Li Chuangui,Song Yajun,Song Bo,Huang Chibing,Zhang Yinfu.Biological glue vs suturing in treatment of renal trauma in rabbits[J].J Amry Med Univ (J Third Mil Med Univ),2015,37(23):2364-2367.
Li Chuangui,Song Yajun,Song Bo,Huang Chibing,Zhang Yinfu.Biological glue vs suturing in treatment of renal trauma in rabbits[J].J Amry Med Univ (J Third Mil Med Univ),2015,37(23):2364-2367.DOI:
Biological glue vs suturing in treatment of renal trauma in rabbits
Objective To compared the efficiency of biological glue and suturing in the treatment of rabbit model of renal trauma. Methods Thirty-two rabbits were inflicted with partial nephrectomy or excision wound in the left kidney after resection of the right kidney
and then randomly divided into 2 groups
the biological glue group and suture treated group (n=8 for each damage model). Their bleeding amount
hemostatic time
and serum creatinine level before and in 1
2
3 and 4 weeks after surgery were recorded. Ultrasound imaging was performed on the injured left kidney in 1 week after surgery. Histological observation was carried out on the wound site of the kidney. Results For the rabbits of renal excision injury
the blood loss was 3.09±0.56 and 5.77±1.33 mL respectively for the animals treated by biological glue and by suturing
and the hemostatic time was 10.02±1.48 and 66.40±6.35 s
respectively. For the rabbits suffering from partial nephrectomy
the blood loss was 4.67±0.73 and 7.42±1.65 mL
and the hemostatic time was 16.16±3.51 and 179.38±18.72 s
respectively for the biological glue group and the suturing group. The blood loss was obviously less and hemostatic time was significantly shorter in the biological glue group than the suturing group (P0.05). Serum levels of creatinine were significantly lower at every time points in the biological glue group than the suturing group of no matter partial nephrectomy or excision wound models (P0.05). Pathological results showed biological glue group had better wound healing
and significantly mild renal unit damage than the suture group. Conclusion Biological glue is superior to suturing in renal unit damage and renal function after renal trauma
and has better hemostatic effect. So it is safe and effective hemostatic method.