Solutions of sodium carboxymethylcellulose (SCMC) were studied in rats to determine their longevity within the peritoneal cavity and their potential for prevention of postoperative intraperitoneal adhesions. In 18 rats, test solutions of SCMC and 10% dextran 40 were instilled at laparotomy. At 48 hours copious amounts of SCMC remained, whereas no 10% dextran 40 could be detected. In addition, standardized surgical injury was produced on the ceca of 100 rats at laparotomy. All control animals had significant adhesions at 2 weeks. Eighty-two percent of the 10% dextran 40 group had significant adhesions, while only 16% of the 0.9 wt% SCMC and 17% of the 1.0 wt% SCMC groups had significant adhesions. Solutions of SCMC were significantly more effective than 10% dextran 40 in the prevention of adhesions (P less than 0.001). Properties of SCMC and a possible mechanism for its striking effectiveness in adhesion prevention in this study are discussed.
PMID 6202559 6202559 DOI 10.1016/s0015-0282(16)47909-4 10.1016/s0015-0282(16)47909-4
Cite this article
Elkins, T. E., Bury, R. J., Ritter, J. L., Ling, F. W., Ahokas, R. A., Homsey, C. A., & Malinak, L. R. (1984). Adhesion prevention by solutions of sodium carboxymethylcellulose in the rat. I. *Fertility and sterility*, *41*(6), 926-928. https://doi.org/10.1016/s0015-0282(16)47909-4
Elkins TE, Bury RJ, Ritter JL, Ling FW, Ahokas RA, Homsey CA, et al. Adhesion prevention by solutions of sodium carboxymethylcellulose in the rat. I. Fertil Steril. 1984;41(6):926-928. doi:10.1016/s0015-0282(16)47909-4
Elkins, T. E., et al. "Adhesion prevention by solutions of sodium carboxymethylcellulose in the rat. I." *Fertility and sterility*, vol. 41, no. 6, 1984, pp. 926-928.
Objective: To evaluate the ability of the two currently available surgical barriers, oxidized regenerated cellulose and expanded-polytetrafluoroethylene (PTFE), to prevent postsurgical adhesions.
Desi...
Wiseman D et al., 2000The Cochrane Database of Systematic Reviews
Background: Pelvic adhesions can be the result of inflamation, endometriosis or surgical trauma. Prevention of postoperative adhesions (either new or reoccurance) has been postulated by using barriers...
Moll HD et al., 1992American Journal of Veterinary Research
Efficacy of a 1% solution of sodium carboxymethylcellulose (CMC) infused into the peritoneal cavity of ewes was evaluated for prevention of intraperitoneal adhesions resulting from surgery of the repr...
Moll HD et al., 1991American Journal of Veterinary Research
Twelve ponies were used to evaluate the reliability of an abdominal adhesion model and the efficacy of intraperitoneal infusion of sodium carboxymethylcellulose in preventing abdominal adhesions. A ce...