STUDIES ON AUGMENTATION CYSTOPLASTY USING ACELLULAR MATRIX OF SWIM BLADDER IN RABBITS

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Date
2012-12
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SRI VENKATESWARA VETERINARY UNIVERSITY TIRUPATI – 517 502. (A.P) INDIA
Abstract
ABSTRACT: The present study on augmentation cystoplasty was conducted in rabbits to compare the suitability of auto grafts,fresh and acellular swim bladder graft for its healing based on different parameters. . Fresh swim bladders collected from fish were decellularized using 1M sodium chloride solution and 0.5% Triton X-100 under gentle agitation which effectively removed the cellular material from the tissue and was confirmed by Haematoxylin & Eosin .Histologically swim bladder contains an outer fibromuscular layer, muscularis mucosae below the submucosa and internal layer of cuboidal secretory epithelium A total of 24 rabbits of either sex divided in to three groups were used for urinary bladder wall reconstruction with auto grafts,fresh and acellular swim bladder graft after creating a defect . Glycopyrolate as premedicant and Xylazine – Ketamine mixture provided smooth induction and sufficient plane of anaesthesia in rabbits. Parenteral administration of enrofloxacin and daily dressing of the wound with 5% povidone iodine minimized the complications of wound healing. There was a significant rise (P < 0.05) in the rectal temperature, respiratory and heart rate values in the initial postoperative days in all the animals . A significant decrease (P < 0.05) in haemoglobin and PCV in the initial postoperative days in all the animals.Significant increase (P < 0.05) in creatinine levels at 14 th day in groups I and III while in group II there was a nonsignificant rise on 3rd and 5 th day followed by a significant increase up to day 14. There was a significant increase (P < 0.05) in urea levels at 1 st day in all the groups and a non significant increase in levels upto 13 th post 3rd,7th and 14 th day in all the groups . Cystograms showed inconsistent augmentation effect in auto and fresh swim bladder graft animals while it was considerable with acellular graft group. The cutaneous wound healed by 12-15 days.Grossly, grafted site showed various forms of adhesions in all the animals, The graft showed intactness amd as time progresses . Histologically all the sections showed inflammatory cells at the host graft interface at the early phase of observation and as time progresses marked fibroblastic activity formation of thin fibrous tissue and neocapillaries are the findings in acellular graft group. In conclusion the acelluar swim bladder was well accepted by the host tissue and is ideal for augmentation cystoplasty rabbits followed by auto graft and fresh swim bladder graft. .Because of early degradation of scaffold with deposition of native tissue, proliferation of epithelium, along with high degree of angiogenesis and lesser inflammatory reaction, acellular swim bladder graft can be graded superior to autograft and the fresh swim bladder grafts.
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