Yıl: 2018 Cilt: 38 Sayı: 4 Sayfa Aralığı: 303 - 308 Metin Dili: İngilizce DOI: 10.5336/medsci.2018-60484 İndeks Tarihi: 06-05-2019

Evaluation of the Effects of Fat Graft Wrapping on Early Nerve Regeneration: An Experimental Study

Öz:
ABS TRACT Objective: It is not easy to establish ideal neural regeneration after peripheral nerve repair.Various types of microsurgical techniques, tools, pharmacological and chemical agents wereused to increase the quality of the neural regeneration process. However, we are still far from theperfect neural repair. In this study; it was aimed to investigate the effect of fat graft, wrapped aroundsciatic nerve repair coaptation zone, in neural regeneration. Material and Methods: Twenty fourSprague-Dawley rats were chosen and separated into two groups equally. In the first twelve rats,skin incision was made in the right gluteal area, after blunt muscle dissection sciatic nerve was exposed.Full thickness nerve cut was performed and primary nerve repair was also performed in thesame session. The first group was addressed as normal neural regeneration model. In the othertwelve rats, same processes were performed in order to expose sciatic nerve. After nerve repair, fatgraft harvested from the right posterior popliteal area was wrapped around the nerve coaptationzone. All the rats were sacrificed 3 weeks post-operatively, nerve segments were removed and sentfor histopathological evaluation. Results: Our study demonstrated that macrophage migration andlymphocyte infiltration rates were significantly higher in experimental group. Conclusion: It wasobserved that wrapping fat graft around the nerve coaptation zone had a positive effect on neuralregeneration by increasing macrophage and lymphocyte infiltration to the repair zone.
Anahtar Kelime:

Konular: Genel ve Dahili Tıp

Yağ Grefti Kullanımının Erken Dönem Sinir İyileşmesi Üzerine Etkilerinin İncelenmesi: Deneysel Bir Çalışma

Öz:
ÖZET Amaç: Periferik sinir kesisi onarımından sonra ideal sinir iyileşmesinin elde edilmesi çoğu zaman mümkün olmamaktadır. Çeşitli mikrocerrahi teknikler, aletler, farmakolojik ve kimyasal ajanlar sinir iyileşme sürecinin kalitesinin arttırılması için denenmiştir. Ancak, hala mükemmel olarak tanımlanabilecek sinir onarımından uzaktayız. Çalışmamızda rat modeli üzerinde önce kesilip sonra onarılan siyatik sinir çevresine sarılan yağ greftinin sinir iyileşmesi üzerinde olan etkileri incelendi. Gereç ve Yöntemler: Yirmi dört Sprague-Dawley cinsi rat seçilerek iki gruba ayrıldı. İlk grupta, sağ gluteal bölgede yapılan cilt insizyonunu takiben siyatik sinir disseke edildi. Sinir tam kat kesildikten sonra aynı seansta onarıldı. Bu ilk grup normal nöral rejenerasyon modeli olarak yerini aldı. İkinci grupta aynı işlemler yapıldıktan sonra onarım hattı çevresine popliteal bölgeden alınan yağ grefti yerleştirildi. Bütün ratlar 3 hafta sonra sinir örneklemesi sonrası sakrifiye edildi. Sinir örnekleri histopatolojik incelemeye gönderildi. Bulgular: Çalışmamız sonucunda onarım hatları iki grupta karşılaştırıldı ve deney grubunda makrofaj migrasyonu ve lenfosit infiltrasyonu oranlarının istatistiksel olarak anlamlı şekilde daha yüksek olduğu görüldü. Sonuç: Sinir onarım hattına yağ grefti sarılmasının erken dönem sinir iyileşmesi üzerine makrofaj ve lenfosit infiltrasyonunun artmasıyla pozitif bir etkisinin olduğu gözlendi.
Anahtar Kelime:

Konular: Genel ve Dahili Tıp
Belge Türü: Makale Makale Türü: Araştırma Makalesi Erişim Türü: Erişime Açık
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APA ERSEN B, kahveci r, Ugras N, OCAKOGLU G (2018). Evaluation of the Effects of Fat Graft Wrapping on Early Nerve Regeneration: An Experimental Study. , 303 - 308. 10.5336/medsci.2018-60484
Chicago ERSEN Burak,kahveci ramazan,Ugras Nesrin,OCAKOGLU Gokhan Evaluation of the Effects of Fat Graft Wrapping on Early Nerve Regeneration: An Experimental Study. (2018): 303 - 308. 10.5336/medsci.2018-60484
MLA ERSEN Burak,kahveci ramazan,Ugras Nesrin,OCAKOGLU Gokhan Evaluation of the Effects of Fat Graft Wrapping on Early Nerve Regeneration: An Experimental Study. , 2018, ss.303 - 308. 10.5336/medsci.2018-60484
AMA ERSEN B,kahveci r,Ugras N,OCAKOGLU G Evaluation of the Effects of Fat Graft Wrapping on Early Nerve Regeneration: An Experimental Study. . 2018; 303 - 308. 10.5336/medsci.2018-60484
Vancouver ERSEN B,kahveci r,Ugras N,OCAKOGLU G Evaluation of the Effects of Fat Graft Wrapping on Early Nerve Regeneration: An Experimental Study. . 2018; 303 - 308. 10.5336/medsci.2018-60484
IEEE ERSEN B,kahveci r,Ugras N,OCAKOGLU G "Evaluation of the Effects of Fat Graft Wrapping on Early Nerve Regeneration: An Experimental Study." , ss.303 - 308, 2018. 10.5336/medsci.2018-60484
ISNAD ERSEN, Burak vd. "Evaluation of the Effects of Fat Graft Wrapping on Early Nerve Regeneration: An Experimental Study". (2018), 303-308. https://doi.org/10.5336/medsci.2018-60484
APA ERSEN B, kahveci r, Ugras N, OCAKOGLU G (2018). Evaluation of the Effects of Fat Graft Wrapping on Early Nerve Regeneration: An Experimental Study. Türkiye Klinikleri Tıp Bilimleri Dergisi, 38(4), 303 - 308. 10.5336/medsci.2018-60484
Chicago ERSEN Burak,kahveci ramazan,Ugras Nesrin,OCAKOGLU Gokhan Evaluation of the Effects of Fat Graft Wrapping on Early Nerve Regeneration: An Experimental Study. Türkiye Klinikleri Tıp Bilimleri Dergisi 38, no.4 (2018): 303 - 308. 10.5336/medsci.2018-60484
MLA ERSEN Burak,kahveci ramazan,Ugras Nesrin,OCAKOGLU Gokhan Evaluation of the Effects of Fat Graft Wrapping on Early Nerve Regeneration: An Experimental Study. Türkiye Klinikleri Tıp Bilimleri Dergisi, vol.38, no.4, 2018, ss.303 - 308. 10.5336/medsci.2018-60484
AMA ERSEN B,kahveci r,Ugras N,OCAKOGLU G Evaluation of the Effects of Fat Graft Wrapping on Early Nerve Regeneration: An Experimental Study. Türkiye Klinikleri Tıp Bilimleri Dergisi. 2018; 38(4): 303 - 308. 10.5336/medsci.2018-60484
Vancouver ERSEN B,kahveci r,Ugras N,OCAKOGLU G Evaluation of the Effects of Fat Graft Wrapping on Early Nerve Regeneration: An Experimental Study. Türkiye Klinikleri Tıp Bilimleri Dergisi. 2018; 38(4): 303 - 308. 10.5336/medsci.2018-60484
IEEE ERSEN B,kahveci r,Ugras N,OCAKOGLU G "Evaluation of the Effects of Fat Graft Wrapping on Early Nerve Regeneration: An Experimental Study." Türkiye Klinikleri Tıp Bilimleri Dergisi, 38, ss.303 - 308, 2018. 10.5336/medsci.2018-60484
ISNAD ERSEN, Burak vd. "Evaluation of the Effects of Fat Graft Wrapping on Early Nerve Regeneration: An Experimental Study". Türkiye Klinikleri Tıp Bilimleri Dergisi 38/4 (2018), 303-308. https://doi.org/10.5336/medsci.2018-60484