Yazarlar |
Emre Huri
Hacettepe Üniversitesi, Türkiye |
Yavuz Beyazit
Çanakkale Onsekiz Mart Üniversitesi, Türkiye |
Rashad Mammadov
Türkiye |
Sıla Toksöz
|
Ayşe Begüm Tekinay
İhsan Doğramacı Bilkent Üniversitesi, Türkiye |
Mustafa O Güler
|
Hüseyin Üstün
Türkiye |
Murat Kekilli
Türkiye |
Doç. Dr. Mümtaz DADALI
Ahi Evran Üniversitesi, Türkiye |
Tuğrul Çelik
|
Hesna Müzeyyen Astarcı
Abant İzzet Baysal Üniversitesi, Türkiye |
İbrahim Celalettin Haznedaroğlu
Hacettepe Üniversitesi, Türkiye |
Özet |
Purpose. Using the classical Ankaferd Blood Stopper (ABS) solution to create active hemostasis during partial nephrectomy (PN) may not be so effective due to insufficient contact surface between the ABS hemostatic liquid agent and the bleeding area. In order to broaden the contact surface, we generated a chimeric hemostatic agent, ABS nanohemostat, via combining a self-assembling peptide amphiphile molecule with the traditional Ankaferd hemostat. Materials and Methods. In order to generate ABS nanohemostat, a positively charged Peptide Amphiphile (PA) molecule was synthesized by using solid phase peptide synthesis. For animal experiments, 24 Wistar rats were divided into the following 4 groups: Group 1: control; Group 2: conventional PN with only 0.5 ml Ankaferd hemostat; Group 3: conventional PN with ABS + peptide gel; Group 4: conventional PN with only 0.5 ml peptide solution. Results. Mean warm ischemia times (WITs) were 232.8 +/- 56.3, 65.6 +/- 11.4, 75.5 +/- 17.2, and 58. 1 +/- 17.6 seconds in Group 1 to Group 4, respectively. Fibrosis was not different among the groups, while inflammation was detected to be significantly different in G3 and G4. Conclusions. ABS nanohemostat has comparable hemostatic efficacy to the traditional Ankaferd hemostat in the partial nephrectomy experimental model. Elucidation of the cellular and tissue effects of this chimeric compound may establish a catalytic spark and open new avenues for novel experimental and clinical studies in the battlefield of hemostasis. |
Anahtar Kelimeler |
Makale Türü | Özgün Makale |
Makale Alt Türü | SCOPUS dergilerinde yayımlanan tam makale |
Dergi Adı | JOURNAL OF ENDOUROLOGY |
Dergi ISSN | 0892-7790 |
Dergi Tarandığı Indeksler | PubMed, Scopus, Emerging Sources Citation, IndWeb of Scienceex |
Makale Dili | İngilizce |
Basım Tarihi | 09-2012 |
Cilt No | 26 |
Doi Numarası | 10.1155/2013/949460 |
Makale Linki | http://dx.doi.org/10.1155/2013/949460 |