibrozisin Topikal Aminoguanidin Kullanılarak İnhibisyonu. Annals of Health Sciences Research 7 1 18–22.
IEEE M. A. Aladağ, “Rat Modelinde Laminektomi Sonrası Epidural Fibrozisin Topikal Aminoguanidin Kullanılarak İnhibisyonu”, Ann Health Sci Res, vol. 7, no. 1, pp. 18–22, 2018.
ISNAD Aladağ, M Arif. “Rat Modelinde Laminektomi Sonrası Epidural Fibrozisin Topikal Aminoguanidin Kullanılarak İnhibisyonu”. Annals of Health Sciences Research 7/1 (April 2018), 18-22.
JAMA Aladağ MA. Rat Modelinde Laminektomi Sonrası Epidural Fibrozisin Topikal Aminoguanidin Kullanılarak İnhibisyonu. Ann Health Sci Res. 2018;7:18–22.
MLA Aladağ, M Arif. “Rat Modelinde Laminektomi Sonrası Epidural Fibrozisin Topikal Aminoguanidin Kullanılarak İnhibisyonu”. Annals of Health Sciences Research, vol. 7, no. 1, 2018, pp. 18-22.
Vancouver Aladağ MA. Rat Modelinde Laminektomi Sonrası Epidural Fibrozisin Topikal Aminoguanidin Kullanılarak İnhibisyonu. Ann Health Sci Res. 2018;7(1):18-22.