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Predicate | Object |
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rdf:type | |
lifeskim:mentions | |
pubmed:issue |
1
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pubmed:dateCreated |
1996-12-30
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pubmed:abstractText |
The objective of this investigation was to evaluate the effect of ancrod, a fibrinogenolytic protease from Malayan pit viper venom, locally delivered through a photopolymerized biodegradable hydrogel in preventing postoperative adhesions. The experimental model involved ischemic and serosal injury to the uterine horns of rats with measurement of adhesions 7 days after injury. Ancrod was delivered intravenously for 5 days preoperatively through 3 days postoperatively, intraperitoneally for 5 days preoperatively, intraperitoneally for 3 days postoperatively, and locally via the hydrogel formed upon the uterine horns by photopolymerization of an aqueous precursor solution. Systemic defibrinogenation by intravenous administration pre-through postoperatively reduced the extent of adhesions by 63% without dose sensitivity from 5 to 20 units/kg/day. Preoperative defibrinogenation by intraperitoneal administration reduced adhesion extent by up to 57%, while postoperative administration was more effective, reducing adhesions by up to 84% with a dose-dependent response from 5 to 20 units/kg/day. Administration of ancrod by local release from a tissue-adherent hydrogel was more effective than either the hydrogel alone or the same amount of ancrod administered by postoperative intraperitoneal injection. Adhesions were reduced by 82% at a local dose of 10 units/kg, compared to a reduction of 68% due to the barrier properties of the gel alone (P < 0.01) and of 19% due to the same amount of drug given at the time of surgery (P < 0.001). Local delivery of ancrod from a tissue-adherent hydrogel barrier thus provided an efficacious prevention to postoperative adhesions while permitting administration of a low total dose of the protease.
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pubmed:language |
eng
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pubmed:journal | |
pubmed:citationSubset |
IM
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pubmed:chemical |
http://linkedlifedata.com/resource/pubmed/chemical/Ancrod,
http://linkedlifedata.com/resource/pubmed/chemical/Fibrinolytic Agents,
http://linkedlifedata.com/resource/pubmed/chemical/Hydrogel,
http://linkedlifedata.com/resource/pubmed/chemical/Polyethylene Glycols,
http://linkedlifedata.com/resource/pubmed/chemical/Tissue Adhesives
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pubmed:status |
MEDLINE
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pubmed:month |
Feb
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pubmed:issn |
0022-4804
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pubmed:author | |
pubmed:issnType |
Print
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pubmed:day |
15
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pubmed:volume |
61
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pubmed:owner |
NLM
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pubmed:authorsComplete |
Y
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pubmed:pagination |
58-64
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pubmed:dateRevised |
2008-11-21
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pubmed:meshHeading |
pubmed-meshheading:8769943-Abdomen,
pubmed-meshheading:8769943-Ancrod,
pubmed-meshheading:8769943-Animals,
pubmed-meshheading:8769943-Female,
pubmed-meshheading:8769943-Fibrinolytic Agents,
pubmed-meshheading:8769943-Hydrogel,
pubmed-meshheading:8769943-Injections, Intraperitoneal,
pubmed-meshheading:8769943-Ischemia,
pubmed-meshheading:8769943-Polyethylene Glycols,
pubmed-meshheading:8769943-Postoperative Care,
pubmed-meshheading:8769943-Postoperative Complications,
pubmed-meshheading:8769943-Preoperative Care,
pubmed-meshheading:8769943-Rats,
pubmed-meshheading:8769943-Rats, Sprague-Dawley,
pubmed-meshheading:8769943-Tissue Adhesions,
pubmed-meshheading:8769943-Tissue Adhesives,
pubmed-meshheading:8769943-Uterus,
pubmed-meshheading:8769943-Wounds and Injuries
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pubmed:year |
1996
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pubmed:articleTitle |
Adhesion prevention with ancrod released via a tissue-adherent hydrogel.
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pubmed:affiliation |
Department of Chemical Engineering, University of Texas, Austin 78712, USA.
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pubmed:publicationType |
Journal Article,
Comparative Study,
Research Support, Non-U.S. Gov't
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