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Generation of Chimeric ''ABS Nanohemostat'' Complex and Comparing Its Histomorphological In Vivo Effects to the Traditional Ankaferd Hemostat in Controlled Experimental Partial Nephrectomy Model   
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 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