Acta Cirúrgica Brasileira (Sep 2018)

Tissue microarray technology and collagen evaluation to analyze surgical trauma performed with usual blade or ultrasonic harmonic scalpels in rats

  • Octavio Antonio Azevedo da Costa-Filho,
  • Mario Augusto Cray da Costa,
  • Ana Maria Waaga-Gasser,
  • Luiz Fernando Kubrusly,
  • Luciane Bugmann Moreira de Oliveira,
  • Luiz Martins Collaço,
  • Maria Angélica Baron Magalhães,
  • Martin Gasser,
  • Osvaldo Malafaia,
  • Jurandir Marcondes Ribas-Filho

DOI
https://doi.org/10.1590/s0102-865020180090000004
Journal volume & issue
Vol. 33, no. 9
pp. 762 – 774

Abstract

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Abstract Purpose: To compare wound healing performed with cold blade (CSB) and ultrasonic harmonic scalpel (UHS) in the abdominal aponeurosis of rats. Methods: Eighty Wistar rats divided into two groups and underwent midline incision in the linea alba with cold blade and harmonic ultrasonic scalpel. Analysis were performed in subgroups of 10 animals after 3, 7, 14 and 21 days. Macroscopically was observed the presence of hematoma, infection, wound dehiscence, fistula and adherences. Microscopically were used collagen and immunohistochemical staining methods. Results: Macroscopic, complications showed no statistical difference. Immunohistochemical analysis for MMP-9 was more intense in UHS group (p<0.05). TGF β presented its lower expression in UHS group at 14 and 21 days, with no statistical difference at 3 and 7 days (p<0.05). α-AML expression appeared higher in UHS group after 14 days and remained similar in others (p<0.05). Collagen deposition had no change in type I, and increased in type III in UHS; at 7th day the deposition was higher in CSB group; at 14th was similar in both groups (p<0.001). Conclusion: UHS compared to the CSB has higher lesion area at the time of the incision; as well as it led to the delay of regeneration and scar maturation process.

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