Янги ишлаб чиқарилган кукун шаклидаги Гепроцел гемостатик воситасининг экспериментал текширувлари 198±2,7г. вазнли 60 та оқ зотсиз каламушларда ўтказилди. Морфологик ўзгаришлар операциядан кейинги 3, 12 соат, хамда 1, 3, 7, 14 ва 30 кундан сўнг текшириб кўрилди. Бунда уларнинг макроскопик ва микроскопик ўзгариш жихатлари ўрганилди. Ўтказилган текширув натижалари Гепроцел гемостатик воситаси паренхиматоз қон кетишини самарали тўхтатишини кўрсатди. Микроскопик кузатувлар жигар юзасидаги жарохатнинг юпқа бириктирувчи тўқимали чандиқ хосил бўлиши билан аста-секин бтишини кўрсатди. Гепроцел гемостатик кукунига, организм учун ёт модда сифатида, эрта муддатларда енгил морфологик жараён кўринишида яллиғланиш хосил бўлиб, имплантат сўрилиши даврида тезда камайиб боради. Назорат гуруҳида эса худди шу давр мобайнида яллиғланиш жараёнининг кучайиб бориши кузатилди. Гепроцел кукуни организмда қўлланилганда 14–21 кун ичида тўлиқ сўрилиб кетиши кузатилди. Шундай қилиб, кукун шаклидаги янги Гепроцел қон тўхтатувчи воситаси паренхиматоз қон кетишини тўхтатувчи сифатида жароҳат ва операциядан кейин қўлланилиши мумкин.
Experimental study of new polycomposition haemostatic powder was performed. 60 white male rabbits with weight 198 + 2,7 g were used. Morphologic alterations were studied at 3, 12 hours, 1, 3, 7, 14, 30 days after the operation. Results revealed the haemostatic effect of Heprocel powder. Microscopic data showed the gradual healing of the liver wound forming the thin connective tissue in injured zone. The slight inflammation developed as foreign body reaction, which reduced with implant biodegradation. Inflammation signs were manifested in the control group. The complete biodegradation of haemostatic powder Heprocel was registered on 14 – 21 days. Thus, the new haemostatic agent Heprocel might be used for parenchymal bleeding control in trauma and operation.
№ | Muallifning F.I.Sh. | Lavozimi | Tashkilot nomi |
---|---|---|---|
1 | Alimov M.M. |
№ | Havola nomi |
---|---|
1 | 1. Геньш К.В., Базарнова Н.Г. Окисленная цел-люлоза. Получение. Применение в медицине.//- Химия растительного сырья.2013.№4.С.13-20. 2. Назыров Ф.Г., Садыков Р.А., Сарымсаков А.А., / Гепроцел новый гемостатический имплантат для хирургии печени. //Хирургия Узбекистана, 2016г.№ 1. С. 61 – 68. 3. Таркова А.Р., Чернявский А.М., Морозов С.В., Григорьев И.А., Ткачева Н.И. / Гемостатический материал местного действия на основе окисленной целлюлозы // Сибирский научный медицинский журнал 2015; том 35, №3, С. 11-15 4. Achneck HE, Sileshi B, Jamiolkowski RM, Albala DM, Shapiro ML, Lawson JH. A comprehensive review of topical hemostatic agents: efficacy and recommendations for use. AnnSurg. 2010;251 (2):217-228. doi:10.1097/SLA.0b013e3181c3bcca. 5. Bouras, A.F. Management of blunt hepatic trauma. JournalofVisceralSurgery. 2010; 10:004: 351-358. 6. Brustia R, Granger B. An update on topical haemostatic agents in liver surgery: systematic review and meta-analysis. J HepatobiliaryPancreat Sci. 2016. doi:10.1002/jhbp.389. 7. Dokmak S, Ftériche FS, Borscheid R, Cauchy F, Farges O, Belghiti J. Liver resections in the 21st century: we are far fromzeromortality. HPB (Oxford). 2013;15:908–15. 8. Habal P, Omran N, Mand’ák J, Simek J, Stetina M. Controlled hemostasis in thoracic surgery using drugs with oxidized cellulose. ActaMedica (Hradec Kralove). 2011;54(4):153-156. 9. Henry MCW, Tashjian DB, Kasowski H, Duncan C. Postoperative paraplegia secondary to the use of oxidized cellulose (Surgicel). J Pediatr Surgery40 (pp E9-E11), 2005 Date Publ April 2005. 2005;(4):E9-E11. doi:10.1016/j.jpedsurg.2005.01.032. 10. Huntington JT, Royall NA, Schmidt CR. Minimizing blood loss during hepatectomy: a literature review. J SurgOncol. 2014;109:81–8 11. Ikarasi Y., Tsuchiya Т., Toyoda K., Kobayashi E., Doi H., and Hamanaka H., /Tissue Reactions and Sensitivity to Iron Chromium Alloys,// Mater Trans, 2002,43, pp.3065-3071. 12. Jensen SS, Yazdi PM, Hjørting-Hansen E, von Arx T. Haemostatic effect and tissue reactions of methods and agents used for haemorrhage control in apical surgery. IntEndod J. 2010;43(1): 57–63. 13. Kamiyama T, Nakanishi K, Yokoo H, Kamachi H, Tahara M, Yamashita K, et al. Perioperative management of hepatic resection toward zero mortality and morbidity: analysis of 793 consecutive cases in a single institution. J AmCollSurg. 2010;211:443–9. 14. Lewis K. M., SpaziererD., UrbanM. D., LinL., RedlH.,GoppeltA.Comparison of regenerated and non-regenerated oxidized cellulose hemostatic agents. EurSurg. 2013; 45(4): 213–220. 15. Malone DL, Dunne J, Tracy JK, Putnam AT, Scalea TM, Napolitano LM. Blood transfusion, independent of shock severity, is associated with worse outcome in trauma. J Trauma. 2003;54(5):898–905; discussion 905–907. 16. Schuhmacher C, Pratschke J, Weiss S, Schneeberger S, Winkler M, Emmanouilidis N. Safety and effectiveness of a synthetic hemostatic patch for intraoperative soft tissue bleeding. 2015:167-174 17. Seyednejad H, Imani M, Jamieson T, Seifalian AM. Topical haemostatic agents. Br J Surg. 2008;95(10):1197–1225. |